About the Course
Earn a career certificate
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Pre- Assessment
Pre - Assessment
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Lesson 1- TB & TB Epidemiology
Reinitiating case
Tuberculosis
Global Burden of TB
Burden of TB in India
TB Causative organism
Mode of TB Transmission
TB Infection
Progression to TB Disease
TB Infection Vs Active TB Disease
Vulnerable Population for Tuberculosis
Classification of TB on the basis of Site of disease
Classification of TB on the basis of diagnosis
Classification of TB cases based on history of Previous TB treatment
Types of Drug Resistance Tuberculosis -DRTB
Chemotherapy and its implication in TB control
Stages in the life of a person with TB
Control, Elimination and Eradication
TB Notification
Long Term Post-treatment follow up of TB patients
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Lesson 2- NTEP
Evolution of TB Elimination Programme in India
NTEP NSP targets
Organizational Structure of NTEP
District TB Centre [DTC]
Tuberculosis Unit [TU]
Peripheral Health Institutions [PHI] and Health Facilities
DR-TB Centres and Network
Ayushman Bharat Health and Wellness Centres
Standards of TB Care in India
Responsibilities of a Medical Officer - PHI [MO-PHI]
Role of Medical Officer at a Microscopy Centre in TB Diagnosis
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Lesson 3- Information Systems in NTEP
Nikshay
Nikshay interfaces- Web and Mobile application
Overview of the Patient Management Workflow
User roles managing patient data in Nikshay
TB Aarogya Sathi Application
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Lesson 4- General Concepts in TB Case Finding
TB Case Finding
Symptoms of TB Disease
Screening For Tuberculosis Disease
Presumptive TB
Enrolling a patient in Nikshay
Requesting a Test on Nikshay
Diagnostic Algorithm for TB Disease in NTEP
Approaches to TB Case Finding
Bidirectional Screening Approach
Universal Drug Susceptibility Testing [UDST]
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Lesson 5- Diagnostic Technologies and Lab Network
Principles and Methods of Testing for TB diagnosis
Microscopy in TB Diagnosis
Cartridge Based Nucleic Acid Amplification Test [CBNAAT]
Truenat MTB and RIF Assay as a TB Diagnostic Test
Line Probe Assay [LPA]
Culture Drug Susceptibility Testing [CDST]
Laboratory Hierarchy and Network
Functions of a Designated Microscopy Centres [DMC]
NAAT Labs and their role
CDST labs and their role
Sputum Collection centres
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Lesson 6- Diagnostic Specimen
Spot and early morning sputum sample
Steps to Ensure a Good Quality Sputum Sample
Educating patient on Sputum collection and dispensing Sputum cup
Modes of Transportation in SCT
Patient Turnaround Time from Identification to Treatment Initiation Relative to the Laboratory Technology Used in DR-TB
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Lesson 7- Active Case Finding Campaign
ACF campaign
Mapping the population for ACF
Microplanning and execution of ACF campaign
Recording formats under ACF campaign
Field Supervision of ACF campaign
Reporting of ACF campaign
Monitoring of ACF campaign
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Lesson 8- General Concepts in TB Treatment
Strategies for TB Treatment
Pharmacological Basis of treatment
Treatment Phases
Fixed Dose Combinations [FDC]s
FDCs used in NTEP
First line anti TB drugs
Second Line anti TB drugs
TB Drug Regimen
TB Treatment Initiation
Pre-treatment Evaluation of TB patients
Start Treatment for DSTB patient & DRTB patient
Add and view prescription
Adding and viewing Patient Notes
Updating and Viewing patient Health Facility details
Assigning Patients to ART and DRTB Centres
Transferring a patient
Transfer of TB Patient Ownership
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Lesson 9- TB Treatment and Care
Drug-Sensitive Tuberculosis(DS-TB)
TB Treatment – Steps
Treatment Regimen for DSTB – Adult
Treatment Regimen for DSTB - Pediatrics
Pre-treatment Counselling
Pre treatment evaluation of DRTB cases
Follow-up of TB patient
Regimen, Duration and Dosage for Isoniazid [H] Mono/Poly DR-TB Regimen
Isoniazid [H] Mono/Poly DR-TB Regimen: Pre-treatment Evaluation
Follow up sputum examination for DR-TB
Interim Treatment Outcomes of DR-TB Cases
Adverse Drug Reactions
Adverse Drug Reactions(ADRs) to First Line Treatment
Adverse Drug Events: H Mono/Poly DR-TB Regimen
TB Treatment Outcome
Closing Cases and Assigning Treatment Outcomes
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Lesson 10- Treatment Support
