Medical College Task Force Workshop on NTEP

1. Date:
Dr Sanjay Suryawanshi
WHO National Consultant,
(Medical Colleges Support & Institutional strengthening)
Central TB Division, MoHFW, New Delhi -110001
• Email: suryawanshis@rntcp.org ; 98960370714; 9890170711
National Workshop for Medical Colleges Task Force to
Accelerate Ending TB in India
Template for Core Committee in Medical Colleges

2. Formation Core Committee
Whether the college formed a Core Committee meeting? Yes/no
• If No, Medical College/DTO to initiate the activity, plan a meeting
with the Director/Dean/Principal and HODs of TB/ Medicine/
Paediatric, etc to discuss the role of a medical college in NTEP.
With the consensus, decide the date to form a Core Committee.
• If Yes, then plan a meeting and intimate Members /participants
in advance. Plan meetings for all 4 quarters, decide the dates.
 1st Quarter (Jan-March ) To be reviewed in April
 2nd Quarter (April-June ) To be reviewed in July
 3rd Quarter (July-Sept ) To be reviewed in Oct
 4th Quarter (Oct-Dec ) To be reviewed in Jan

3. Name of Medical College (Govt/Pvt)
:
Venue
:
Name of Nodal Officer
:
Name of NTEP Medical Officer
:
Name of DTO/CTO :
Quarter 1 Quarter 2 Quarter 3 Quarter 4
Meeting Expected (Date)
Meeting conducted (Date)
Core Committee Meeting

4. Department Name/s Email ID Mobile No.
Director/Chairmen/ Dean / Principal
Medical Superintendent
Nodal officer (Clinical )
Nodal officer ( Public Health )
Member Secretary (DTO/CTO)
Members
General Medicine
Pulmonary Medicine
Community Medicine
OBGY
Pharmacology
Psychiatry
Paediatric
Ophthalmology
Orthopaedics
General Surgery
Thoracic Surgery
ENT
Pathology
Microbiology
Biochemistry
Dermatology
MO DRTB Centre/MO med college
Nursing Superintendent
Representatives from Dental/Ayurvedic colleges etc
Others Co-opt members ( e.g. IMA)
Committee members / Participants *

5. Time Activities By
~ 10 Min
(i.e. 11.00 am -11.10
am)
Welcome address
Address by
Nodal officer
Director /Dean/ Principal
Minimum 60 min
(i.e. 11.10 -12.10 am)
• Reading of minutes of previous
meeting ( circulate the copy to
all members ) and discussion
• Review of medical college –
performance
Nodal officer
10 min
(i.e.12.10 pm - 12.20
pm)
Concluding remarks Director /Dean/ Principal
Meeting agenda must be decided locally and followed up strictly
Committee members / Participants *
Agenda

6. Status of Core Committee ( CC ) Meetings Conducted
Quarters
CC Conducted
( Yes/ No / if yes, date
Date
If yes, Minutes prepared/submitted
If not, the reason for
not conducting
STO STF DTO/ CTO
1Q Yes/ No / if yes, date
2Q Yes/ No / if yes, date
3Q Yes/ No / if yes, date
4Q Yes/ No / if yes, date
For better comparison always there will be information available on 4 Quarters

7. Minutes of the previous CC meeting
Sr
no
Issue discussed Action suggested
Responsibility
(College / DTO/ STO /
STF)

8. Status of Engagement
Facility established Yes / no Functional (yes/no)
Remarks
( reasons if no )
TB diagnostic centre
Treatment support Centre
C and DST Lab * Yes / no Functional
(yes/no)
Accredited/ certified/ date for
technology *
Remarks
( reasons if no )
C and DST Lab
FL-LPA
SL-LPA
Liquid- MGIT
CBNAAT
Truenat
DRTB Centre Yes / no Functional (yes/no) Remarks
( reasons if no )
Nodal DRTB Centre
District DRTB Centre
Write the exact status , use remarks column
*If applicable, Solid/Liquid/ GeneXpert /LPA –FL/LPA-SL;

