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Supervisory activities by the DR-TB HIV Coordinator
Learning ObjectivesWho all to supervise, what to supervise, how to supervise, and field visits to be conducted,
Content
District Drug-resistant TB (DR-TB) HIV coordinator works as the stakeholder at district level to:
- Coordinate with the diagnostic facility, treatment facility and National TB Elimination Programme (NTEP) field staff of the Peripheral Health Institute (PHI)/ TB Unit (TU) for the diagnosis, treatment initiation and public health action of DR-TB cases as well as supervision and monitoring of data entry, linkage, logistics of all DR-TB cases in the district
- Coordinate and supervise HIV-TB collaborative activities
| Facility/ stakeholder to be supervised | Frequency |
| DR-TB patient | At least once a quarter |
| Diagnostic Centres | Once a quarter |
| TU (incl. TU Drug Store) | Once a month |
| Nucleic Acid Amplification Testing (NAAT) Lab | Once a month |
| District Drug Store (DDS) | Once a month |
| District DR-TB Centre (DDR-TBC) | As and when a patient comes for drug initiation |
| Treatment Observation Centres | Once in every quarter |
| Antiretroviral Therapy (ART) Centre | Once a month |
Separate checklists are available for each facility/stakeholder. Supervisory activities are conducted using a standard checklist.
Field visits are conducted in the district at least 15 days a month.
They should visit:
- All TUs every month
- All DMCs every quarter
- All treatment observation centres in the district once every quarter
- Home visit of DR-TB patient at least once every quarter
Resources
- Guidelines for Programmatic Management of Drug-resistant Tuberculosis in India, NTEP, CTD, MoHFW, GoI, 2021.
- TOR and Need Norms of NTEP Contractual Staff, CTD, NTEP, 2021.
Assessment
| Question | Option 1 | Option2 | Option3 | Option4 | Answer | Explanation | page id | pretest | post-test |
| Which of the following is false regarding the DR-TB HIV coordinator? | There is one DR TB -HIV coordinator at the district level | They coordinate for treatment initiation of DR-TB patient | They supervise the pharmacist providing DR-TB drugs | They coordinate HIV-TB activities of only DR-TB patients attending the ART centre | 4 | They coordinate the HIV-TB collaborative activities of all patients attending the ART centre. |
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