Related live sync files:
\Clinic\Data\CHWs\Training in English\TB
\Clinic\Data\HMIS\HMIS_all.pdf
Achham TB data (based on Department of Health Services 2007/2008 Report): Achham TB Data 2007-2008
Key protocols:
WHO Guideline: http://whqlibdoc.who.int/hq/2003/WHO_CDS_TB_2003.313_eng.pdf
PIH MDR Guideline: http://model.pih.org/mdr-tb_curriculum
Current protocol at clinic:
(1) TB training:
-for each CHW, training manual and powerpoint are in Foldershare > Clinic > CHWs > Training in English > TB
and checklist for CHWs
-screenings (ask about cough, night sweats, weight loss) as part of our initial routine intake procedure
(2) New diagnoses:
-sputum smear microscopy at clinic
-drugs obtained from pharmacy
-HMIS form 20A is filled out and the information on the front side is entered into Access database immediately (demographic data)
-HMIS form 20B is given to patient
-CHW coordinator will assign CHW for that patient for DOTS; if pt outside of geographic area, referral to nearest health post. when a patient comes in from a given ward and VDC, we look up where the nearest reliable DOTS site is. contact that site. contact DHO. email jason@nyayahealth and sanjay@nyayahealth describing case, cc director.
-CHW takes HMIS form 20A, fills out the back with each DOTS day; form 20B is similarly completed
-patient comes in for sputum (brought by CHW): 2 months and 6 months -> entered into Access database
-if sputum conversion not achieved, or if extrapulmonary tb/complications email goes to jason@nyayahealth and sanjay@nyayahealth describing case, cc director
-HMIS data is input by shefali and emailed to US team as per DataManagement
(3) introduce CXR when available
(4) national program monitoring
-collect form 20A and sputum slide samples (all positives and 10% of negatives) every 4 months
-MOH Manoj is contact
(5) expansion
(a) survey every health post and subhealth post - summer fluent nepali volunteer to finish chhitij's start to this
-involves visiting every health post and/or holding a large forum and training session in Sanfe
-working with health posts to ensure referral of pts with TB symptoms to sputum microscopy center
(b) establishing another sputum microscopy site in the district - talk to MOH via Jason
(c) getting hiv tests to that site, and ensuring they are used and cases referred - contact FHI and discuss supply chain with DHO Dr P. Sedhain
(d) creating map of TB cases in achham in past 5 years to determine where holes in case finding are - google spatial grant pending
(3) establish MDR testing through GENETUP (German Nepal Tuberculosis Project). Shefali met with them, will likely cost ~ Rs 200/sample plus transport.
Key figures:
Treatment regimens:
for MDR:
Actions in case of interruption:
In children:
Comments (0)
You don't have permission to comment on this page.