Re: Who will take care of him ?

[Guest guest]

Dear Members,

Re: /message/10594

This is really disturbing and very important issue to address immediately. This

is the reality of many PLHIV living in this Important democratic Country.

As per NACO guidelines Community Care Centre to take care of minor ailments of

PLHIV.  The Hospitals suppose to provide appropriate treatment services for the

needy PLHIV are neglecting and discriminating the PLHIV.

 

NOW who is the responbile ? Health departments/SACS/NACO should take appropriate

steps to provide treatment services to PLHIV.

 

Yours in  Solidarity

Rama Pandian

Tamilnad Network of Positive People (TNP+)

70/269, Labour Colony, Guindy- Chennai- 600 032.

Mobile : 94440 40469 

e-mail: <tnpluz@...>

[Guest guest]

Dear Forum,

NACO officials need to seriously look at this issue with open mind.

 

In the co-odination meetings, All the CCC are instructed to restrict themselves

to the management of minor OIs and psycho social support through Out reach and

counselling. Infact it was also told that 'doing procedures like LP and  major

OI management at CCC will be considered as an offence and those CCC even may be

wiped out from system'. The justification for this major change seems to be

'integrating HIV care into main stream'.

 

My concerns are:

a) How many district hospitals are geared to and equipped to take up this major

OI management upon them?

 

Why should CCC not do major OI management if they have capability of doing

this work from decades and qualified staff like MBBS doctor?

 

c) When there is possibility to screen some one (for life threatening infections

like Cryptococcal Meningitis, toxo and TBM) within few hours, why should one

delay the process of keeping 'integration' in mind and be the reason for PLHA

suffering for more days and ultimately dieing tossing him between hospitals and

departments?

 

d) It is unfair from NACO's end to tie the hands of staff at CCC by saying 'we

are not supposed to do major OI management'

 

Can't NACO be fair by saying, " this is what CCC is expected to do. But if they

do more than this at their funds, we are OK with it'.

 

e) NACO should not forget that 'Public health system is only an alternative'. By

taking off all other venues where PLHA can be treated, actually what is NACO

trying to acheive?

 

Are they really committed to decrease Mortality/Morbidity?

 

or

 

Are they just interested in bringing down the prevalence rate no matter how it

is been achieved i.e. even by increasing death rate?

 

f) I wonder whether NACO wants existence of CCC only for one reason, i.e. 'to

have some one to take blame for failures of their programs'

 

We appreciate that NACO want 'HIV care to be available everywhere'.  Intension

is great. But the means through which they are trying to achieve this is wrong.

 

Regards

Madhuri