NABH Certification for OST Centre(Oral substitution therapy)
A debate that has been going on for years is that OST existed in India even before the USA started to utilize methadone as OST and that the opium vault framework was like the present day OST. Oral/Opioid Substitution Therapy (OST) includes replacement of infusing narcotic medications with oral medicine that adequately limits needing and withdrawals and consequently empowers IDUs to quit infusing drugs. OST has ended up being fruitful in diminishing medication related damages counting HIV transmission. NABH Accreditation for Oral Substitution Therapy (OST) focuses was produced for the National AIDS Control association (NACO) to improve the wellbeing status of Injectable Drug Users (IDUs) and forestall the spread of HIV AIDS.
There are few protocols which are to be maintained for the OST center:-
● An OST focus ought to be situated close to a hotspot (places where a sizeable
number of IDUs assemble or dwell). The area ought to be inside 5 – 10 km of the
span of the hotspot.
● If an OST focus isn it situated almost a hotspot, it ought to be situated at a focal
territory of the town, or ought to be effectively available to IDUs through the open vehicle.
● An OST focus may likewise be situated in a Drop in focus (DIC) of an intercession
offering types of assistance to us.
● The center should have five rooms, one for the doctor, where the doctor examines the
client, and the other one dressing room where pharmacists or nurses disperse the
medicine to the clients.
● The other three rooms which should be there are room for counseling the clients, a
waiting area, and storage space and space to keep records.
● There is some basic equipment required like a stethoscope, torch, disposable gloves,
BP apparatus, thermometer, etc. Condoms displayed such that it should be easily accessible
to the clients. For dispensing medicines a tablet crusher, dispensing cups, etc. § In case of
centers providing other health care services: equipment for abscess management, waste
disposal system, etc. Needles and syringes may also be provided at the center. Sharp bins
for safe disposal of used needles and syringes and other infectious materials should
also be present to avoid infection.
Before you plan to start an OST center the staff should have working knowledge on the situation of IDUs in their area. The staff should know where the IDUs are the hotspots in the area and also should know the injecting behavior pattern of the IDUs as well as involvement in risk taking behaviors. Knowledge of the drug using pattern among the IDUs in the locality common drugs injected, other drugs used by the IDUs. Awareness of the secondary stakeholders: local community leaders, religious leaders, influential people (people who can influence the acceptability of the program), health care providers, etc. The points should be covered when you do a mapping exercise before setting up a center.
Agencies desirous of implementing OST should be accredited by NABH. OST Centre ready to be licensed by NABH must guarantee the usage of SOP for Oral Substitution Therapy. The appraisal group will check the usage of standards inside the association. The middle will have the option to exhibit to the NABH appraisal group that all principles, as pertinent, are followed.
NABH accreditation will involve two steps. In the first step, agencies will have to submit their application in a prescribed application format. These formats will then be screened by a committee and score the agencies. In Step Two, shortlisted agencies shall then be visited, and a team of assessors will verify the agency. They will score the agency on a prescribed assessment tool. Finally, the agencies will be accredited based on the scores obtained. An accreditation certificate will then be given to the agencies. This certificate should be displayed in the OST center at all times, failing which the accreditation can be withdrawn.
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