10-15 spokes will be mapped with each CoEs. The selection of the spokes would be as per the following criteria: The spoke institution should be
•A designated Nodal/District DR-TB Centre
•Willing and committed to be a part of the spokes network of the concerned CoE.
•At a reachable distance with the CoE in a selected geography.
The CoEs (Hubs) will provide support to all the DR-TBCs (spokes) that are linked to it in a Hub and spoke model as illustrated below. The CoE and its linkages with NDR-TBCs will be identified by CTD in concurrence with the states and revised from time to time, as new CoEs are established.
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