[Draft] Trainers' Guide for Program Manager's course
Introduction
The purpose of this document is to provide the course coordinators and trainers for the ‘Course for Program Managers in NTEP’ guidance for planning and executing the training. The targeted trainees for this course would be:
-
District Program Managers- District TB Officer (DTO)
-
State Program Managers- State TB Officer (STO)
This training may be provided by utilizing the blended approach where a mix of training methods and modes will be used to deliver content. This would include either in-person/ virtual training or facilitator led/ Self learning/ demonstration and role plays. Training sessions which require hands-on training will be conducted only in a physical setting. Keeping in mind the aforesaid best practices of the Modernized Training System, the training institute may decide to choose the approach which is most suitable for their trainees.
The training of DTOs is to be conducted at National Institutes (NITRD/NTI) or at select STDCs across country as decided by Central TB Division. The training of STOs is however be conducted at the national Institutes only.
The batch size for Physical Session/Virtual Sessions should not be more than 25.
Virtual sessions: the trainees will be going through the online content, and attempt quizzes after each module. An instructor-led session will also be conducted for each module. This will help the trainees for better clarification of contents and to address the queries and doubts.
Physical/In-person Sessions: For the training areas which require hand-holding of trainees like demonstration of processes- like patient management in Ni-kshay, filling of various forms, Adherence Management tools, recording information on Public Health action, use of NI-kshay Aushadhi, etc in-person training sessions need to be conducted.
The training course content has 14 modules and 61 chapters. Based on different modalities used for the training, the training delivery should take at least 80 hours.
For the purpose of assessment of trainees, a pre-test before the beginning of training, interim quizzes at the end of each module and a post-test at the end of training has been configured in the course content.
Some exercises have also been formulated to assess and reinforce the learnings of the trainees based on their job requirements. These exercise will be communicated to the trainees either before the beginning of in-person sessions and the solutions of which will be discussed during the physical sessions.
The other exercises will be given to trainees during the conduct of the training and will be discussed simultaneously.
The certificates are auto-generated for the trainees in their LMS account on successful completion of post-test and their performance in interim quizzes.
Training curriculum / Agenda
Sr. |
Module |
Chapters |
Training Modality |
Duration (Hrs) |
|||
1 |
Basics of TB and NTEP |
|
Self-Reading/Virtual
|
6 |
|||
2
|
TB Laboratories and Diagnostic technologies in NTEP |
|
Self-Reading/Virtual |
6 (including Lab/Field visit) |
|||
3 |
TB Diagnosis and Case finding |
|
Physical |
6
|
|||
4 |
TB Treatment |
|
Physical |
10(including field visit) |
|||
5 |
TB and comorbidity management |
|
Physical |
3 |
|||
6 |
Public Health Action |
|
Physical |
4 |
|||
7 |
TB Prevention |
|
Physical |
4 |
|||
8 |
Direct Benefit Transfer in NTEP |
|
Physical |
6
|
|||
9 |
Financial management and Planning |
|
Physical |
3 |
|||
10 |
Procurement, Supply Chain Management & Preventive Maintenance |
|
Physical |
6 |
|||
11 |
Partnerships, Corporate and Multisectoral engagement |
|
Physical |
4 |
|||
12
|
ACSM and Community Engagement |
|
Physical |
4 |
|||
13
|
Supervision, Monitoring and Evaluation |
|
Physical |
4 |
|||
14 |
Training and capacity development
|
Training and capacity development |
Physical |
3 |
Trainers
For this course, following personnel may be appointed as the trainers:
National trainers from National Institutes
National Consultants- Central TB Division
Trainers from select STDCs (identified by Central TB Division)
Select WHO consultants (from States)
Consultants (partner Organisations)
Eligibility
Trainers are selected based on their ability to conduct training in an interactive and interesting manner. The Trainers should have completed the ‘Course for Program Managers’ and they must possess strong knowledge about the NTEP and the various processes related to patient workflow, Ni-ksahay and Ni-kshay Aushadhi. The Trainers need to go through the Chapter- wise Training Guide for this Course, provided as an Annexure.
