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The National Tuberculosis (TB) Elimination Program (NTEP) has evolved over a period of time. To incorporate the new policy decisions and get better data, the number of recording and reporting formats have also increased.

The paper-based formats have undergone revision and capture necessary information related with TB patient demographics, TB diagnosis, patient comorbidities, TB treatment follow-up, adverse drug reaction and treatment outcome.

Key paper-based recording and reporting formats include:

The major duties and responsibilities of the Laboratory Technician at the Designated Microscopy Centre (DMC) are to: ​

The National Tuberculosis Elimination Program (NTEP) uses the following methods ​to ensure the reliability of Drug-resistant Tuberculosis (DR-TB) diagnostic tests:

1. Quality Assurance (QA) and control of tests ​
2. Proficiency testing

Quality Assurance and Control of Tests​

Under the National Program for Tuberculosis (TB) Elimination, the screening for active TB is an important activity with the following aims and objectives:

Figure: Aims and Objectives of Screening for Active TB

Tuberculosis (TB) is an infectious disease and India carries one fourth of global burden of tuberculosis. To break the chain of transmission, it is imperative to find all TB patients at the earliest and link them to the existing diagnostic and therapeutic services as soon as possible.

To achieve universal Tuberculosis (TB) care for all notified TB patients, the National TB Elimination Program (NTEP) has initiated the Patient Provider Support Agency (PPSA) initiative.

PPSA is a model under which a third-party agency/non-governmental organization is selected by a state/ city/district NTEP unit to engage private-sector doctors treating patients of TB and provide end-to-end services, such as diagnosis, notification, patient adherence and support, and treatment linkages. 

All Ayushman Bharat-Health and Wellness Centres (AB-HWCs) will use Nikshay for recording information of presumptive tuberculosis (TB) patients and drug-resistant TB (DRTB) patients. All AB-HWCs, including AB-HWC sub-health centres, will use Nikshay Aushadhi for drug inventory management.

The following physical records will be utilized for recording and reporting:

At the AB-HWC Sub-health Centre

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:

The key level for the management of public health services is the district​ level. The District Tuberculosis Centre (DTC) is the nodal point for tuberculosis (TB) control activities in the district​.

Functions of the DTC

The primary role of the DTC is a managerial one. The DTC is the central program management unit of the district responsible for all activities related to National TB Elimination Programme (NTEP) implementation such as:

On the lines of the State Health Mission, every district has a District Health Mission headed by the Chairperson, Zila Parishad. It has the District Collector as the Co-Chair and Chief Medical Officer as the Mission Director.

To support the District Health Mission, every district has an integrated District Health Society (DHS) and all the existing societies as vertical support structures for different national and state health programmes are being merged in the DHS.