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Networking & Referral. Referrals and Networking. “Referrals and networking are useful to ensure that IDUs and their sexual partners have access to the existing medical, social support and legal services”. What is Networking?.
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Referrals and Networking “Referrals and networking are useful to ensure that IDUs and their sexual partners have access to the existing medical, social support and legal services”
What is Networking? • Building linkage and relationship with other individuals/agencies/groups of people • Sharing information and resources with above entities • Seeking support from potential allies/groups/agencies/networks having different or varied skills and services that will ultimately assist IDUs
Why Network? • IDU TI programs cannot meet all the needs of IDUs • IDUs are often ignorant of existing healthcare facilities • Apart from health, IDUs have a number of other needs, e.g. food and nutrition, shelter, employment • IDUs are often ill-treated, discriminated against and denied healthcare facilities • IDUs may be prevented from accessing services provided by TIs and other agencies by groups/entities opposed to Harm Reduction programs for IDUs • IDUs are often stigmatized and suffer from low self-esteem; they feel insecure/threatened
Linkages Provided Through the TI • Linkages with other HIV services: • TB referrals to DOTS • ICTC linkages (VCTC, PPTCT) • ART linkages and Hepatitis C management • OI management • Existing support groups (NGOs/CBOs) • OST centre (available only at some specially accredited TIs and government hospitals) • Bio-medical waste handling units • Diagnostic Laboratories • Community Care Centres (CCC) • Government/Private hospitals
Linkages with Other Key Health Services • Drug treatment (de-addiction and rehabilitation through MSJE) • Reproductive health services for women who use drugs and women who have male injecting partners • Psychosocial support and counselling • Linkages with other departments • Vocational training/income generation efforts • Social and legal support services • Access to other government department services (e.g., BPL, nutritional supplements)
Steps in Networking & Referrals 1. Referral mapping • The PM along with other staff, including outreach and community members, should prepare a map wherein services available in locality/town are identified • Key questions to be considered during mapping: • What services does the agency offer? • Will the agency provide services to IDUs and their partners? • Will they maintain confidentiality of the client and the sex partners? • How can your TI benefit from linkages with the agency? • How far is the agency from the DIC/IDU hotspots? • Who is the appropriate contact person to formalize the linkage? Contd…
Referral mapping Steps in Networking & Referrals • TI staff should meet the key person in identified agencies to inform them about TI activities and advocate for making the service available to IDUs and partners • All TI staff should be informed of the networking and subsequent meetings • Service map and directory should be prominently displayed in the DIC as well as TI staff rooms; a list of such services should also be provided to ORWs Contd…
2. Referral database Steps in Networking & Referrals • Preparation of simple database to include: • Name of the agency • Type of services available • Key person/contact person • Address • Telephone number • Office timings Contd…
3. Referral Protocol Steps in Networking & Referrals • Referral protocol should provide guidelines for making referrals • Explaining how and when referrals are to be made • Steps to be taken when making a referral • Following-up on a referral • Documentation or forms required to complete the referral • A referral form should accompany the protocol Contd…
Referral Protocol Referral form should capture: • Client information • Date and time of appointment • Problem or need identified • Services to be provided • Name of the agency where referred • Contact information and location of agency • Date and time the referral appointment was verified
Steps in Networking & Referrals 4. Setting up System of Referrals • ORW/TI staff to accompany referral cases • Referral slip/card to be printed in triplicate • Referral card to be collected from referral agency by TI staff at the end of the month to ascertain number of IDUs/partners who accessed referred service
Steps in Networking & Referrals 5. Referral Analysis • Analysis of the referrals should be conducted at the end of the month by PM & shared with TI staff in monthly meetings • Analysis should be based on the referral records: • No. of clients referred • No. of successful referrals • Reasons should be ascertained for low and unsuccessful referrals and this should be addressed in the networking meetings • Regular meetings should be conducted by TI team led by the PM with the referral agencies to resolve barriers and ensure continuity of effective services