Role of the Senior DR-TB/TB-HIV Supervisor at the ART/ICTC centres

The DR-TB HIV coordinator supervises and coordinates the activities related to TB diagnosis and treatment at the ART centre and ICTC

Prepare and maintain a directory of ICTCs, ART Centres /LACs, Community Care Centers and NGOs working in National AIDS  Control Programme  (NACP) in the district and the collaborating NTEP centres

The DR-TB HIV Coordinator visits the ICTC quarterly to:

• Coordinate to check whether the patient referred from NTEP diagnostic facilities has reached ICTC for HIV testing 
• Ensure that all the clients attending the ICTC are symptom screened for TB 
• Ensure that all Presumptive TB cases are referred for TB diagnosis to TB Detection centers (TDCs).
• Inspect records and line list of presumptive TB referral for ICTC and ensure proper maintenance of records

During their monthly visits to the ART center, the DR-TB HIV coordinator does the following:

• Coordinates to check whether the patient referred from NTEP diagnostic facilities has reached the ART centre
• All the clients attending the ART centre are symptom screened for TB
• Ensure that the presumptive TB cases are referred for TB diagnosis
• Ensure a single window mechanism for TB diagnosis and TB treatment initiation in the ART centre
• To see whether the HIV TB line list and HIV TB registers are updated and the data is entered in Ni-kshay
• Ensure that the list of patients on Cotrimoxazole Preventive Therapy (CPT) is entered in Ni-kshay
• To ensure that Isoniazid Preventive Therapy (IPT) is started for all eligible People Living with HIV (PLHIV).

Any deficiencies or issues noted and brought to the notice of the officials of the visiting facility and also to the District TB Officer and District Nodal Officer under NACO for taking corrective actions.

Resources

• Integrated Training Module for HIV/TB Collaborative Activities, CTD & National AIDS Control Organisation, Ministry of Health and Family Welfare, GoI, 2015.
• TOR and Need Norms of NTEP Contractual Staff, CTD, NTEP, 2021.

Assessment