Modalities of Supervision

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The recommended modalities for supervision by different categories of staff are presented in the table below:

Supervisor	Methodology	Norm
DTO/MO – DTC	Conduct interview with health staff and RNTCP key staff and other sectors Conduct interview with health staff of Private/NGO hospitals Interact with community and local opinion leaders Randomly interview patients and community leaders Inspect records of the TU, PHC and CHC, and stock of anti-TB drugs and laboratory consumables. Randomly check the microscopy centre and DOT Centers	Conduct supervisory visit at least 2-3 days a week Visit all TUs every month and all DMCs every quarter. Visit all CHCs and Block PHCs in the district every quarter Visit at least three patients at their homes per visit Visit identified private/NGO and other sector health care centers. Perform TB Death audits
MO-TC	Interview the MO I/C Block PHC/CHC/PHC./Private/ NGO hospitals Randomly interview patients and community leaders. Interact with community and local opinion leaders Randomly check the microscopy centre and DOT Center Stock of anti-tuberculosis drugs and laboratory consumables.	Visit all CHCs/BPHCs/ PHCs and at-least 1 or 2 Treatment Support Centres at least once every quarter. Conduct supervisory visits 4- 5days a month Visit at least three patients at their homes per visit. Visit identified private/NGO and other sector health care centres.
STS	Interview MPHS and MPWs at the PHC sub-centre. Inspect records, Tuberculosis Treatment Cards and Tuberculosis Laboratory Register. Randomly interview patients. Interview health staff of identified Private/NGO/other sector health care centres	Visit all PHIs at least once every month and all Treatment Support Centers once every quarter. Visit all patients at their home within one month of treatment initiation. Conduct supervisory visits at least 5 days a week. Visit identified private/NGO and other sector health care centres
STLS	Inspect all microscopy centres, review laboratory records, check stocks, inspect sputum collection centres and steps in place to ensure sputum quality, and PHIs including that of private/NGO and other sectors	Visit all microscopy centres in the jurisdiction of all the assigned TUs at least once a month. Visit all sputum collection centres at least once a month