Roles of Accredited Social Health Activist [ASHA] for TB Service Delivery at ABHWCs

Under the overall guidance of Community Health Officer, the Accredited Social Health Activist (ASHA) at Ayushman Bharath-Health and Wellness Centre (AB-HWC) perform the following roles:

• Awareness generation about Tuberculosis (TB) in the village during home visits/survey, community meetings, Village Health Sanitation and Nutrition Days (VHSND) etc.
• Filling of the Community Based Assessment Checklist (CBAC) forms and identification of presumptive TB patients in the community
• Mobilize and preferably accompany presumptive TB patients to the nearby AB-HWC Sub Health Centre (SHC)
• Sample collection and transportation to peripheral health institutes (SHC/Primary Health Centre/Urban PHC) as per the local need/requirement, following essential infection practices such as handwashing/hand sanitization, wrapping of sputum cup/falcon tube with tissue paper, carrying sample to peripheral health institution (PHI) in zip-lock cover/leak proof container/ box etc.
• Work as a treatment supporter for local TB patients and provide TB Preventive Therapy to eligible population
• Submit patient’s bank details to the health facility for Nikshay Poshan Yojna
• Counsel patients on treatment adherence, nutrition, healthy lifestyles and cough etiquettes
• Monitor the nutritional status of patients and provide feedback to the multipurpose worker/ community health officer
• Ensure treatment adherence and timely follow-up of patients
• Update TB patient’s treatment cards/updating of health diaries provided by the health and wellness centres duly updating the family folders wherever required
• Alert patients for Adverse Drug Reactions (ADR), if any, and facilitate seeking medical care
• Motivate household contacts of confirmed TB patients for undergoing TB screening and eligible high-risk population for taking complete chemoprophylaxis
• Participate in vulnerability assessment of the population by doing household survey (during the CBAC enumeration and further annual exercises or other household level surveys done by AB-HWCs) and in active case finding among identified vulnerable population
• Discuss TB related agenda in VHSND/Mahila Arogya Samiti (MAS) meetings.

Resources

• Operational Guidelines for TB Services at Ayushman Bharat Health and Wellness Centres, MoHFW, 2021.

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