Conducting review meetings at TU/Block level

Review meetings are conducted at each Tuberculosis Units (TU) on a monthly basis in order to review the activities and address if any issues. The MO-TC is responsible for conducting these meetings 

The other participants are: Senior Treatment Supervisors (STS),  TB Health Visitor (TBHV), Senior TB laboratory Supervisor (STLS), General Health system staff and Treatment supporters.

Activities reviewed at TU level

The various activities reviewed during the TU review meetings are Case finding, Sputum smear examinations conducted at all the Designated Microscopy Centres(DMCs) of the sub-district,, Supervisory visits conducted by STS and STLS, Categorization of diagnosed patients based on the treatment regime, Treatment outcomes of cohort-wise patients who were expected to complete the treatment during the period, Information, Education, Communication (IEC) activities conducted, Status of the Ni-kshay patient registrations, Direct Beneficiary Transfer (DBT) linkages and Ni-kshay Aushadhi Updation, Drug supply and other logistics to all peripheral health institutions (PHIs), Returned drug stocks if any and all other Programmatic performance indicators.

Role of STS and STLS in supporting MO-TC to review the performance of the TU

The STLS must:

• Ensure all notified TB patients in the block are tested and results have been obtained.

• Maintain a list of all follow up smear positive patients separately and submit to the  MOTC before the review.

• Complete Sputum collection for all presumptive DR TB patient identified.

• Visit all DMCs during the month to identify if any concerns and bring them to the notice of the MOTC.

• Update all reports related to diagnosis and follow up examinations on Ni-kshay.

The STS must: 

• Update the list of new and old patients on treatment for the reviewing month.

• Correctly classify patients as per their TB treatment regimen and record all related events in Ni-kshay. 

• Maintain an up-to-date list of all treatment interrupters and lost to follow up patients, with the duration of interruption and reasons that lead to the same.

• Prepare a report of the patient-wise visits conducted during the period.

• Prepare a report on performance of the treatment supporters.

• Prepare a list of all pending DBT linkages and report the reasons for backlogs.

• Supervise and report all the community engagement activities conducted during the reviewing month and update on planned activities.

• Prepare report on all drug issue and returns during the month.

• Report on involvement in private sector engagement activities conduced (if any) during the period.

With support from the STS and STLS the MOTC can review the performance and shall further conduct home visits for the patients in order to address the issues.

Resource

• TRAINING MODULES (5-9) FOR PROGRAMME MANAGERS & MEDICAL OFFICERS, CTD, MoHFW, India,2020.
• NATIONAL STRATEGIC PLAN FOR TUBERCULOSIS ELIMINATION 2017–2025, MoHFW, India, 2017

Assessment