The Trainers should be well versed with the IT systems such as, Zoom (for video conferencing), Swasthya-eGurukul (Learning Management System), Ni-kshay and Ni-kshay Aushadhi.
- Chapter wise detailed instructions for Trainers
The aim of providing chapter-wise detailed instructions provides the Trainers with the following:
Module-wise and Chapter-wise, modality that may be adopted (Self-reading/virtual/ Physical/ In-person)
The estimated time to complete the content.
The key messages that a trainer should emphasize upon, while delivering the training
The activities which should be conducted at the end of each chapter / session to ensure learning effectiveness. This may include asking specific questions, demonstrating processes, discussing various forms and equipment. If any Module specific physical visits are required to be conducted, such details are also provided here.
Some exercises have also been provided with the relevant chapters that the trainees need to finish as the part of curriculum. The trainers should ensure that all the trainees finish these exercises individually and record it in appropriate response forms. All the exercise should be discussed by the trainers during the training.
This guiding document will also aid in bringing uniformity with respect to the content and quality of training conducted across the entire state and nation.
Module 1: Basics of TB and NTEP Virtual Session ( hours) | ||
---|---|---|
Chapter 1.1 | TB & TB Epidemiology | |
Emphasis Points | 1. Difference between Incidence and notification 2. Difference between Exposure to TB, infection and TB disease. |
|
Post Session Activity |
These exercises are to be given as assignments that trainees need to finish before start of 2nd module.
Assignments: 1.1.1-Find the incidence of TB in India in preceding year. Please mention the source also. |
|
Chapter 1.2 | NTEP | |
Emphasis Points |
Explain what India is committed to achieve in 2025 in relation to SDG related to ending TB. Clarify that the country has preponed the 2030 SDG targets related to ending TB to 2025. Organizational structure of NTEP with broad functions of each institution (state level and below) Different stages in the patient’s life cycle need to be explained in detail and emphasis on the concept of continuum of care from ‘presumptive TB to post treatment follow up'. Concepts of ‘’Standards of TB Care’’ as a minimum set of care that every citizen in India should receive irrespective of where he/she seeks care from. What does a TU actually mean? |
|
Post Session Activity |
Discuss- ‘What India is committed to achieve in 2025 in relation to ending TB?’’ [Clarify that the country is only trying to achieve the SDG goals related to Ending TB] Discuss- ‘Can Medical College be a PHI?’ Assignments: 1.2.1-Enumerate the 4 pillars/strategies mentioned in NSP (2017-2025). 1.2.2-Elaboorate the build component with respect to your district. |
|
Chapter 1.3 | Approaches to S&M in NTEP | |
Emphasis Points | Discuss the importance of S&M. Emphasize that S&M of the different activities under NTEP will be discussed alongside the activity while discussing the content in the modules. | |
Post-session activity |
Assignment: 1.3.1- Find the index score of your district using Nikshay for year 2022. |
|
Chapter 1.4 | Integration of NTEP with Health System | |
Emphasis Points | Discuss the need for integration of NTEP with the general health system & NHM and how that integration is envisioned. | |
Post-session activity |
Discuss - "What are the opportunities available to NTEP through Health & Wellness Centers? How could that be materialized? Assignments: 1.4.1-Write the organisation str of NTEP in your district. |
|
Chapter 1.5 | Information Systems in NTEP | |
Emphasis Points | General introduction of the information available around NTEP | |
Post-session Activity | 1.5.1- Enlist the different stakeholders that are working with Nikshay and their specific roles in NI-kshay. | |
Module 2 | TB Laboratories and Diagnostic technologies in NTEP | hours) |
Chapter 2.1 | Diagnostic Technologies and Lab Network | |
Emphasis Points | Names of different tests, their uses, advantages and disadvantages | |
Post-session Activity |
Ask what are the advantages and disadvantages of FL- LPA over NAAT? Ask “how many sputum collection and transportation facilities are there in their concerned TU? Make one participant explain how it functions and what are the benefits out of it”? - Bring out the following benefits (1) prevents leaks in cascade of care (reduce loss from presumptive TB identification to TB Testing) (2) minimizes patient inconveniences (3) minimize patient Turnaround Time (4) reduce out of pocket expenditure (5) helps in infection control as people with symptoms need not travel Assignment: 3.1.1Learn about the processes being followed in your district for sample transport from patient to TDC. |
|
Chapter 2.2 | TB detection Centres | |
Emphasis Points | Discuss the consumables required for the Microscopy, CBNAAT and Truenat | |
Post-session Activity |
Assignments: A Lab-visit needs to be organised for participants to see the different processes involved for testing. |
|
Chapter 2.3 | Specimen collection and transportation | |
Emphasis Points |
The need for SCT, importance of cool chain requirement. Discuss how the delays can be reduced to improve the TAT overall |
|
Post Session Activity | May ask one of the participants to volunteer and demonstrate the different processes being followed in Nikshay for the same- i.e. adding test request, sample details and result updation in Ni-kshay. | |
Chapter 2.4 | Quality Assurance of TDC | |
Emphasis Points | Explain the process involved in EQA of microscopy. | |
Post-session Activity | ||
Lab Field visit: 1) Microscopy Checklist: a) Slide preparation, Storage of slides Select few entries in the lab register and validate it with information in Ni-kshay.
