Table 4.

Solutions suggested by health care providers for M-TRACK implementation in Vadodara, Gujarat during October–December 2016.

Mobile phone and internet costs	● Provision of dedicated mobile phones to counsellors ● Reimbursing the costs of telephone call and internet use to counsellors
Consent and legal issues	● Consent for phone calls should be taken from the client during pre-test counselling ● Consent to contact the clients through the identified contacts (family members, caretakers or neighbours) should also be taken and documented ● There should be a mention in the job contracts of counsellors that they are authorized to call PLHIV over the phone ● Provision of protection to counsellor in case of legal action by PLHIV
Training for counsellor	● Counsellors should be trained for counselling in Hindi language (most widely spoken language in India) ● Counsellors should be trained to enter data on the Google spreadsheet using the mobile phone
Counselling the client	● Sharing the contact details of counsellor with the clients and asking them to contact, if required ● PLHIV need to be advised at the time of diagnosis that they should avoid calling outside office hours and during holidays, except in emergencies
Monitoring and supervision	● Development of a comprehensive software for ‘PLHIV – continuum of care’ from HIV testing centre to ART ● Regular monitoring on a daily basis by the district supervisor and on a weekly basis by the state officer

HIV = human immunodeficiency virus; PLHIV = people living with the human immunodeficiency virus; ICTC = Integrated Counselling and Testing Centre ART = anti-retroviral therapy; M-TRACK = mobile phone reminders and electronic tracking tool.