Mapping

1: Preparation of Site Map

Preparation of Site Map of the village or cluster of villages is required to prepare the micro-plan. A site map provides geographical and social overview of an area, including details regarding landmarks. It will help in planning to decide how many sessions required, who are to be targeted and where the services are to be linked.

This also provides to collect detailed information in a phased manner, starting with high visibility high risk population to low visibility high risk population and ensure their linkage with services. (as mentioned at the start of this chapter).

Preparation of Site Map of the village or cluster of villages is required to prepare the micro-plan. A site map provides geographical and social overview of an area, including details regarding landmarks. It will help in planning to decide how many sessions required, who are to be targeted and where the services are to be linked.

This also provides to collect detailed information in a phased manner, starting with high visibility high risk population to low visibility high risk population and ensure their linkage with services. (as mentioned at the start of this chapter).

1. List out all households with high visible high risk populations and their current service uptake status especially related to accessing services for treatment of STI/RTI, HIV counseling and testing.

2. Prioritise the households with migrants, PLHIV/PLHA and TB patients.

3. Differentiate by volume and risk level of HRGs and injecting frequency of IDUs

Activities to be taken up before site mapping

Introduce yourself to the Taluka Medical Officer preferably with zonal supervisor during weekly meeting of ANM and ASHA. Briefly describe the link worker scheme and expected support from Health Society and National Health Mission. (especially supports in terms of requirements for free condoms, participation in special activities, linkage of pregnant mothers to HIV testing, linkage of HRGs to STI treatment and HIV testing, support for conducting health camps, linkage for HIV TB programmes).

Social and Sexual Networks mapping: Identify the social networks and sexual networks especially in case of FSWs, MSMs, MSWs, TG/Hijras, Migrants, Spouses of migrants to understand the service requirements, factors which influence their health seeking behavior.

Understanding the risk exposure and risk pattern: Amongst the listed HRGs, initially provide condoms or needles/syringes without accurately estimating the requirements. While doing so over a period, the cluster link worker would be able to estimate the risk pattern (number of clients per week) and risk exposure (whether regular or commercial clients). Then these information may be used to calculate condom requirements per week and how the condoms can be supplied.

COMPLETE THE SITE MAP by including the above information on a map i.e. households map, social and sexual network map and line listing.

In order for the cluster link workers to be able to link the target population to services, they first need to understand the exact location and services already available which can be linked or to be planned. This process is called resource mapping.

Steps to make a resource map:

1. Using the information collected regarding sub-centres, ASHA, Anganwadi centres, doctors/medical facilities, existing and potential condom outlets during preparation of site map as a template, the cluster link workers should mark out all the service centres in the project area.

2. These centres should also include HIV related service and include STI clinics, HIV counseling and testing centres, ARV facilities, TB sputum microscopy centres, Malaria blood testing facilities etc.

3. Collect information of timings of services, contact details of these services and sensitise them about the scheme.

These services may be individual providers, government facilities or existing wellness centres. This resource map helps in planning various services under the project.