Treatment Support Mechanism
Treatment Support Plan
Treatment supporter to TB Patient
Family Caregiver as a TB Treatment Supporter
Roles & responsibilities of Family Care Givers in TB care
Registering on Nikshay as Treatment Supporter /Informant
Assigning a TS
Patient-Provider Meetings
Treatment Support Groups
Teleconsultation for treatment support
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Lesson 11- Adherence Management
TB Treatment Adherence
Importance of Treatment adherence
Recording and Monitoring Adherence
Digital Adherence Monitoring Technologies
Directly Observed Treatment
Recording Adherence in Treatment card
Recording manual doses in Ni-kshay
Recording missed doses in Ni-kshay
Recording Adherence using TB Arogya Sathi Application
Monitoring of Adherence by NTEP Staff
Management of Patients with Treatment Interruptions
Adherence Register
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Lesson 12- TB and comorbid conditions
TB Co-morbidities & Special Situations
HIV testing of individuals with presumed or confirmed TB
Co-trimoxazole prophylactic therapy in persons with HIV and TB coinfection
Isoniazid Preventive Therapy [IPT] in People Living with HIV [PLHIV]
Diabetes among people with TB
National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular diseases and Stroke [NPCDCS]
Alcoholism among people with TB
Tobacco use among people with TB
Silicosis in TB Patients
Cancer in TB patients
TB in Pregnant and Lactating Women
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Lesson 13- Infection Prevention & Control
The Need for Infection Prevention and Control [IPC]
Standard Precautions for IPC
Hand Hygiene
Respiratory Hygiene
Airborne Infection Control [AIC]
Administrative measures for AIC at a Health Facility
Ventilation as an AIC Measure
IPC Practices Required at a Microscopy Centre
Personal Protective Equipment [PPE] Use in TB Lab Settings
Color Coding and Type of Container in Biomedical Waste Management
Disposing Off Contaminated Material Safely in Microscopy Centre Laboratory Setting
Roles of various stakeholders in IPC
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Lesson 14- TB Preventive Therapy
Eligibility for TPT
Approaches for TPT implementation
Cascade of Care for TPT
Testing for TB Infection
Counselling for IGRA/TST
TB Preventive Therapy
Regimen for TPT
Contraindications of TPT
ADRs due to TPT
Screening among Household Contacts of DR-TB Patients
Preventive Treatment for Contacts of DR-TB Patients
Counselling for TPT
Monitoring adherence to TPT
Strategies to promote adherence
Role of different stakeholders to promote adherence for TPT
Management of missed doses in TPT
Follow-up Monitoring for individuals taking TPT
Treatment outcomes after TPT
Monitoring indicators for TPT
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Lesson 15- Public Health Actions
Public Health Actions
TB Awareness Generation in Community
Contact Tracing and Investigation
How to do contact tracing
Recording Contact Tracing in Ni-kshay
Universal Drug-susceptibility Testing (UDST) for TB
Counselling of TB Patients at Various Stages of Treatment
Nutritional Counselling
Do's & Don'ts for Patient Communication
National TB Call Centre (Ni-kshay Sampark)
TB Champion
Activities that can be undertaken by TB Champions
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Lesson 16- Patient Support
Patient and Treatment Support
Nutritional Support/ PMTBMBA
Psychosocial Support to People affected by TB
Support for deaddiction
Free drugs and free treatment
Travel support for people with TB
Direct Benefit Transfer (DBT) under NTEP
DBT Schemes in NTEP
Ni-kshay Poshan Yojana
Stakeholders in DBT processes under NTEP
Other Local DBT Schemes
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Lesson 17- Social Inclusion and wellness activities
Stigma and Discrimination towards TB Patient
Effects of Stigma on TB Patients
Gender Aspects of TB
Addressing Gender Inequalities
Wellness Activity for TB Patients
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Lesson 18 - Programme Monitoring
Registers and Reports in Ni-kshay
Enrollment Register
TB Notification Register
Tuberculosis Laboratory Register
Contact Tracing Register
Contact Tracing Report
TB Mukt Panchayat Initiative
Methodology for TB Mukt Panchayat
Certification Process for TB Mukt Panchayat
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Post Assessment
Assessment
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Certificate
Certificate
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