Published on LMS

Cartridge-based Nucleic Acid Amplification Test (CBNAAT) is used to detect Mycobacteria tuberculosis and rifampicin-resistance using GeneXpert IV Dx system and the Xpert MTB/ RIF cartridge.

The CBNAAT system integrates and automates sample processing, nucleic acid amplification, and detection of Mycobacteria tuberculosis and rifampicin resistance.

The system utilises the use of single-use disposable CBNAAT cartridges that hold the Polymerase Chain Reaction (PCR) reagents and hosts the PCR process.

The process involves the following steps:

Expiry management of supplies is crucial to avoid financial losses and harm to patients.

Physical Verification of stock is a two-step process:

1. Physical Verification of Supplies
2. Recording the Change in Ni-kshay Aushadhi

Physical verification and reconciliation of anti-TB drug stocks are done at the drug stores, and immediate next steps are taken to deal with discrepancies determined, if any.

Significance of Checklist

Desk monitoring of supply chain

Monitoring of supply chain management is carried out by a two-tier monitoring system:

1. Central system- at central level, Central TB Division (CTD) reviews and ensures adequacy of drugs and consumables at State level.
2. Decentralized system- by the State TB Officers (STOs) and the District TB Officers (DTOs) whereas they ensure adequacy of drugs and consumables up to the level of the DOT Centers.

The various methods for monitoring include:

1. Store Visits