Community Care Center Linkage
Community Care Centre plays a critical role in providing treatment, care and support to people living with HIV/AIDS (PLHIV). Under NACP-III these centres are linked to ART centres as link ART centres for decentralized drug (ART) delivery and they also ensure that PLHIV are provided with: (a) counselling for ARV drug adherence, (b) nutrition advice (c) positive prevention (d) treatment of opportunistic infection (e) referral and outreach services for follow up as well as link to HBC (home based care)(f) social support services.

Community care centres serve as medical and clinical care facilities offering tangible services in addition to the counselling, psycho-social support and end of life care. To achieve the above, NACO is planning 350 Community Care Centres across India to be set up during the programme period (2007- 2012) in partnership with PLHIV in high prevalence and moderate prevalence districts. In the state of A.P there are 34 NACO funded CCC and 31 CCC funded by the State government funds and 23 temporary hospitalisation wards to cater for the needs of PLHIVs.As a part of Public private partnership, APSACS sanctioned three CCCs for the Partnering Institutes of APAIDSCON.

CCC Linkages:

Among the stand alone CCCs , only few of them have a full time doctor service but not always trained in the HIV care and treatment. Many of these stand alone CCCs are managed by senior staff nurses.Patients are brought all the way from the care and support centre to the ART Out patients to get treatment for even the basic OIs which can be treated at the centre itself if the physician is trained and appropriate supplies are made available. With this prevailing scenario in the stand alone CCCs, APAIDSCON has come out with a strategy to enhance the quality of the clinical services at these centres by placing a trained part time physician at these CCCs. As a part of PPP, APAIDSCON has able to establish five linkages between the PIs and Stand alone CCCs for specialist services to PLHIVs within the district.These 5 PIs have provided doctors for services to these CCCs.

Objectives:

  • To support decentralized delivery of high quality HIV care, antiretroviral therapy and prevention and Continuous improvement of patient outcomes at CCC
  • Improving the quality of clinical care and patient outcomes in resource-constrained Settings
  • Building the capacity of primary care providers to provide comprehensive and integrated care using on-site clinical collaboration, consultation and directed support
  • To metamorphose CCC from being a stand alone short stay home to being a place for providing comprehensive medical clinical services to PLHIV

Role of APAIDSCON:

  • To provide trained high quality clinical physician as an HIV expert to the CCC
  • To give hands on training to the Physicians there by being an additional expert hand to the desired centres
  • To develop good clinical skills at the centre locally through direct training of the staff, mentoring and onsite supervision
  • To Stress importance on the documentation process and establish good working system to strengthen the program M&E and generate high quality data for program planning, designing and feedback
  • To strengthen the linkages between the ART, ICTC centres and TI interventions for referrals

Linkages in place:

CCCs

CCC Linkages

  • KIMS – Narketpally
  • GSL - Rajahmundry
  • MNR – Sangareddy
  • MIMS – Vizianagaram – Rotary Abhay CCC
  • MNR – Sangareddy – Desire Society CCC
  • MMC – Khammam – St.Joseph CCC
  • KIMS – Amalapuram – CNP+
  • CAIMS – Karimnagar – LODI CCC

 

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