9. DR-TB Services
DR-TB Centre available in the Medical College Yes / No, IF yes, then mention, type Nodal District DRTBC
Separate DR-TB Ward for Male and Female
(available as per guideline)
Yes / No, IF yes, then mention no. of
beds available
10 Male
10 Female
2 - male
2 - female
DR-TB Committee formed? Yes / No
Pre-Treatment evaluation facilities (Test)
available
Yes / No
Minimum of 6 feet distance between two beds in
DR-TB ward is maintained
Yes / No
AIC guideline implemented in the DR-TB Ward Yes / No
ADR management happening ? If yes than aDSM
form filled up
Yes / No
DR-TB medicine available Yes / No
Is falcon tube available in each ward/OT/OPD ? Yes / No

10. TB/HIV Collaborative activities
Activities
Status
Yes/No
Whether ICTC is Present in the medical college?
Standard cross-referral between TBDC and ICTC is in place ?
Whether ART Centre is present in the medical college?
Is the mechanism available to diagnose and treat TB in ART
centres in place – “ Single window Concept “

11. TB/Diabetic/tobacco Collaborative activities
Activities
Status
Yes/No
A diabetic screening centre is present in the medical college
Standard cross-referral between TBDC and diabetic screening centre is
in place
A tobacco Cessation screening center is present in the medical college
Standard cross-referral between TBDC and Tobacco Cessation screening
centre is in place
Mechanism to put TB Patients on anti-TB treatment is in place
( NTEP Treatment centre)

12. Is the medical college (all dept) adequately using NTEP guidelines(diagnosis / treatment ) Yes/No
The NTEP records (Annex 15A,referral/ transfer, TB Notification register, Lab register, ) available
including -real-time referral through Ni-kshay
Yes / no
Treatment Support Directory available- Ni-kshay output Yes/No
Regular supply of Lab Consumables: Yes/No
NTEP TB diagnostic centre Yes/No
C & DST Lab (If applicable) Yes/No
CBNAAT Cartridges ( if applicable ) Yes/No
Truenat chips (If applicable) Yes/No
TB diagnostic centre covered under EQA Yes/No
Regular Supply of Drugs ( DSTB / DRTB) for OPD / inpatients is available Yes/No
All TB Cases are referred to NTEP TB diagnostic centre & Treatment Support Centre?
Faculty participated as a resource person in CME/sensitization (interdepartmental/IMA) etc Yes/No Specify
Faculty participated in internal evaluation /JSS /SNC/ JMM/Common review Yes/No Specify
Funds available for Meetings/ CMEs/ Workshops/ OR/ thesis etc ( explain ) Yes/No
Specify
Shortages to be discussed during the meeting
NTEP implementation status
NTEP implementation status

13. Medical college: HR Status
Facility established Sanctioned NTEP
posts in number
Sanctioned /
not sanctioned
(Y/N)
If yes,
In-place /
Vacant
Remarks (issues on
equipment's, fund,
TB diagnostic centre and
Treatment support
Centre
MO (1) /
LT (1) /
TBHV (1) /
C and DST Lab*
Microbiologist (1) /
Sr LTs (5) /
DEO/Nikshay operator
(1)
/
Lab assistant (1) /
Nodal DRTB Centre *
Sr MO (1) /
SA (1) /
District DRTB Centre
• If applicable, ; DRTB Centre is Mandatory in each college ( Nodal or DDRTBC)

14. Year
No. of TB cases
notified by the
district where
Medical college is
located (A)
No. of TB case
notified from
Medical
college (B)
% Contribution
at the district
(B/A)
2015 1400 350 25%
2016 1300 345 27%
2017 1500 335 22%
2018 1600 325 20%
2019 1700 250 15%
2020 1600 190 12%
2021 1690 205 12%
2022 1700 210 10%
1400
1300
1500
1600
1700
1600
1690 1700
350 345 335 325
250
190 205 210
25%
27%
22%
20%
15%
12% 12% 12%
0%
5%
10%
15%
20%
25%
30%
0
200
400
600
800
1000
1200
1400
1600
1800
2015 2016 2017 2018 2019 2020 2021 2022
No. of TB case notified from dist. where Medical college is situated (A)
No. of TB case notified from Medical college (B)
% Contribution at the dist. (B/A)
Dummy chart – fill the data
in table and prepare the
chart
Contribution of the medical college in the district : TB case notification
(year-wise trend)
Contribution of the medical college in the district : TB case notification
(year-wise trend)

