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Vahid

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vahidmirza011
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Data Flow In National

TB Elimination
Programme-Monitoring
and Surveillance.

By Vahid
MBA HM
2022-527-051
Evolution of TB Elimination Programme
S. No NAME OF JOURNAL NAME OF AUTHOR YEAR FINDINGS

1 Active Case Finding for Burugina Nagaraja S, Thekkur 30 This review and synthesis of programme activities and outcomes of the ACF
P, Satyanarayana S, Tharyan P, November
Tuberculosis in India: A campaign launched by the NTEP identified six broad areas where there are gaps
Sagili KD, Tonsing J, Rao R, 2021
Syntheses of Activities between the expectations of the NTEP and the available outcome data from the
Sachdeva KS.
and Outcomes Reported states and partners implementing ACF. These gaps provided opportunities to
by the National intervene strategically, and this review suggests possible interventions that could be
Tuberculosis Elimination considered to improve the efficacy and effectiveness of ACF.
Programme
Khanna A, Saha R, Ahmad N. India has been actively involved in TB control activities for more than 50 years now.
National TB elimination Still TB continues to be India's most severe health problem. The country is now
programme - What has 2023 March-
2 National TB elimination better prepared to tackle TB better than before. there is a need to recognize that more
changed. Indian J Med April
programme needs to be done to drastically reduce the TB incidence in India. The NSP 2017–
Microbiol. 2023 Mar-
Apr;42:103-107. doi: 2025 builds on the success and learnings of the last NSP and encase the bold and
10.1016/j.ijmmb.2022.10.008. novel steps required to eliminate TB in India by 2025.
Epub 2022 Nov 16. PMID:
36402676; PMCID:
PMC9672688.
NTEP

ORGANOGRA
M
Level Organizational structure Terms of reference
National level Central TB Division (CTD), Providing resources/ devising policies/ issuing guidelines
MoHFW, GOI Monitoring and evaluation

State-level State TB Cell, Health Providing resources, implementing guidelines, monitoring and
Department evaluation

District-level Chief Medical Officer/ Chief Monitoring and evaluation Demonstration of best practices
District Health Officer District Implementing guidelines
TB 0fficer

Block-level/ Ward-level Block Medical Officer STS / Monitoring and evaluation Feedback
STLS / TBHV

Health facility-level Health facility doctor, MPHS, Implementation and review


MPHW, ASHA
Health & Wellness Community Health Officer TB screening and community intervention Coordination amongst
Centre, Sub-centre various health programmes for TB related activities
Community ASHA PRI Anganwadi workers Implementation Community engagement through Panchayati Raj
(AWW) Other volunteers Institutions (PRI) Village Health and Nutrition Day (VHND)
Community leaders Community meetings Peer educators/TB champions/adolescent
groups Anganwadi sessions
ACF CASE
FINDING
‘NIKSHAY”
• To keep a track of the TB patients across the country, the Government of India has
launched a system called NIKSHAY.
• NIKSHAY covers various aspects of controlling TB using technological innovations.
Apart from web-based technology, SMS services have been used effectively for
communication with patients and monitoring the programme on day-to-day basis.
• . ICT enabled adherence mechanisms [99DOTS, MERM, refill monitoring, VOT
(manual)] will feed treatment related information from patients and treatment
supporter into Nikshay enriching it as a patient care and support platform to prioritize
patients for differential care.

Directly Observed Treatment, Short-course (DOTS)


• The DOTS strategy along with the other components of the Stop TB strategy,
implemented under the National Tuberculosis Elimination Programme (NTEP) in
India, is a comprehensive package for TB Elimination.
• The DOTS strategy is cost-effective and is today the international standard for TB
Elimination programmes. To date, more than 180 countries are implementing the
DOTS strategy. India has adapted and tested the DOTS strategy in various parts of
the country since 1993, with excellent results, and by March 2006 nationwide DOTS
coverage has been achieved.
Medication event reminder monitor (MERM) for
DR-TB patients.
 The MERM is a digital pillbox that has been designed to monitor MDR-TB
treatment in resource-constrained settings.
 Medications are dispensed in blister packs and each drug is placed in a
different partitioned compartment within the pillbox.
 The MERM is programmed to provide audio-visual reminders to the
patients to take medications at a specific time of the day.
 The visual reminder consists of:
 Green light: Corresponds to a label encouraging the patient to take a dose.
 Yellow light: Alerts patients about the need to refill medications.
 Red light: Indicates a low battery and the need to replace the MERM’s
battery.
 The audio reminder consists of a ringing sound that would occur at the
same time as the visual dose-taking reminder.
 The data from the MERM boxes is transmitted every 72 hours using
cellular networks and recorded on a computer server..

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