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Supervisory role of the Senior DR-TB/TB-HIV Supervisor for DR-TB patients
Learning ObjectivesNeed, what to see, why and so what? Way forward
The District Drug-resistant TB (DR-TB) HIV coordinator ensures treatment initiation, public health actions, logistics, and follow-up of the patient in coordination with the National TB Elimination Programme (NTEP) staff (STS/ STLS), PHI/ treatment centre and DR-TBC/Nodal DR-TBC.
The DR-TB HIV coordinator receives the information about the newly diagnosed DR-TB patient from the lab and coordinates with the field staff/ medical officer of the concerned area. DR-TB HIV coordinator need to coordinate in
- locating the patient, information disclosure about DR-TB status
- ensure that initial home visit to the patient is done
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arranging for transportation of the patient to the concerned DDR-TBC for pre-treatment evaluation, and treatment initiation
Once the patient reaches the DDR-TBC,
- District DR-TB HIV coordinator facilitates counselling, pre-treatment evaluation, and fast-tracking of reports for treatment initiation.
- DR-TB HIV coordinator maintains a list of treatment providers and helps in identifying the suitably trained treatment provider for the patient
Once the treatment is initiated and the patient is sent home, they will be regularly followed up over the phone.
DR-TB HIV coordinates with the NTEP field staff of the corresponding PHI/TU to:
- Pay home visits to the patient at least quarterly
- Ensure that the contact tracing of the DR-TB patient is done, presumptive TB cases are referred for TB diagnosis and TPT is initiated for those eligible
- Ensure that patient receives DBT, nutritional support and linkage to social welfare schemes
- Screening of comorbidity and appropriate management at the health facility.
- Maintain and update the district-level DR-TB treatment cards and information in Ni-kshay
- Monitor the treatment and give feedback and coordinate proactive reach out to patient for follow-up culture, toxicity monitoring
- Coordinate the information sharing with the difficult-to-treat TB clinic, in case of complicated cases
- They coordinate with DR-TBC for treatment initiation and ADR management when required and sent the treatment card to be maintained at Nodal DR-TBC
- ensure regular post treatment follow-up for 2 years.
Resources
- Guidelines for Programmatic Management of Drug-resistant Tuberculosis in India, NTEP, CTD, MoHFW, GoI, 2021.
- TOR and Need Norms of NTEP Contractual Staff, CTD, NTEP, 2021.
Assessment
| Question | Option 1 | Option 2 | Option 3 | Option 4 | Answer | EXPLANATIOM | PAGE ID | PREREST | POSTTEST |
| Which of the following are the roles of the District DR-TB HIV coordinator for DR-TB patients? | Treatment initiation | Home visit for the patient | Ensure regular follow up | All of the above | 4 |
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The DR TB - HIV the…
Renjini Sat, 17/09/2022 - 23:35
The DR TB - HIV the information on newly diagnosed DR TB patient will be sent to DR TB HIV cordinatior. He/ she then cordinates with the field staff of the area to locate the patient and cordinates the disclosure of information and counselling to the patient.
They will ensure that the field staff has visired the patient at home.
Arrange for transportation of patient to DDRTBC for the the pretreatment evaluation and treatment initiation
Once the patient reaches the DDR-TBC , the point of contact is DR TB HIV Coordinator.
They arrange for counselling, pretreatment investigation and fast tracking the results
They can arrange for the trained treatment provider for the patient if required.
They cordinate and ensure that the patient wise drug reach the treatment centre/PHI and cordinate and train the pharmacist
They will constantly follow up the patient over phone