15. Dummy chart – fill the data
in table and prepare the
chart
Quarters
No. of TB case
notified by the
district where
Medical college is
situated (A)
No. of TB case
notified from
Medical college
(B)
% Contribution
at the district
(B/A)
Q1 1400 350 25%
Q2 1300 345 27%
Q3 1500 335 22%
Q4 1600 325 20%
Q1 1700 250 15%
Q2 1600 190 12%
Q3 1690 205 12%
Q4 1700 0%
Q1
1400
1300
1500
1600
1700
1600
1690 1700
350 345 335 325
250
190 205 210
25%
27%
22%
20%
15%
12% 12% 12%
0%
5%
10%
15%
20%
25%
30%
0
200
400
600
800
1000
1200
1400
1600
1800
2015 2016 2017 2018 2019 2020 2021 2022
No. of TB case notified from dist. where Medical college is situated (A)
No. of TB case notified from Medical college (B)
% Contribution at the dist. (B/A)
Contribution of the medical college in the district: TB case notification
(Quarter-wise trend) in the district
Contribution of the medical college in the district: TB case notification
(Quarter-wise trend) in the district

16. Contribution of the medical college in the district: Pulmonary / EP TB
Quarters Indicator
** Total number of TB
cases registered in
district
Total Number TB cases
notified by Medical
Colleges
Remarks
Q1
Total TB patients registered (A) 1000 100
Pulmonary TB (B) - % ( B/A) 800 ( 80 %) 65 ( 65 % )
Extrapulmonary TB (C) % C/A 200 (20 %) 35 (35 %)
Q2
Total TB patients registered (A)
Pulmonary TB (B) - % ( B/A)
Extrapulmonary TB (C) % C/A
Q3
Total TB patients registered (A)
Pulmonary TB (B) - % ( B/A)
Extrapulmonary TB (C) % C/A
Q4
Total TB patients registered (A)
Pulmonary TB (B) - % ( B/A)
Extrapulmonary TB (C) % C/A
Coordinate with DTO or CTO /WHO Consultant / For comparison purposes always use all 4 quarters

17. Source of data is TB Lab register and NAAT register
Quarters
Number of EPTB patients
notified from medical
college
Out of (A), number (%)
microbiologically diagnosed EPTB
by medical college
Out of (A), number (%) clinically
diagnosed EPTB by medical college
Remarks
(A) (B) ( C )
Q 1 35 5 (14 % ) 30 (86 %)
Q 2
Q 3
Q 4
Total
Contribution of the medical college in the district: Extra Pulmonary TB
(Microbiological Confirmed EP TB )

18. Contribution of the medical college in the district: Pediatric TB
Coordinate with DTO or CTO /WHO Consultant / For comparison purposes always use all 4 Quarter s
Quarter Indicator
** Number TB cases
registered in district (A)
Number TB cases notified by
Medical Colleges ( B )
Remarks
Q1
Total TB patients
registered (A)
1000 100
Total Pediatric TB
notified (B) - % ( B/A )
150 (15 % ) 30 ( 30 % )
Q2
Total TB patients
registered (A)
Total Pediatric TB
notified (B) - % ( B/A )
Q3
Total TB patients
registered (A)
Total Pediatric TB
notified (B) - % ( B/A )
Q4
Total TB patients
registered (A)
Total Pediatric TB
notified (B) - % ( B/A )

19. Contribution of the medical college in the district: Pediatric TB
(microbiological Confirmed)
Quarter
Number of Paediatric
TB patients notified
from medical college
Out of (A), number (%)
microbiologically diagnosed
Pediatric TB cases by medical
college
Out of (A), number (%) clinically
diagnosed Pediatric TB cases
by medical college
Remarks
(A) (B) ( D )
Q 1 30 10 ( 33 %) 20 (67%)
Q 2
Q 3
Q 4
Total

