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Role of CHO in NTEP
Learning Objectives-
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The CHO has diverse set of roles and responsibilities in NTEP along with supporting the SHC-HWC staff (ASHA, MPW). The various task that a CHO need to perform are:
- Plan and monitor awareness and community mobilization activities.
- Sensitize VHSNC members, Jan Arogya Samiti members, PRI members etc. on TB and their potential role in eliminating TB
- Screen person for symptoms of TB and ensure periodic screening of patients with diabetes and those on immunosuppressants, and smokers
- Refer the presumptive TB patient to PHC-HWC to ensure complete diagnostic evaluation with microscopy, radiology, molecular test
- Ensure follow up testing of patients at regular frequency
- Clinically monitor patients identified as high risk for complications/death and ensure that they undergo required investigations at suggested intervals
- Monitor treatment of patients through visits at least once a month and review treatment record on fortnightly basis. Support in retrieval of TB patients who have stopped taking anti-TB drugs before prescribed period
- Plan, organize and implement active case finding in their area
- Early identification of adverse drug reaction and prompt management
- Ensure comorbidity and drug susceptibility testing, linkages of comorbidity patients, and drug resistant TB patients
- Ensure inventory of laboratory request form, specimen container, anti-TB drugs
- Coordinate with PHC-HWC for logistics, patient’s management
- Ensure record maintenance, reporting on NIKSHAY
- Identify and engage community treatment supporters and train them on supporting and monitoring TB treatment
- Educate patients and family members on TB, treatment, etc.
- Ensure screening and testingof contacts of sputum positive TB patients for TB/LTBI
- Coordinate with RBSK team and PHC MO for ensuring screening for pediatric TB
- Facilitate for ruling out TB complete evaluation by microbiological and/or radiological examination and/or other investigations for contacts of TB patients and others vulnerable for LTBI
- Ensure that eligible person undergo TB Treatment or TB preventive treatment as needed
- Identify potential TB champions among TB survivors and facilitate their participation in the programme
- Coordinate, guide and monitor village level activities for TB control
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