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Re: Some Core issues and concerns surrounding CCCs under NACP III-with malice towards none

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Re: /message/11286

At the outset let me say that I have no experience with many CCP's but

whatever I am told about this in Amritsar (by PLHIV under my care),I have few

comments to make regarding concerns raised by Dr.Ashok Rau.

It is a fact that new patients are forced to get admitted in these for

showing performance or whatever--those who refuse and can not stand

this-rush to PP's like me. But when actual admissions are required they are

never provided the care they need.

The latest example is that one of JS, who was breathless and waited whole night

outside GND, Hospital here, neither emergency nor CCC admitted him and the poor

fellow ultimately landed with us in a private hospital, he remained admitted

with us for almost ten days.

The result is that although we got his investigations done from our pocket and

even offered visits without fee etc yet despite our best counseling he was not

ready to go to ART.

This is the ground reality.

I come across many, whom I force to go to ART center but come back as they do

not want to be admitted, just to initiate ARV (as they are at

times asymptomatic with low cd4's---less than recommended by NACP i.e 250)

I am not writing this for any inquiry etc--I am just revealing the facts so that

authorities who matter take the whole issue in broader prospective and I am

writting this with malice towards none.

Dr.Rakesh Bharti

--

Rakesh Bharti MD,AAHIVS,

BDC Research center,

27-D,Sant Avenue,The Mall, Amritsar.

Punjab, INDIA 143001.

Tel-91-183-2277822;91-183-2278522

e-mail: <rakesh.bharti1@...>

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