| Implement the NTEP in the district |
- Ensuring uninterrupted TB services in the district (case finding, treatment, prevention, monitoring, supervision and evaluation)
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- Assess the availability of TB services in the district
- Ability to sensitize and train the GHS staff, NTEP workforce, Private providers, Professional organisations (IMA, etc)
- Assess the implementation through NTEP performance indicators
- Take action in response to Action-oriented feedback
- Conduct PDSA cycle for identified issues.
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| Prepare Program Implementation Plan for NTEP |
- Identify interventions/solutions to local problems
- Prepare proposals for newer interventions
Locally adapt the strategies of the NSP toward TB Elimination to the district/ state
- Prepare the annual PIP and budget of the district
- Implement activities as per Record of Proceedings (RoP)
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1. Verify PIP.
2. Interview with the DTO to identify the current practices regarding planning |
| Monitor NTEP performance |
- Use Ni-kshay dashboard to monitor the program
- Compare the key performance indicators against expected and interpret
- Do time, place, person analysis and identify areas needing improvement in performance
- Perform root cause analysis with an intention to solve the identified issues
- Provide timely and actionable feedback to TUs and PHIs
- Prioritize themes and finalize agenda based for review meetings based on monitoring
- Conduct regular review meetings in a consultative mode to identify and solve issues
- Support staff in taking recommended actions and monitor the change in program performance due to the action
- Take actions and submit action taken reports to feedback received from state/national level
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1. Verify action-oriented feedback provided by the program manager
2. Verify Minutes of review meeting to check the quality of review
3. Interview with the program manager to identify the current practices regarding monitoring |
| Perform Supportive Supervision |
- Prioritize geographies and themes for supervision based on monitoring
- Conduct supportive supervision to TB Detection Centers, health facilities, patient and staff interviews to solve problems, build capacity of staff and motivate them
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1. Verify Supervisory reports to check the quality of supervisory visits
2. Interview with the program manager to understand the current practices |
| Mange supply chain and logistics |
- Forecasting the requirements of the district
- Manage procurements of supplies and timely availability of optimum stocks of drugs and consumables, vendor and Contract Management.
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1. Interview with the DTOs to understand current practices
2. Verify records (Ni-kshay Aushadhi/Stock registers), Physical Stocks and contract records to check whether supply chain and logistics management are as per norms |
| Solve problems and improve the quality of program |
- Implement quality improvement measures using Plan-Do-Study-Act (PDSA) approach
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1. Check documents and evaluate the field realities for number of problems systematically solved by the DTO
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| Manage the training and capacity building at the district. |
- Monitor and plan the trainings
- Train staff such as Medical Officers, Health Volunteers, CHO, MPHW, Civil Society Representatives
- Advocating for filling the vacant positions in their district
- Perform staff competency assessment
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1. Review training plan and training reports
2. Interview with staff to assess the quality of training conducted by the district
3. Review the competency assessment performed by the DTO. |
| Manage NTEP funds of the district |
- Make expenditure as per RoP
- Monitor expenditure against RoP
- Document expenditure as per guidelines
- Perform checker functions on Ni-Kshay modules and ensure DBT payment disbursals
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1. Review SOEs, account book, PFMS and check whether the program manager is able to perform this function as expected
2. Interview with the program manager to understand the current practices |
| Advocate for securing resources and commitment for TB Elimination activities |
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1. Check for any results of advocacy in terms of commitment from District Administration, District Health Administration, engagement of community
2. Check for the relevant meeting records |
| Engage Public (General Health System) and Private Healthcare Sector for TB Care |
- Identify and map key providers (private hospitals, medical colleges, Government HFs, Private practitioners, AYUSH facilities/practitioners, chemists, traditional healers, laboratories) for engagement
- Advocate with all providers for following Standards of TB Care in India/ latest NTEP Guidelines.
- Co-ordinate with agencies working for private sector engagement
- Liase with professional organizations like IMA, IAP, AHPI etc
- Co-ordinate with other Health Programmes for joint activities
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1. Interview with private providers, Drug Inspector, Association leaders to check program manager's ability to engage them
2. Interview with the DTO for understanding the current practices
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| Engage Community for Ending TB |
- Conduct District TB Forum meetings
- Engaging the community including the TB Vijeta for providing the TB services.
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1. Interview with PRI leaders, civil society leaders, TB Vijeta and the staff.
2. Review of documents of community engagement activities
3. Review the proportion of patients who are on receiving community support |