Trainers' Guide for CHO/MPW-PHI Course on NTEP

1. Introduction

The purpose of this document is to provide the course coordinators and trainers for the “Course for CHO/MPW-PHI on NTEP” guidance for planning and executing the training. The targeted trainees for this course would be:

  • Community Health Officers (STationed at AB-HWCs)

  • Multi-purpose workers (stationed at PHI)

 

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/ demonstrations/ practical exercises. Training sessions which require hands-on training will be conducted only in a physical setting. Keeping in mind the aforesaid best practices of the Modernised Training System, each State may decide to choose the approach which is most suitable for their State.

For 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 at the end of each module. This will help the trainees for better clarification of contents and to address the queries and doubts.

For the training areas which require handholding of trainees like demonstration of processes- Counselling about Specimen collection, patient workflow in Ni-kshay, etc in-person training sessions need to be conducted.

The training course content has 3 modules and 12 chapters. Based on different modalities used for the training, the training delivery should take at least 8 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. The certificates are auto generated for the trainees in their LMS account on successful completion of post-test and their performance in interim quizzes.

The training of CHOs/MPWs needs to be conducted at DTC/Block level wherever adequate facilities are available.

The batch size for Physical Session should not be more than 15 participants and not more than 30 participants for virtual sessions.

2. Training curriculum / Agenda

 Sr. 

Module  

Chapters 

Training Modality 

  1. Duration 

(Hrs) 

BASICS OF TB AND NTEP 

  1. EPIDEMIOLOGY AND BURDEN OF TB
  2. NTEP
  3. GENERAL CONCEPTS IN TB CARE IN INDIA
  4. TB AROGYA SATHI APP

Virtual

4

 

 

TB DIAGNOSIS AND CASE FINDING

  1. DIAGNOSTIC TECHNOLOGIES
  2. DIGNOSTIC NETWORK AND HIERARCHY
  3. APPROACHES TO TB CASE FINDING
  4. TB CASE FINDING IN NTEP

 Virtual

4

3

Specimen collection and Transportation

  1. General concepts in specimen collection & transportation
  2. Packaging & dispatching sample to a C&DST lab
Physical

2


 

4

Smear Microscopy

  1. Collection & Storage of Good Quality Specimen
  2. Sputum Smear Preparation
  3. Preparation of Staining solutions
  4. Staining Sputum Smear
  5. Reading Smear and Reporting Microscopy results
  6. Maintaining Supplies of Lab consumables at DMC

 Physical

8

5

CBNAAT

  1. CBNAAT as a Rapid Molecular Diagnostic tool
  2. Sample processing for CBNAAT
  3. CBNAAT Result Interpretation and recording.
  4. Troubleshooting in CBNAAT
  5. Maintenance of CBNAAT

 Physical

8

Truenat

  1. Truenat as a Rapid Molecular Diagnostic Test
  2. Specimen processing for Truenat
  3. Truenat result Interpretation and recording.
  4. Troubleshooting in Truenat
  5. Truenat Instrument maintenance and record keeping.

 Physical

8

7

Ensuring Smooth functioning of Lab Services

  1. Biomedical waste management in a microscopy lab
  2. Biomedical waste management in CBNAAT Lab
  3. Biomedical waste management in Truenat lab
  4. Record maintenance
Physical

2

8

Ensuring Quality Microscopy

  1. General concepts in quality assurance
  2. External quality assurance 

 Physical

3

9

Infection Prevention and Control [IPC]

  1. General concepts in IPC
  2. Airborne Infection Control
Virtual

1

10

TB TREATMENT, FOLLOW-UP AND PUBLIC HEALTH ACTIONS

  1. GENERAL CONCEPTS IN TB TREATMENT
  2. TB TREATMENT INITIATION AND FOLLOW-UP
  3. TB PREVENTIVE TREATMENT
  4. PUBLIC HEALTH ACTION
  5. TB & Comorbidities and special situations
  6. TREATMENT ADHERENCE

 Virtual

3

9

INTERACTING WITH PATIENTS

  1. COUNSELLING FOR COLLECTING SPUTUM SPECIMEN
  2. COMMUNICATING RESULTS TO THE PATIENT
  3. COUNSELLING THE TB PATIENTS
  4. STIGMA, DISCRIMINATION AND GENDER SENSITIVITY

 virtual

3

 3. Trainers

         For this course, following personnel may be appointed as the trainers

  • DTO
  • STLS

 Eligibility -

Trainers are selected based on their ability to conduct training in an interactive and interesting manner. They must possess strong knowledge about TB laboratories and related processes in NTEP. The Trainers should have completed the ‘Course for LT(Microscopy & NAAT) on NTEP’’.  The Trainers should be well versed with the IT systems such as, Zoom (for video conferencing), Swasthya-eGurukul (Learning Management System) and Nik-shay. The Trainers need to go through the Chapter- wise Training Guide for this Course, provided as an Annexure

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 (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. 

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.