Requirements for Establishing District DR-TB Centres

The following are requirements from institutions for establishing the district Drug-resistant Tuberculosis Centre (DDR-TBC):

Structural requirements:

• It should preferably be a secondary care institute. 
• Separate wards for male and female patients (including children) should be available with at least two beds in each for DDR-TBC. 
• An outpatient clinic and a separated well-ventilated waiting area in an open-air, shaded area to be made available as per the Airborne Infection Control (AIC) guidelines. 
• Administrative, environmental and personal protective measures for airborne infection control should be placed in all indoor and outdoor facilities. 

Infrastructure requirements:

• All investigations under Pre-treatment Evaluation (PTE) and other Programmatic Management of Drug-resistant Tuberculosis (PMDT) services should be provided free of cost to the patient. 
• Availability of oxygen and ventilators for patients needing critical care support.
• Ancillary drugs must be provided for the management of Adverse Drug Reactions (ADRs) at no cost to patients, as per the DDR-TBC committee's advice. 

Human resource requirements:

• The DDR-TBC committee should be formally established with the required set of experts as per guidelines.
• Services of specialists, if not available in the public facility, may be hired from the private sector under National Health Mission (NHM). 
• All experts at DDR-TBC must be trained in the latest PMDT guidelines. 
• Doctors, nursing and support staff should be available from the institute. 
• Records and reports to be maintained for PMDT. Nikshay entries must be done on a real-time basis with regular electronic updates.
• Financial requirements should be availed through institute/ state budgets or under the NHM.

​Resources

• Guidelines for Programmatic Management of Drug Resistant TB in India, 2021. 

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