Content Status
Type
Linked Node
Supervision by MO-TC at TU level
Learning ObjectivesSelf explainatory
H5Content
Content
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 their 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.
Figure: Supervisory Protocols for the MO-TC
Abbr: NGO: Non-government Organisation
Checklist for the MO-TC at the TU
- Ensure that all private-sector patients are captured in the Nikshay portal by notification and that public health actions are taken on all TB patients notified irrespective of private or public.
- Ensure that the treatment supporters are adequately trained and updated on the latest guidelines.
- Ensure that the treatment supporters and the private providers are allotted proper Nikshay credentials and that the troubleshooting mechanism works promptly.
- Organise sputum smear examination at all DMCs of the sub-district.
- Ensure proper treatment categorisation of diagnosed patients by supporting other MOs of the sub-district.
- Ensure that Directly Observed Treatment (DOT) is taking place as per guidelines at all treatment observation centres.
- Ensure a regular supply of drugs and other logistics and ensure their uninterrupted availability in all Peripheral Health Institutes (PHIs) in the sub-district.
- Ensure periodic updating of treatment by the corresponding treatment provider/ supporter.
- Ensure that all the reports pertaining to programme management from the TU are submitted to the district on time.
- Ensure that all beneficiaries are given Direct Benefit Transfer (DBT) as per the guidelines.
- Ensure that the External Quality Assurance (EQA) of the DMCs under the TU is properly conducted every month.
- Ensure that the STS and the STLS do proper field visits, carry out the supervision and monitoring as per the checklist and give feedback on a periodical basis.
Resources
- Training Modules (1-4) for Programme Managers and Medical Officers, NTEP, 2020.
- Technical and Operational Guidelines for Tuberculosis Control, Chapter 9, RNTCP, 2019.
- Module for Senior Treatment Supervisors, RNTCP, 2005.
Assessment
Question | Answer 1 | Answer 2 | Answer 3 | Answer 4 | Correct answer | Correct explanation | Page id | Part of Pre-test | Part of Post-test |
How often should an MO-TC visit a DMC in their area? | Every month | Twice a month | Every quarter | Every day | 1 | The Medical Officer-TB Control (MO-TC) should cover all Designated Microscopy Centres (DMCs) every month. | Yes | Yes |
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