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Drop-in Centre

Drop-in Centre. Need for DIC. All the services for IDUs cannot be provided in the outreach centre alone IDUs often need a place where they can rest peacefully without being harassed/discriminated against Service providers need a place to address their clients (IDUs and partners) as a group

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Drop-in Centre

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  1. Drop-in Centre

  2. Need for DIC • All the services for IDUs cannot be provided in the outreach centre alone • IDUs often need a place where they can rest peacefully without being harassed/discriminated against • Service providers need a place to address their clients (IDUs and partners) as a group • IDUs need a place where they can come together and find a common voice

  3. Drop-in Centre • A doorway to a welcoming and caring environment for target population • A hub for all services which an IDU can access as per his/her need and convenience • DIC is the hub from where all prevention and treatment efforts are: • Planned • Coordinated • Conducted • Monitored • Documented

  4. Who will the DIC serve? • The following persons usually access the DIC and its services: • People who inject drugs • Spouses and sex partners of IDUs • Other family members of IDUs • General community (who may visit DIC to seek information)

  5. Services Provided at the DIC • Needle and Syringe Exchange Program • IEC • Sharing and caring • Psychosocial support • Wound and abscess management • STI treatment • Condom distribution • Referrals to ICTC, DOTS • Waste disposal systems • Dispense OST -when specifically accredited by NACO

  6. Location of DIC • A DIC should be located where IDUs: • Reside • Congregate • Find it easy to access • Do not face discrimination • Can enter freely without any fear of the surroundings

  7. Establishing a DIC Steps for choosing a location Contd…

  8. Establishing a DIC • The final selection will depend upon: • Proximity of proposed site to the hotspots, services and referrals • Acceptability of the site to the IDU and general community • Once a location is chosen on the basis of the above steps, the TI (NGO) should hold advocacy meetings with the general community residing around proposed site • All concerns of the general community to be addressed by the TI staff Contd…

  9. Establishing a DIC Infrastructure • A DIC should have adequate space for: • Recreation/rest • Counselling • Medical examination/Treatment/ Dressing of abscess • Safe disposal of used needle s and syringes • Stocking of supplies • Basic amenities like a toilet and kitchen • Essential furniture • Timings of DIC should be decided in consultation with the IDUs

  10. Stocks and Displays Establishing a DIC • The following should be stocked: • Needles and syringes • Condoms • Puncture proof N/S collection and disposal containers and chemicals • Abscess prevention and treatment material • IEC materials • Notice on rules and regulations should be prominently displayed • Confidentiality policy should be displayed

  11. Human Resources Establishing a DIC • Staff in DIC • Full-time: PM, Nurse/Counsellor and ORW • Part-time: Doctor (minimum 3 days per week) • ORWs will take turns to carry out DIC related work • One staff member must be designated as DIC in-Charge.

  12. Basic Rules at the DIC • Some basic rules of the DIC include: • Make every effort to help the IDU and partner feel valued and comfortable • Take informed consent before testing and medication • Display confidentiality policy • Display rules and regulations prominently

  13. Role of the PM • The roles and responsibilities of the PM in DIC functioning are as follows: • Supervision of clinic activities on regular basis  • Facilitating advocacy meetings and focus group discussions  • Development and monitoring of weekly work plan as per the performance indicators for ORWs and counsellors  • Arrangement of weekly and monthly meetings to identify shortfalls and evolve corrective measures/plan of action  • Capacity building of staff and organization  • Overseeing MIS  • Developing DIC policies and plans  • Continuous analysis of the project activities • Advocacy and engagement with the local community

  14. For details please refer to SOP on DIC for IDU Interventions developed by UNODC for NACO

  15. Any questions?

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