Pre-ART LFU tracking process was initiated where the team felt that it was possible. It started in Kurnool, and Vizianagarm. Further to the field visit and CIFF satisfaction with the Pre-ART LFU tracking in Viziangaram, even with the then fluid situation and increased constraints, it was decided to go ahead with the Pre-ART LFU, whatever come may. The Pre-ART LFU tracking was planned to happen in two phases. Higher engagement with the APSACS is inevitable to initiate and complete the institutionalizing the Pre-ART LFU tracking. Present situation: In Kurnool and Vizianagaram- two ways of doing the tracking, two different scopes, and using all the available Pre-ART LFU data and is currently going on. It proved that Pre-ART LFU tracking is possible to do, provide the Pre-ART LFU Clients list is available readily. Pre-ART LFU tracking was initiated in two districts- Vizianagaram and Kurnool. In Kurnool, only children are being tracked by only BSY TAPS. In Vizianagaram, all clients were being tracked using all tracking partners. First Phase: In this phase, once the PLHA software issues are resolved and it is being rolled out in other districts (assuming the SIMS takes its own course of time and testing), it is decided to roll out the best version in the Guntur and East Godavari districts. Once the software is installed, with the permission and support of the APSACs and the ART centers, the previous past 12 months data of Pre-ART clients will be keyed in with the external resource agency. In the mean time, sensitization of the actors has to be done. The Pre- ART line list generated has to be categorized as per the ART center as well. The existing LFU tracking mechanisms such as ART care coordination meetings, distribution of mandals between the ART centers, etc need to be fine tuned, as three ART centers are there in Guntur and two in East Godavari. Phase 2: Before the initiation of the phase two, a decision will be taken on whether to enter all the old data or not. If that is the decision, then the data entry will be done for 9 districts. If the decision is to go by entering one year old data only, then seven districts data will be entered. Other processes will be followed similarly to initiate the Pre-ART LFU tracking In summary, although planned to initiate the Pre-ART LFU tracking in other ART centers in phase wise, it did not happen for two reasons. One of the two prerequisites are generating line lists of the Pre-ART LFU clients automatically from PLHA software did not happen and the next is to convince the partners on the possibility, the necessity and the procedures and processes that need to be followed did not required as there were no Pre-ART LFU line lists.
CASE STUDIES FOLLOW APPENDICES FOLLOW