20. Contribution of the medical college in the district: Microbiological /Clinical TB
Quarters Indicator Number of TB cases
registered in district
No. of f TB cases notified
from Medical Colleges
Remarks
Q1
Total TB patients registered (A) 1000 100
Microbiological confirm ( Sputum + ve, NAAT +ve ) ( B ) % B/A 650 (65 % ) 55 ( 55 % )
Clinically diagnosed ( Xray , other investigations ) ( C ) % C/A 350 ( 35 ) 45 ( 45 %
Q2
Total TB patients registered (A)
Microbiological confirm ( Sputum + ve, NAAT +ve ) ( B ) % B/A
Clinically diagnosed ( Xray , other investigations ) ( C ) % C/A
Q3
Total TB patients registered (A)
Microbiological confirm ( Sputum + ve, NAAT +ve ) ( B ) % B/A
Clinically diagnosed ( Xray , other investigations ) ( C ) % C/A
Q4
Total TB patients registered (A)
Microbiological confirm ( Sputum + ve, NAAT +ve ) ( B ) % B/A
Clinically diagnosed ( Xray , other investigations ) ( C ) % C/A
Coordinate with DTO or CTO /WHO Consultant / For comparison purposes always use all 4 Quarter s

21. Efforts to diagnose TB in Medical College
Quarter
No. of
Pulmonary
presumptive
TB examined
No. of Smear
+ve Patient
diagnosed
Out A, no.
of chest
Xray done
Out C, no.
of abnormal
chest Xray
seen
Out of D, no. of
chest Xray
abnormal, NAAT
(CBNAAT/ Truenat
) done
Out of (E),
number
diagnosed
Total
microbiologi
cally
confirmed
diagnosed
Out of total
TB patients
diagnosed,
number
initiated on
treatment
(A) ( B ) ( C ) (D) (E) RS RR B+E
1 Q 100 10 100 50 50 20 5 35
2 Q
3 Q
4 Q
Total
Source of data is TB Lab register and NAAT register

22. Performance of CBNAAT ( >250 /month)
Total Test Done
Total MTB
detected
RR Case
detection
Paediatric
test
Total MTB
detected
EP test
Total MTB
detected
Jan 284 123 8 11 1 6 1
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec

23. Performance of Truenat ( >250 /month)
Total Test Done
Total MTB
detected
RR Case
detection
Paediatric test
Total MT/RR
detected
EP test
Total MTB/RR
detected
Jan 284 123 8 11 1/0 6 1/0
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec

24. TB Patients: UDST and Screening for Co-morbidities
Quarter
Total TB cases
notified by Medical
College (a)
Out of (a) total number of
cases tested for at least
Rifampicin
(Number / %)
Out of (a) tested
for HIV
(Number / %)*
Out of (a)
tested for DM
(Number / %)
Remarks
Q 1
100 90 99 98
Q 2
Q 3
Q 4

25. TB Case Notification by Departments
Quarters Q 1 Q 2 Q 3 Q 4
Dept
Presumptive
TB identified
TB
diagnosed
Presumptive
TB identified
TB
diagnosed
Presumptive
TB identified
TB
diagnosed
Presumptive TB
identified
TB
diagnosed
Pul Medicine
Gen Medicine
Paediatric
OBGY
Orthopaedics
Surgery
ENT
Ophthalmology
Skin
Others-add
Total
Referral register to be kept in all clinical department

26. Chest symptomatic OPD referral from ART center in the Quarter……
Total PLHIV
OPD in
Quarter
(A)
Out of (A), total
presumptive TB
patient's referral ( by 4
symptoms screening )
for microcopy*
(B)
Out of (A), total
presumptive TB
patient's referral ( by 4
symptoms screening )
to NAAT directly
(C)
Out of (B) and (C),
total
microbiologically
confirmed TB
patients diagnosed
(D)
Out of (A)
total clinical
TB
diagnosed
(E)
Total TB
patients
diagnosed
(C+D+E)
Total
patients put
of treatment
1000 20 10 9 15 24 24

