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  • Meetings at TU level

    Content

    The different meetings conducted at the Tuberculosis Units (TU) are:

    1) Patient-Provider Meetings: These meetings are organized by STS and conducted by the MO-TC for the patients.The purpose of these meetings are to counsel patients who are already on treatment or who are about to initiate treatment. This provides an opportunity for interaction between provider and patient. During these meetings patients are provided basic information about tuberculosis, cough hygiene, importance of completing treatment, possible adverse drug reactions and how to manage them, importance of follow up sputum examination and TB preventive treatment.

    2) Community-level Meetings: These meetings are organized by the STS and conducted by the MO-TC for the patients, general public, community leaders/ people’s representative including Self-help Groups (SHGs), Non-Governmental Organisations (NGOs),  community volunteers, traditional healers, people practising other systems of medicine.These meetings are mainly conducted with the aim to increase the awareness levels in the population about TB, enhance referrals, improve adherence to TB treatment as well as to address the stigma , discrimination associated with the TB.

    3) Sensitisation Meetings for Panchayati Raj Institutions (PRIs), NGOs, Private Providers (PPs): These meetings are organized by the District Public Private Mix (PPM) coordinator/ STS for elected representatives under the 3-tier Panchayati Raj System, State Government Health Systems (SGHS), NGOs, community leaders and community volunteers. The purpose of these meetings are to create awareness about the need for public action on TB and generate specific commitment from target audience on how they would support TB elimination efforts.

    4) School-based meetings: These meetings are conducted by the STS at the schools and colleges for the teachers and students. The purpose of these meetings are to generate awareness amongst students and teachers of schools and colleges regarding tuberculosis and improving referrals for TB testing.

    Resources

    Assessment

    Question    

    Answer 1    

    Answer 2    

    Answer 3    

    Answer 4    

    Correct answer    

    Correct explanation    

    Page id    

    Part of Pre-test    

    Part of Post-test    

    Who are the attendees in the Patient-Provider meetings?

    MO-TC

    Patient

     STS

    All of the above 

       4

    MO-TC, patients and STS are the attendees in the Patient-Provider meetings.

        

       Yes

     Yes

  • Conducting review meetings at TU/Block level

    Content

    Review meetings are conducted at each Tuberculosis Units (TU) on a monthly basis in order to review the activities and address if any issues. The MO-TC is responsible for conducting these meetings 

    The other participants are: Senior Treatment Supervisors (STS),  TB Health Visitor (TBHV), Senior TB laboratory Supervisor (STLS), General Health system staff and Treatment supporters.

    Activities reviewed at TU level

    The various activities reviewed during the TU review meetings are Case finding, Sputum smear examinations conducted at all the Designated Microscopy Centres(DMCs) of the sub-district,, Supervisory visits conducted by STS and STLS, Categorization of diagnosed patients based on the treatment regime, Treatment outcomes of cohort-wise patients who were expected to complete the treatment during the period, Information, Education, Communication (IEC) activities conducted, Status of the Ni-kshay patient registrations, Direct Beneficiary Transfer (DBT) linkages and Ni-kshay Aushadhi Updation, Drug supply and other logistics to all peripheral health institutions (PHIs), Returned drug stocks if any and all other Programmatic performance indicators.

    Role of STS and STLS in supporting MO-TC to review the performance of the TU

    The STLS must:

    • Ensure all notified TB patients in the block are tested and results have been obtained.

    • Maintain a list of all follow up smear positive patients separately and submit to the  MOTC before the review.

    • Complete Sputum collection for all presumptive DR TB patient identified.

    • Visit all DMCs during the month to identify if any concerns and bring them to the notice of the MOTC.

    • Update all reports related to diagnosis and follow up examinations on Ni-kshay.

     

    The STS must: 

    • Update the list of new and old patients on treatment for the reviewing month.

    • Correctly classify patients as per their TB treatment regimen and record all related events in Ni-kshay. 

    • Maintain an up-to-date list of all treatment interrupters and lost to follow up patients, with the duration of interruption and reasons that lead to the same.

    • Prepare a report of the patient-wise visits conducted during the period.

    • Prepare a report on performance of the treatment supporters.

    • Prepare a list of all pending DBT linkages and report the reasons for backlogs.

    • Supervise and report all the community engagement activities conducted during the reviewing month and update on planned activities.

    • Prepare report on all drug issue and returns during the month.

    • Report on involvement in private sector engagement activities conduced (if any) during the period.

    With support from the STS and STLS the MOTC can review the performance and shall further conduct home visits for the patients in order to address the issues.

    Resource

     

    Assessment

    Question    

    Answer 1    

    Answer 2    

    Answer 3    

    Answer 4    

    Correct answer    

    Correct explanation    

    Page id    

    Part of Pre-test    

    Part of Post-test    

    Who is responsible for conducting the review meeting at the TU level?

    State TB Officer

    District TB Officer

    Medical Officer-TB Control (MO-TC)

    Patient

       3

    Medical Officer-TB Control (MO-TC) is responsible for conducting the review meetings at the TU level.

        

       Yes

     Yes