DR-TB Coordinator

Concept of Supervision

Index TB patient: Initially identified person of any age with new or recurrent TB in a specific household or other comparable settings in which others may have been exposed. The Index TB patient is the person on whom a contact investigation is centred, but is not necessarily the source/ primary case.

Contact Tracing plays an important role in the detection of all those who are secondarily infected for proper diagnosis and prompt treatment. This process can be recorded and reported in Ni-kshay under the ‘contact tracing’ option. The process of recording contact tracing in Ni-kshay is given below.

Process Overview

Identifying target audience is a key step in the process of developing Advocacy, Communication and Social Mobilisation (ACSM) strategy.

Specific target audience need to be addressed to prevent hinderances in achieving the programme objectives.

Studies have shown that nearly half of all patients with TB in India first seek care in the private sector, where there are significant gaps across the patient-care cascade, notably diagnostic delays, irrational and non-standardized regimens, and under-reporting to authorities. As a result, over a million cases of TB are missed in India every year.

Local Self Government is the management of local affairs by local bodies who have been elected by the local people.

• The local self-Government includes both rural and urban government.

Local Self Governance is the management of local affairs by local bodies who have been elected by the local people. There are 2 types of Local Self Government (LSG): panchayats in rural areas and municipalities in urban areas. Local self-government (LSG) has deep connections and linkages with local people.  Role of LSG in Tuberculosis (TB) elimination includes:   

The Patients’ Charter for Tuberculosis Care (the Charter) outlines the rights and responsibilities of people with TB. It empowers people affected by TB and their communities through this knowledge. Initiated and developed by persons affected by TB from around the world, the Charter makes the relationship with healthcare providers a mutually beneficial one.

In pregnant women diagnosed with multi-drug resistant (MDR)/rifampicin-resistant TB (RR-TB), if the duration of pregnancy is <20 weeks*, the patient should be advised to opt for medical termination of pregnancy (MTP) in view of the potential severe risk to both the mother and the fetus. Figure 1 shows the management algorithm for pregnant patients based on their gestational age.