Course for Medical Officers-PHI

Pre - Assessment

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

Reinitiating case

Stages in the life of a person with TB

Control, Elimination and Eradication

TB Notification

Long Term Post-treatment follow up of TB patients

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

Nikshay

Nikshay interfaces- Web and Mobile application

Overview of the Patient Management Workflow

User roles managing patient data in Nikshay

TB Aarogya Sathi Application

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]

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

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

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

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

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

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

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

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

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

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

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

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

Stigma and Discrimination towards TB Patient

Effects of Stigma on TB Patients

Gender Aspects of TB

Addressing Gender Inequalities

Wellness Activity for TB Patients

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

Post-Assessment

Certificate