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DR-TB Counselling Register
Learning ObjectivesWhat is it? Where kept? Who will write? Importance and how information flows from this register?
The Drug-resistant TB (DR-TB) counselling register is a format developed for documenting information about the patient's treatment-related and psycho-social status as observed by the counsellor during the course of the treatment and counselling services provided from the time of diagnosis till the post-treatment follow-up period.
This register is maintained in all the District DR-TB Centres (DDR-TBCs) where the DR-TB counsellors are placed and are recognised as Annexure 13 under the Programmatic Management of Drug-resistant Tuberculosis (PMDT).
Figure: DR-TB Counselling Register; Source: Guidelines on Programmatic Management of Drug-resistant TB (PMDT) in India, 2021, CTD, MoHFW, India.
The DR-TB counsellor is expected to update and maintain the counselling register on a regular basis.
The DR-TB counselling register requires the counsellors to fill in the following information about the patients.
- District, Block, and Health facility from where the patient is receiving DR-TB treatment
- Patient’s DR-TB diagnosis date, type of DR-TB, Ni-kshay id - Episode id
- Name and mobile number of the patient’s treatment supporter
- Observations during the counselling session as applicable related to the psycho-social aspects, and treatment adherence (i.e., for pre-treatment counselling, initial home visit counselling, follow-up counselling)
- Reason for treatment interruption/ lost to follow-up along with details on the retrieval status of the patient
Importance
- Documenting the counselling sessions in an appropriate manner helps the counsellors to record the observations and take corrective actions wherever required.
- This register can further be used to tailor future counselling sessions in a way that contributes to treatment adherence by the patients.
- The counselling register also acts as a guide for the counsellor to refer the patients for psychiatric treatment whenever required.
Resources
- Guidelines on Programmatic Management of Drug-resistant TB (PMDT) in India, 2021, CTD, MoHFW, India.
Assessment
| Question | Answer 1 | Answer 2 | Answer 3 | Answer 4 | Correct answer | Correct explanation | Page id | Part of pre-test | Part of post-test |
| Who is responsible for writing the counselling register? | Patient | Nurse | District TB Officer | DR-TB Counsellor | 4 | The DR-TB counselling register is maintained in all the District DR TB Centres where the DR-TB counsellors are placed and are recognised as Annexure 13 under the Programmatic Management of Drug-resistant Tuberculosis (PMDT). | Yes | Yes |
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