Functions of core committee

The core committee performs the following functions-

1. Improve case notification with UDST/HIV/DM testing

- referral (outdoor or indoor)

- cross referral (TB-HIV/NCD/NRC)

- linkage to NAAT/CDST lab

- maintain NTEP recording or reporting with Nikshay entry run through NTEP Centre (TBDC/TC)

- assign one faculty as coordinator

2. Coordinate between various departments

3. Coordinate with the district program DTO/NTEP staff 

4. Conduct core committee meeting on a quarterly basis using core committee's meeting template to analyze data and review performance.

5. Prepare and submit a quarterly PHI report/ Medical College report to the DTO

6. Training or sensitization of faculty or PG's or intern or staff. A yearly training calendar to be prepared for this.

7. Ensure that teaching TB or NTEP is a part of the curriculum for UGs and PG's

8. Undertake operational research and facilitate the thesis in each department (use priority areas and guidelines provided by the CTD)

9. Undertake advocacy for the program by publishing articles, newsletters on TB

10. Support district TB officer in ACF/ ICF/ TB Free District/ SNC

e.g. How core committee improves case notification?

Core Committee monitors the following activities to track the processes in place for case notification.

For out patient department (OPD) patients

1. Presumptive TB patient (ALL) – identified, subjected to  necessary  investigations from ALL (OPD)

-To track the referrals, it is suggested to keep the referral register in each dept. This will help in monitoring department-wise referrals.     

-Further, this will be entered in Lab/NAAT register. Use NTEP formats  (annex 15 A)

-Establish Linkages to TB diagnostic Centre /NAAT with a mechanism to refer presumptive TB  patient
2. Intensified Case Finding  - ANC/Diabetic clinic/ART Centre-ICTCs/
3. Patient diagnosed as TB in all departments (OPD)
-DSTB - Initiate treatment with prescription
-DRTB - refer patients to DRTB center ( nodal/Dist level )
-ALL diagnosed TB patients are to be referred to an NTEP Treatment center placed in a medical college. (Space to be identified in college -department of chest/ OPD drug store ) for easy access & coordination  between departments (OPD/IPD) 
-STS of respective & TBHV  posted in medical college to support NTEP activities in IPDs/OPDs

For inpatient department (IPD) patients

1. Presumptive TB patient ( ALL) – identified, subjected to  necessary investigations by ALL departments 
Screen All indoor patients for TB

- To track, the referral register to be kept in each dept- this will help to see the department-wise referral.         
- Further, this will be enrolled in Lab/NAAT register. Use NTEP formats  (annex 15 A)

- Establish Linkages to TB diagnostic Centre -NAAT with a mechanism to send the samples to or refer presumptive TB  patient
 

2. Patient diagnosed as TB in all departments (IPD)

- Initiate treatment with prescription/DISCHARGE CARD – DSTB 
- PTE additional investigations for DRTB–refer patients to DRTB center (nodal/Dist level)
- ALL patients to be referred to NTEP Treatment center placed in medical college. 
- TBHV  posted in medical college support NTEP activities through IPDs/OPDs and STS to supervise the treatment activities 
 

Resources

Assessment