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Confidential dialogue between a health care provider and a patient that helps a patient to define his/her feelings, cope with stress, and to make informed decisions regarding treatment.

The patient should be counselled at all the three phases i.e.,

Pre-treatment counselling`

  • About TB disease and treatment
  • Air borne infection control
  • Need for adherence
  • Public Health Actions
  • Identification of adverse events
  • Tobacco /Alcohol cessations
  • Identification of comorbidities

During Treatment Counselling

  • Importance of Adherence
  • Identification of adverse events
  • Importance of timely follow ups
  • Public Health Actions
  • Tobacco /Alcohol cessations
  • Management of comorbidities

Post treatment Counselling

  • Testing at the end of treatment.
  • Long term follow up
  • Tobacco /Alcohol cessations

Objectives of TB Counselling:

  • Prevention of TB transmission.
  • Provision of emotional support to TB patients.
  • Motivation of TB clients to complete treatment.
  • Helping patients make their own informed decisions about their behaviour and supporting them in carrying out their decisions.

Figure: Characteristics of effective counselling


 

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