Published on LMS

Involve TB Champions: Community Health Volunteers should play a key role in the following aspects

Coordination:

Community Health Volunteers(CHVs) should coordinate with TB Health Visitor(TBHV)/STS/Medical Officer of the health facility/PRI(Panchayati Raj Institutions) regarding regular intake of drugs by the patient.

Home Visits:

1. All TB patients notified on or continues treatment after 1st April 2018 including all existing TB patients under treatment are eligible to receive incentives.
2. For availing DBT scheme benefits under NTEP Programme, TB patients have to provide their bank details to the nearest NTEP Health facility.
3. The patient must be registered\notified on the NIKSHAY portal.

Nutritional Counselling begins with the nutritional assessment of TB patients by

• Nutritional Status: Assessing the height, weight and BMI of the TB patient
• Diet and Preference food for TB patients
• Current appetite and food intake of TB patients

Based on the nutritional assessment, the following information can be conveyed to TB Patients

Awareness should be generated in the community for promoting various health programmes, health seeking behaviours, screening of TB cases etc. by involving and sensitizing community influencers including PRI members and treatment support groups.

Figure: Activities for awareness generation in community

Do’s

• Active listening, emphatic gestures and expressions
• Ensure the confidentiality of the conversation done with the patient
• Ensure Minimum interruption during the conversation with patient
• Ensuring availability of IEC materials such as posters, videos, pamphlets etc. to dispel myths and misconceptions.

Don'ts

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.,

An SMS is triggered to the patient's mobile number registered in Nikshay. SMS can be related to notification, treatment initiation and treatment outcome.

A Treatment Supporter can be any person such as a Medical Officer, MPWs, community volunteers working with the program etc. Even a patient’s relative or family member can be a Treatment Supporter.

As per NTEP guidelines, salaried NTEP/General Health System staff may also be assigned as treatment supporters for a patient.  However, they will not be eligible for any honorarium.

A patient can only be linked to one treatment supporter at a time in Nikshay.

• Screening for four symptom complex for TB and refer for testing
• Support for treatment adherence
  • By self-monitoring
  • Patient /family counselling
  • Peer group support meetings
• Counselling of TB Patients
  • ​To report Adverse Drug Reaction(ADR), if any
  • Adhere to the treatment and ensure treatment completion
  • Regular monthly follows up during treatment
• Nutritional support
  • Supporting the patients in getting linked with existing nutritional supplementation schemes