Interaction of Senior DR-TB/TB-HIV Supervisor with the TB Patient Care Ecosystem

The DR-TB HIV coordinator interacts with the TB patient care ecosystem as follows:

Patients: UDST at linked NAAT sites, treatment initiation, adherence monitoring and follow-up, ADR identification and management, contact tracing, linking with welfare schemes, linkage with the TB care ecosystem.

Treatment supporters: To ensure initial home visits, treatment support, and all public health actions.

STLS: To subject all TB patients to universal DST at the NAAT sites, to ensure complete DST and the laboratory follow-up of all the patients.

STS: Treatment initiation of DR-TB patients, necessary treatment support, Public health actions, and coordinate for follow-up cultures and investigations.

Medical officers: Facilitating DR-TB treatment initiation and management of ADR.

DR-TB Committee: Support DDR-TBC in providing the information about the DR-TB patients, and coordinate with the different staff to execute the decision of N/DDR-TBC. Updating the template with the information to be shared with difficult-to-treat TB clinic for supported patients.

Pharmacists/responsible staff of district/TB Unit/HWC drug stores: Maintaining adequate stock of second line drugs, preparation of monthly patient wise boxes by regimen and weight bands initialization of MERM devices.

Ni-kshay and Ni-kshayAushadhi: Use of ICT tools, Ni-kshay, Ni-kshay-Aushadhi for concerned data entry, validation and its use for public health action and monitoring the PMDT data completion in Ni-kshay and give periodic TU/PHI-wise feedback to the DTO about the same.

DTO/ Programme Managers: Seek overall guidance from DTO/Program managers for executing their duties and responsibilities. They also provide with necessary data and information about the PMDT facilitating supervision and monitoring and discuss and implement various solutions for the identified issues.

Resources

• DO Letter- TOR and Need Norms for NTEP Staff, MoHFW, GoI, 2021.

Assessment