Re: Why the diffrences in serviced between HIV services in Delhi and Haryana?

[Guest guest]

Dear Forum,

Re: /message/10477

After dedicating and working for PLHA,s since 2003 Action India Ashraya Holistic

Care centre had admitted and taken care of  more than 4500 PLHA,s and out of

these 70% were from Haryana.

I am surprise that our dear friend Hari had not been following the updates of

the role of CCC in NACP III. CCCs were just the point where PLHA,s who are

initiated on ART at the ART centres will be sent for observation and Counseling

for ART Adherence and Nutrition etc.

The role of CCC,s were limited and it is the clear order  of Madam Sujata Rao

that CCCs will not admit any serious patients and not mess with their treatment.

So dear Hari if a patients comes at our doorstep for admission and the patient

could not even walk and the physical condition shows that the patients is very

sick and our doctor after examing tell us that the patients need to be taken to

goverment hospital.

What do I do? asked them to go to ART clinic or emergency at Govt Hospital.

Now if that is not admitting patients...

Henry Thangzamang

e-mail: <Henrya <henryasimte@...>

[Guest guest]

Dear forum,

Re: /message/10477

There exist a conflict which is apparently not resolved yet or not

adequately addressed.

The Community care centers of NACP 2 era are mostly palliative care/

hospice/ centers but the NACP 3 CCCs are more of adherence support centers.

But very few CCCs are clear about their role and they are run by the groups who

were managing care centers of NACP 2.

Also as we don't have a robust social support system or policy

we are left with no options for continuation of care those who are

convalescing after discharge, those who need palliative care etc are finding it

difficult with the CCCs and ART centers which are

strictly following the guidelines.

At the same time this change can hopefully act as a stimulus to main stream HIV

care if we can strengthen the social support system in parallel to HIV care.

I think we should have an open discussion on this area and find an out an

optimal solution with short term and long term plans

Dr Ajith

--

Dr Ajithkumar.K

Asst Professor In Dermatology and Veneriology

Medical college Chest Hospital

MG Kav,Trichur, Kerala ,India

Ph 04872333322 (res)

9447226012

e-mail: <ajisudha@...>