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The recommended modalities for supervision by different categories of staff are presented in the table below:

Supervisor

Methodology

Supervisor

DTO/MO – DTC
  • Conduct interview with health staff and RNTCP key staff and other sectors
  • Conduct interview with health staff of Private/NGO hospitals
  • Interact with community and local opinion leaders
  • Randomly interview patients and community leaders
  • Inspect records of the TU, PHC and CHC, and stock of anti-TB drugs and laboratory consumables.
  • Randomly check the microscopy centre and DOT Centers
  • Conduct supervisory visit at least 2-3 days a week
  • Visit all TUs every month and all DMCs every quarter.
  • Visit all CHCs and Block PHCs in the district every quarter
  • Visit at least three patients at their homes per visit
  • Visit identied private/NGO and other sector health care centers.
MO-TC
  • Interview the MO I/C Block PHC/CHC/PHC./Private/ NGO hospitals
  • Randomly interview patients and community leaders. 
  • Interact with community and local opinion leaders
  • Randomly check the microscopy centre and DOT Center
  • Stock of anti-tuberculosis drugs and laboratory consumables.
  • Visit all CHCs/BPHCs/ PHCs and a proportion of treatment observation centres at least once every quarter.
  • Conduct supervisory visits 4- 5days a month
  • Visit at least three patients at their homes per visit.
  • Visit  identified private/NGO and other sector health care centres.
MO-TC
  • Interview MPHS and MPWs at the PHC sub-centre.
  • Inspect records, Tuberculosis Treatment Cards and Tuberculosis Laboratory Register.
  • Randomly interview patients.
  • Interview health staff of identified Private/NGO/other sector health care centres
  • Visit all PHIs at least once every month and all DOT centers once every quarter.
  • Visit all patients at their home within one month of treatment initiation.
  • Conduct supervisory visits at least 5 days a week.
  • Visit identified private/NGO and other sector health care centres
STLS Inspect all microscopy centres, review laboratory records, check stocks, inspect sputum collection centres and PHIs including that of private/NGO and other sectors
  • Visit all microscopy centres in the jurisdiction of all the assigned TUs at least once a
    month.
  • Visit all sputum collection centres at least once a month

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