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
Introduction
The District TB Officer (DTO) at the District TB Centre (DTC) has the overall responsibility for the physical and financial management of the National TB Elimination Programme (NTEP) at the district level as per the guidelines.
The DTO is also responsible for the involvement of other sectors in NTEP to ensure better compliance and is assisted by a Medical Officer (MO), statistical assistant and other paramedical staff. For each district, there should be a full-time DTO, who is trained in NTEP.
The Medical Officer-TB Control (MO-TC) at the TB Unit (TU) has the overall responsibility for the management of the National TB Elimination Programme (NTEP) at the sub-district level and is assisted by the Senior Treatment Supervisor (STS) and the Senior TB Lab Supervisor (STLS).
The MO-TC is responsible for supervising the work of the TU and of the STS and STLS, in addition to his/her other responsibilities. These visits are conducted on a systematic basis and the protocol to be followed during these visits is shown in the figure below.
At the Tuberculosis Unit (TU), the presiding supervisory team uses a standardized checklist mandated by the National TB Elimination Programme (NTEP) during their periodic supervisory visits. The report and copies of the checklist may be shared with appropriate authorities within 1 week of completing the supervisory visit.
These appropriate authorities include the Central TB Division, Ministry of Health and Family Welfare (MoHFW) and respective district and state authorities, who will in turn initiate remedial measures in a timely and appropriate manner.
Concept of Supervision
Index TB patient: Initially identified person of any age with new or recurrent TB in a specific household or other comparable settings in which others may have been exposed. The Index TB patient is the person on whom a contact investigation is centred, but is not necessarily the source/ primary case.
Contact Tracing plays an important role in the detection of all those who are secondarily infected for proper diagnosis and prompt treatment. This process can be recorded and reported in Ni-kshay under the ‘contact tracing’ option. The process of recording contact tracing in Ni-kshay is given below.
Process Overview
Identifying target audience is a key step in the process of developing Advocacy, Communication and Social Mobilisation (ACSM) strategy.
Specific target audience need to be addressed to prevent hinderances in achieving the programme objectives.