ICTC Team Training 1 ICTC: Roles, Referrals and Linkages.

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ICTC: Roles, Referrals and Linkages

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Discussion Questions

• What kind of patients does your ICTC generally serve?• Do you know how far they come from and how they travel?• From which hospital units do your ICTC clients usually

come?• From which community organizations do your ICTC clients

mostly come from?• To which hospital units do you refer your clients?• To which community organizations do you refer your clients?• The ICTC may refer patients to other units. But how would

you know if they are reaching there?

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Main Functions of an ICTC

Early detection of HIV. Provision of basic information on modes of

transmission and prevention of HIV/AIDS for promoting behavioral change and reducing vulnerability.

Linking people with other HIV prevention, care and treatment services.

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Types of ICTCs

Stand-alone ICTCsFacility-integrated ICTCs

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Overall goal of the NACP III is to halt and reverse the epidemic in India over five years:

1. Prevention of new infections in high risk groups and general population.

2. Providing greater care, support and treatment to larger numbers of PLHA.

3. Strengthening the infrastructure, systems and human resources in prevention, care, support and treatment programmes at the district, state and national level.

4. Strengthening the nationwide Strategic Information Management System.

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Continuum between Care and Prevention

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ICTC and its Linkages(from the NACP III)

TB - RNTCP

ICTC

PPTCT

ART

Early Management of OI

Access to Condoms

Access to Legal Services

Psycho-social support services

Link Workers

STI Services

Peer Support Group

Targeted Interventions

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ART Centres

All clients diagnosed with HIV should be referred to the nearest ART centre for assessment for ART and treatment.

Services available at ART centers include: Identifying eligible PLWHAs who require ART. Free ARV drugs to eligible persons with HIV/AIDS. Counselling for adherence. Education on nutritional requirements, hygiene & other

measures. Referral services for specialised services or admission. Condoms distribution.


Link ART Centres

Services available at Link ART Centers include: ART drug distribution and treatment Monitoring patients on ART for OIs, side effects,

adherence and weight Referral services to ART centres for treatment of

OIs, side effects of drugs, ANC care, etc. Psychological support Adherence counselling Health education on prevention of infections


Community Care Centres (CCC)

A CCC provides services to PLWHAs such as In-patient care for 5 days for PLWHAs Out-patient facility for OIs and other illnesses related

to HIV/AIDS Counselling for adherence Referral services to ICTC, PPTCT, Pediatric HIV

services, ART Centre, medical facilities, DOTS centre and other required services

Home based care Condom distribution


Drop In Centres

Drop In Centres are run by Networks of PLWHA and provide these service:

Peer support to cope with the infection and consequences Treatment education and adherence support Psychosocial support Legal support Nutrition and livelihood support Linkages to social welfare programmes, health care services etc Advocating for the protection of rights of PLWHA Help in addressing stigma and discrimination Facilitate vocational or occupational rehabilitation Care and help in education of for children living with HIV/AIDS


STI/RTI Clinics

Patients coming to STI/RTI clinics must be referred to ICTC for HIV testing.

All ICTC clients with signs of any STI/RTI must be referred to designated STI/RTI clinics for diagnostics and treatment services.

Services at STI/RTI clinics include: Syndromic management of STIs Laboratory tests like VDRL STI counselling Provision of medication Partner counselling and treatment Patient follow up Syphillis screening services for all pregnant women at the RTI clinics



At present, with which health facilities and organisations does our ICTC not have STRONG linkages?

What can the ICTC team members do to build strong linkages?



Who are the people who should be coming to our centre for HIV counselling and testing?

How can we increase our patient load?


HIV spreads through 3 principal modes:– through sex between a man and a woman or

between two men (when one partner is infected);– through blood that is infected or through reusing

syringes and needles;– from an infected pregnant woman to her unborn

child. If a person is exposed to HIV through any

of these routes, they should get tested.

Routes of Transmission

2.24

2.57

2.726.78

85.69

Sexual

IDUs

Blood & Blood Products

Perinatal

Unidentified


Who Needs HIV Testing

Clients who walk in to the centre on their own

ICTC should also build up referrals of: Patients with symptoms which could be due to HIV infection. Patients with conditions that develop due to the same

vulnerabilities as HIV. Pregnant women who come to ANCs or who come to health

centres to deliver their babies.

It is not the mandate of the ICTC to test everybody in the general population. Populations who are more vulnerable to HIV or who practise high risk behaviour are in need of ICTC services.


Do I need HIV testing?

EXERCISE


EXERCISE– Does the person in the case need HIV

testing? – Explain why. – Is there anyone else in that situation who

also needs testing (e.g., a sexual partner)?

ICTC Team Training 1 ICTC: Roles, Referrals and Linkages.

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