27. Sr.
No.
Department Name
Total new
admission in a
month
Total indoor
patients
screened for TB
in a month
[A]
No. of patients
found to have
TB symptoms
[B=Out of A]
No. of
patients,
whose CXR
done
[C= Out of B]
No. of patients,
whose samples sent
to DMC for smear
microscopy
[D= Out of B]
No. of patients,
whose samples
sent to NAAT for
TB diagnosis
[E= Out of B]
No. of Indoor
patients, in
whom TB is
diagnosed
[E= Out of D
and E]
1 Pulmonary medicine
2 General medicine
3 Pediatrics’
4 OBGY
5 ENT
6 Gastro & hepatology
7 CTVS
8 Department of neurology
9 Neurosurgery
10 Dermatology
11 Opthalmology
12 Orthopedics
13 Dept of Endocrinology,
14 Psychiatry
15 Cardiology
16 Radiotherapy
17 Surgery
18 Urology
19 Nephrology
20 Pediatric surgery
21 Plastic surgery
22 General Ward/ Any wards
Total
Indoor Department-wise screening- Quarter

28. Category In Place
Previous Quarter ** Current Quarter * Total
Trained in previous
Quarter (A)
Sensitized in
previous Quarter
(B)
Trained in this
Quarter (C)
Sensitized in
this Quarter
(D)
Trained till date
(A+C)
Sensitized
till date
(B+D)
Faculty In charge
Core Committee
Members
Other Faculty Members
PG Students
Interns
UG Students
Lab Technicians
Pharmacists
Nurses
Paramedics
Trainings & sensitizations on TB update
* Quarter to be reviewed ** previous Quarter for comparison

29. Training Status in PMDT (2021 guidelines) & PMTPT (2021 guidelines)
Name of Dept
Faculty Trained PG Students & Residents trained Interns trained
No. in
Place
No. TPT
trained
Online/ off
line
No. PMDT
Online/ off line
No. in
Place
No. TPT
trained
Online/ off
line
No. PMDT
Online/ off
line
No. in
Place
No. TPT
trained
Online/ off
line
No.
PMDT
Online/ off
line
Chest and TB
Medicine
Pediatric
OBGY
Department wise number trained to be mentioned

30. Advocacy- workshops/seminar/CME
Quarters
Number of CMES /seminar/ workshops done in
college on TB update
Remarks ( attach snaps)
Q 1
Q 2
Q 3
Q 4
Always there will be 4 Quarter s. information available on slide while conducting CC meetings – for better comparison

31. PG Thesis by Medical College (1)
Quarters
Number of thesis proposals
submitted to State OR
committee by college
Number of thesis Proposals
approved by State OR
committee
No. of Thesis for
which funds have
been released
Remarks
Q 1
Q 2
Q 3
Q 4
Always there will be 4 Quarter s. information available on slide while conducting CC meetings – for better comparison

32. PG Thesis by Medical College (2)
Sr. No
Name of
Department
Number of
thesis
initiated
Mention PG thesis titles (
details )
Status of Thesis
Submitted to state
OR Committee/ STO
office (Y/N)
Approved by
state OR
Committee
(Y/N)
Fund
received
(Y/N)
1 ABC 1
2
3
2 XYZ 1
2
3
3 XXY 1
2
3
Use more slides to enlist all

33. OR in Medical College (1)
Quarters
Number of OR proposals
submitted to State OR committee
by college
Number of OR Proposals
approved by State OR
committee
No. of OR for which
funds have been
released
Q 1
Q 2
Q 3
Q 4
Department wise details in next slide
Always there will be 4 Quarter s. information available on slide while conducting CC meetings – for better comparison

34. OR in Medical College (2)
Sr. No
Name of
Department
Number of ORs
initiated
Mention the title of OR
Topics
Number of of ORs
Submitted to state
OR Committee/ STO
office (Y/N)
Approved by
state OR
Committee
(Y/N)
Fund
received
(Y/N)
1 ABC 1
2
3
2 XYZ 1
2
3
3 XXY 1
2
3
Use more slides to enlist all

35. Scientific Publications (1)
Quarters
No. of publications on NTEP in peer reviewed indexed journals
Thesis ( name, dept, title )
Q 1
1
2
3
4
Q 2
1
2
3
4

36. Scientific Publications (1)
Quarters
No. of publications on NTEP in peer reviewed indexed journals
ORs ( name, dept, title )
Q 1
1
2
3
4
Q 2
1
2
3
4

37. List of completed thesis in the current year

38. List of completed OR in the current year

39. College-specific points to be discussed
( enumerate and discuss )

40. Thanks