Trainees
The targeted trainees for this course are generally those persons at the community level who would be interacting with the population for the purpose of on-ground TB activities related to awareness, screening and Treatment Support. These may include:
- ASHA Workers
- Volunteers from NGOs, Community Representatives/ Youth Volunteers
- TB Champions / Survivors/ Family Members
- Workplace Representatives who volunteer for becoming focus for TB Services
- Educators/ Teachers from Schools and Colleges
Trainers
The following cadres are supposed to be trained to become trainers on this course.
- STS
- TB HV
- MO-PHI
- MPHW/ Block Coordinators (NHM trainers)
- DPC/ PPM Co-ordinators
- NGO coordinators/ Supervisors
- Representatives from Private/ Corporate sector
The capacity of these trainers to conduct the training for health volunteers will be in-built into their training and is considered as one of their essential competencies.
Training Methods
Teaching and discussing the course content using the standardised training content available on the NTEP approved LMS (such as Swasth-eGurukul). This training may use blended training delivery methods that are appropriate to the local context. This would include a mix of the following options
- Training Premises
- In-person
- virtual
- Mode of delivery
- Facilitator led
- Self learning
- Demonstrations
- practical exercises.
In the blended mode, an instructor-led session should be conducted for each chapter. Simultaneously the trainees would go through the content available online themselves according to the schedule. Trainees need to attempt the quizzes after each chapter/module.
At the end of each chapter/session the trainer/ facilitator should summarise the key messages of the chapter by engaging trainees through questions and discussions. The discussion should focus on aspects related to the competencies listed below. These sessions should also help the trainees to clarify doubts and queries.
For the training areas which require hand-holding of trainees like to perform actual processes such as filling of forms, counselling/ addressing stigma, screening, sample collection, adherence monitoring, a demonstration/ role play mode may be adopted.
The duration of training content including discussions/ demonstrations/ role play, pre/post training assessments, is expected to be completed 6 hours. The course coordinator may schedule the course in multiple sessions totaling to this duration as appropriate.
Pre-training Preparation
Before starting a batch of training, the following preparations need to be completed.
- Creation/ confirmation/ Issue of Ni-kshay Usernames to the Health Volunteers
- Preparation of Props (Drug Blister packs, PWB, Specimen collection container, falcon tube, Specimen carry bags, IEC Materials)
Chapter wise Trainers notes
The course is divided into three modules, with a total of 12 chapters, each with specific learning and training objectives in alignment with the competencies of the person.
The different scenarios and probes for the conversation and discussion have been covered in details at relevant sections. Three standard role plays have also been incorporated at the end of each module in the training course.
Session | Activity | Duration |
---|---|---|
Session-1 (Introduction) |
Introduction and Overview of course NOTE: This session may be used as an ice-breaking session and to establish a rapport with the participants. It may also be emphasized here the importance of pre-test, quizzes and post-test assessment to successfully finish the course and obtain the certificate. |
5 mins |
Pre-test assessment | Note: This is Mandatory before proceeding with course content | 10 mins |
Module 1. Basics of TB and NTEP (120 mins) | ||
Chapter 1: Tuberculosis |
Emphasis points during the session
|
30 mins |
Chapter 2: NTEP |
Emphasis points during the session
|
15 mins |
Chapter 3-TB diagnosis and Case Finding |
Emphasis points during the session
|
15 mins |
Chapter 4: Nikshay & Treatment Supporter |
Emphasis points during the session
Post Session Activity: |
20 mins |
Role play #1: |
A short role play with the trainees to explain the process of screening and case finding, identifying the presumptive cases, and referring them to the nearest DMC for TB diagnosis. The trainer may act as the case/patient and one participant may act as an ASHA. Scenario Brief
Probes:
|
10 mins |
Quiz #1 | The participants need to attempt the quiz based on training content covered in Module 1. Participants should complete the quiz before moving on to Module 2. This is a pre-requisite for final certificate |
10 mins |
Module 2: Treatment Support and Monitoring of TB Patient (90 mins) | ||
Chapter 5- TB Treatment and Care |
Emphasis points during the session
|
40 mins |
Chapter 6- Treatment Adherence |
Emphasis points during the session
Post session activity:
|
30 mins |
Role play #2: |
Scenario 1: Mr Ashish who is diagnosed with TB has been initiated on first-line ATT. He was hesitant to start treatment after learning about his TB disease. He lives in an over-crowded chawl with poor hygiene. Probes: Probes Key message at the end of role play : |
10 mins |
Quiz #2 | The participants need to attempt the quiz based on training content covered in Module 2. Participants should complete the quiz before moving on to Module 3. This is a pre-requisite for final certificate |
10mins |
Module 3: Patient Support (120 mins) | ||
Chapter 7 - Public Health Action |
Emphasis points during the session
Post Session activity
|
25 mins |
Chapter 8: TB Arogya Sathi Application |
Emphasis points during the session
|
20 mins |
Chapter 9- Counselling |
Post Session activity
|
20 mins |
Chapter 10- Social inclusion and wellness activity |
|
20 mins |
Chapter 11: Community Engagement |
Post Session activity
|
20 mins |
Chapter 12: Linkages to Social Support Scheme |
|
10 mins |
Role play #3: |
Scenario: A newly diagnosed TB patient initiated on treatment comes to his hometown for home based care and treatment. ASHA worker visits his home to verify his address and upon enquiring with neighbours she learnt that Ashish is being stigmatised for contracting TB and his family is being discriminated against. Now ASHA has to give correct information regarding TB to the neighbourhood. Probes: |
15 mins |
Quiz #3: Post - Test |
All module content will be covered in this quiz. Completion of this final quiz successfully, along with the two quizzes in-between the course is mandatory for certificate generation |
10 mins |
Roles and responsibilities of Key Stakeholders
Please refer to the general roles of various stakeholders for training of Health Volunteers (click here).
Apart from these general roles, the state NHM has an important role to play in the training of Health Volunteers, especially those who are ASHAs in the state. The state NHM needs to ensure that all the ASHAs are being trained on TB and NTEP as per the standard training content. The state ASHA cell at the NHM, should ensure that the following steps are being taken:
- Support STDC/ STC in planning the training and inclusion in PIP
- Prepare and share the list of ASHA’s in the prescribed format with the respective STDC Team
- Guide and provide directives to the respective District/ Blocks to deploy ASHA’s along with concerned supervisors to ensure active participation.
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