Role of CHO in NTEP

The CHO has diverse set of roles and responsibilities in NTEP along with supporting the SHC-HWC staff (ASHA, MPW). The various task that a CHO need to perform are:

• Plan and monitor awareness and community mobilization activities.
• Sensitize VHSNC members, Jan Arogya Samiti members, PRI members etc. on TB and their potential role in eliminating TB
• Screen person for symptoms of TB and ensure periodic screening of patients with diabetes and those on immunosuppressants, and smokers
• Refer the presumptive TB patient to PHC-HWC to ensure complete diagnostic evaluation with microscopy, radiology, molecular test
• Ensure follow up testing of patients at regular frequency
• Clinically monitor patients identified as high risk for complications/death and ensure that they undergo required investigations at suggested intervals
• Monitor treatment of patients through visits at least once a month and review treatment record on fortnightly basis. Support in retrieval of TB patients who have stopped taking anti-TB drugs before prescribed period
• Plan, organize and implement active case finding in their area
• Early identification of adverse drug reaction and prompt management
• Ensure comorbidity and drug susceptibility testing, linkages of comorbidity patients, and drug resistant TB patients
• Ensure inventory of laboratory request form, specimen container, anti-TB drugs
• Coordinate with PHC-HWC for logistics, patient’s management
• Ensure record maintenance, reporting on NIKSHAY
• Identify and engage community treatment supporters and train them on supporting and monitoring TB treatment
• Educate patients and family members on TB, treatment, etc.
• Ensure screening and testingof contacts of sputum positive TB patients for TB/LTBI
• Coordinate with RBSK team and PHC MO for ensuring screening for pediatric TB
• Facilitate for ruling out TB complete evaluation by microbiological and/or radiological examination and/or other investigations for contacts of TB patients and others vulnerable for LTBI
• Ensure that eligible person undergo TB Treatment or TB preventive treatment as needed
• Identify potential TB champions among TB survivors and facilitate their participation in the programme
• Coordinate, guide and monitor village level activities for TB control