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The requirements from institutions for establishing Nodal Drug-resistant Tuberculosis Centres (NDR-TBCs) are as follows:
- It should preferably be a tertiary care institute.
- Separate wards for male and female patients (including children) should be available with at least 10 beds in each NDR-TBC.
- An outpatient clinic and a separate well-ventilated waiting area in an open-air, shaded area should be made available as per the Airborne Infection Control (AIC) guidelines.
- Administrative, environmental, and personal protective measures for airborne infection control should be placed in all indoor and outdoor facilities.
- All investigations under Pre-treatment Evaluation (PTE) and other Programmatic Management of Drug-resistant Tuberculosis (PMDT) services should be provided free of cost to the patient.
- Ancillary drugs should be provided for the management of Adverse Drug Reactions (ADRs) as per the NDR-TBC committee`s advice at no cost to patients.
- Oxygen and ventilators should be available for patients needing critical care support.
- The NDR-TBC committee should be formally established with the required set of experts as per the guidelines.
- All experts at NDR-TBC must be trained in the latest PMDT guidelines.
- Doctors, nursing and support staff should be available from the institute.
- Records and reports should be maintained for PMDT. Nikshay entries must be done on a real-time basis with regular electronic updates.
- Financial requirements must be availed through the institute/ state budgets or under National Health Mission (NHM).
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