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Sputum Collection centres
Learning ObjectivesDiscuss what a sputum collection centre/ point is and the need to have designated points for sputum collection?
What happens at a Sputum collection centre (packaging and transport)?
Where all can a sputum collection centre be established?
What all is required at the Sputum collection Centre; training for packaging, consumables, on demand/ periodic logistics services, linkage/ mapping to testing laboratory?
To increase access to diagnostic services, NTEP has a provision for sputum collection centres in areas where the health facility is not equipped with key requirements to conduct sputum microscopy, molecular tests, drug susceptibility testing or follow up examinations.
Sputum collection centres are dedicated locations where sputum samples are collected, packaged and then transported to nearby TB diagnostic centres. It could be attached to any near-by health-facility as well.
Requirements of a Sputum Collection Centre
To function as sputum collection centres, the following is essential:
- Linkage/ mapping (time and distance) to testing laboratory
- Availability of adequate number of sputum cups and falcon tubes, logistics for sample packaging and transport
- Identification of open areas for sputum collection
- Staff trained in NTEP guidelines on sputum collection, sample packaging and transport, complete and correct documentation of laboratory request form, and infection control practices
- Feasibility and financial measures required for sample transport
- Inclusion of local volunteers, courier services, sample transportation under National Health Mission Free Diagnostic Services or other mechanisms as decided by the state/district
- Availability of Information, Education and Communication (IEC) material, training modules, and job-aids
Sputum collection centres are established in:
- Ayushman Bharat Health and Wellness Centres/Sub-centres
- Urban primary health centres
- Tribal, hilly, desert and difficult-to-reach areas of the country
Resources
- Training Modules for Programme Managers and Medical Officers
- Operational Guidelines for TB Services at Ayushman Bharat Health and Wellness Centres
- Mycobacteriology Laboratory Manual, GLI Initiative, 2014
Assessment:
| Question | Answer 1 | Answer 2 | Answer 3 | Answer 4 | Correct answer | Correct explanation | Page id | Part of Pre-test | Part of Post-test |
| Under NTEP, where are sputum collection centres established to increase access to diagnostic services? | Tribal areas | Ayushman Bharat health and wellness centres | Difficult-to-reach areas | All of the above | 4 | To increase access to diagnostic services, sputum collection centres are established in Ayushman Bharat health and wellness centres, Urban health centres, tribal, hilly, desert and difficult-to-reach areas of the country. | Yes | Yes |
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