2) NAAT Facility a) The CBNAAT process overview
3) Turnaround time for the labs |
||
Module 3 |
TB Diagnosis and Case finding |
|
Chapter 3.1 | General Concepts in TB Case Finding | |
Emphasis Points | ||
Post-session Activity | ||
Chapter 3.2 | Approaches to TB Case Finding | |
Emphasis Points | Clearly differentiate the difference between the three different approaches- Active, Passive and Intensified. | |
Post-session Activity | ||
Chapter 3.4 | Diagnostic Algorithms in NTEP | |
Emphasis Points | Discuss how the algorithms to be read | |
Post-session Activity | Ask the participants to look at details of 5 TB patients from their district and see whether complete diagnostic algo has been followed or not. | |
Chapter 3.5 | Active Case Finding Campaign | |
Emphasis Points | Discuss the significant of it. | |
Post-session Activity | Discuss how ACF campaign is carried in participants district and how the activity can be carried out more effectively. | |
Chapter 3.6 | S&M for Case finding activities in NTEP. | |
Emphasis Points | Discuss the TB index dashboard. Discuss the TB Notification dashboard, |
|
Post-session Activity | The participants may be asked to access the TB index dashboard and TB notification dashboard from their logins and share their learnings with other audience. | |
Module 4 | TB Treatment | |
Chapter 4.1 | Anti-TB Drug Formulations and regimens | |
Emphasis Points | ||
Post-session Activity | ||
Chapter 4.2 | ADRs to ATT | |
Emphasis Points | ||
Post-session Activity | ||
Chapter 4.3 | DS-TB Treatment and Care | |
Emphasis Points | ||
Post-session Activity | ||
Chapter 4.4 | Treatment Initiation | |
Emphasis Points | ||
Post-session Activity | ||
Chapter 4.5 | Treatment and post-treatment follow up | |
Emphasis Points | ||
Post-session Activity | ||
Chapter 4.6 | Treatment Support | |
Emphasis Points | ||
Post-session Activity | ||
Chapter 4.7 | Adherence Management | |
Emphasis Points | ||
Post-session Activity | ||
Module 5 |
TB and comorbidity management |
|
Chapter 5.1 | TB and HIV | |
TB and Diabetes | ||
TB and malnourishment | ||
TB and Substance Abuse | ||
TB and other comorbid conditions | ||
Patient Support | ||
Module 6 | Public Health Action | |
Chapter 6.1 | Patient Support | |
Chapter 6.2 | Contact tracing and investigation | |
Chapter 6.3 | Counselling | |
Chapter 6.4 | TB Arogya Sathi App | |
Module 7 | TB Prevention | |
Chapter 7.1 | Infection Prevention and Control | |
Chapter 7.2 | TB Preventive Treatment | |
|
||
Chapter 8.1 | General Concepts in DBT | |
Chapter 8.2 | Processes in DBT | |
Chapter 8.3 | Monitoring of DBT | |
Financial management and Planning | ||
Overview of PIP | ||
Needs assessment for Planning | ||
- Log in to post comments