FOREWORDLIST OF CONTRIBUTORSNational Technical TeamProvincial Technical TeamPARTNERSOBJECTIVES OF TRAINING COURSE1.1 SESSION OBJECTIVES:1.2 THE BURDEN OF DISEASE IN PAKISTAN:1.3 TB CARE: ORGANIZATION:1.4 . LEVELS & RESPONSIBILITY:1.5 THE ROLE OF HEALTH FACILITIES1.6 THE ROLE OF HEALTH CARE PROVIDERS:1.7 INTERPERSONAL COMMUNICATION& BARRIERS TO COMMUNICATION:Examples of Communication Barriers1.8 THE DESK GUIDE:1.9 SUMMARY POINTS2.1 SESSION OBJECTIVES2.2 HOW TO IDENTIFY PRESUMPTIVE CASE OF PULMONARY TUBERCULOSIS2.3 WHY RISK ASSESSMENT OF PRESUMPTIVE TB CASE IS ESSENTIAL2.4 WHAT IS THE IMPORTANCE OF MONITORING TB CASE FINDING ACTIVITIES AT HEALTH CARE FACILITY?2.5 REGISTRATION OF PRESUMPTIVE TB CASES:2.6 WHAT DIFFERENT TESTS ARE AVAILABLE FOR DIAGNOSIS OF TUBERCULOSIS:2.7 LABORATORY TEST RECOMMENDED FOR BACTERIOLOGICAL DIAGNOSIS OF TUBERCULOSIS:2.8 LABORATORY TEST CAN AID IN CLINICAL DIAGNOSIS OF TB?2.9 LABORATORY TEST USED FOR DIAGNOSIS OF TB INFECTION?2.10 LABORATORY TEST NOT RECOMMENDED FOR DIAGNOSIS OF TUBERCULOSIS:2.11 WHAT IS THE ROLE OF X-RAY IN DIAGNOSIS OF TUBERCULOSIS2.12 SYSTEMATIC SCREENING FOR ACTIVE TUBERCULOSIS 3F2.13 GUIDELINES FOR COLLECTING SPUTUM SPECIMENS:2.14 SPECIMEN TRANSPORT MECHNISM:2.15 READING SPUTUM SMEAR RESULTS:2.16 RECOMMEDED ALGORITHM FOR DIAGNOSIS OF PULMONARY TUBERCULOSIS FOR PASSIVE CASE FINDINGAPPROACH:2.17 HOW TO DIAGNOSE PULMONARY TB (PTB) IN ADULTS WHO ARE NOT AT RISK OF DR-TB:2.18 USE OF X-RAY CHEST IN SUPPORTING THE DIAGNOSIS OF TUBERCULOSIS:2.19 HOW TO DIAGNOSE PULMONARY TB (PTB) IN CHILDREN:2.20 DIAGNOSIS OF PULMONARY TB (PTB) IN VULNERABLE POPULATION PATIENT LIVING WITH HIV:2.21 WHAT ARE THE RECOMMENDATIONS FOR DIAGNOSIS OF PULMONARY TB (PTB) IN PATIENT AT RISK OF DRTB2.22 WHAT ARE THE RECOMMENDATIONS FOR DIAGNOSIS OF EXTRAPULMONARY TUBERCULOSIS:2.23 SUMMARY POINTS3.1 SESSION OBJECTIVES3.2 CLASSIFYING THE DISEASE3.3 DECIDING THE TYPE OF TB PATIENT3.4 INTRODUCTION TO TB PATIENT (TB01) CARD: Treatment Outcome: Write date of outcome and tick the appropriate box.3.5 PRESCRIBING TREATMENT OF TUBERCULOSIS:3.6 TREATMENT REGIMEN FOR NEW CASE (CATEGORY I)3.7 TREATMENT REGIMEN FOR RE-TREATMENT CASE (CATEGORY II):3.8 STRENGTH OF INDIVIDUAL DRUGS3.9 FIXED DOSE COMBINATION (FDC) DRUGS3.10 DOSAGE AND DURATION OF ANTI-TB DRUGS:3.11 RECORDING PRESCRIPTION ON THE TB01 CARD:3.12 REGISTERING TB PATIENTS3.13 TB PATIENT CARD (TB02)3.14 BASIC MANAGEMENT UNIT TB REGISTER (TB03)3.15 TUBERCULOSIS REFERRAL/TRANSFER FORM (TB 10)3.16 TB REFERRAL / TRANSFER REGISTER (TRTR)3.17 SUMMARY POINTS4.1 SESSION OBJECTIVES4.2 EDUCATING TB PATIENTS:4.3 COMMENTS ON WHAT THE ROLE PLAYS ILLUSTRATES4.4 MANAGING CONTACTS4.5 DIRECTLY OBSERVED TREATMENT4.6 EXPLAINING DOT AND THE IMPORTANCE OF CONTINUED TREATMENT4.7 HELPING THE PATIENT TO SELECTING A TREATMENT SUPPORTER4.8 RECORDING THE TYPE OF SUPPORTER ON TREATMENT CARD4.9 REQUEST FOR TREATMENT SUPPORT4.10 TREATMENT SUPPORT4.11 COLLECTION AND STORAGE OF DRUGS4.12 OBSERVED INTAKE OF TABLETS4.13 RECORD DAILY INTAKE IN TREATMENT SUPPORT CARD4.14 SUMMERY POINTS5.1 SESSION OBJECTIVES5.2 ASCERTAINING THE REGULARITY OF DRUG INTAKE5.3 ISSUING DRUGS TO THE TREATMENT SUPPORTER & RECORDING IT5.4 PATIENTS PERIODIC CHECKUP AT BMU /TB Care Facility:5.5 IDENTIFYING & MANAGING SIDE EFFECTS5.6 IDENTIFYING AND RETRIEVING PATIENTS WHO HAVE MISSED TREATMENT:5.7 PATIENT FOLLOW-UP AT BMU/ TB CARE FACILITY:5.8 SPUTUM SMEAR EXAMINATION DURING FOLLOW-UP5.9 CHANGING THE TREATMENT DURING FOLLOW-UP:5.10 WHEN TO END INTENSIVE PHASE & START CONTINUATION PHASE OF TREATMENT5.11 RECORDING INFORMATION:5.12 SCREENING OF DRUG RESISTANT TB: PRESUMPTIVE CASES:5.13 REFERRING DR-TB PRESUMPTIVE CASES TO THE TREATING HOSPITAL:5.14 INTERPRET CULTURE AND DST (R/H) RESULTS5.15 SUMMARY POINTS6.1 SESSION OBJECTIVES:6.2 RECORD OF PREVIOUS TREATMENT:6.3 DECIDING ON HOW TO MANAGE THE PATIENT:6.4 TREATMENT OUTCOMES:6.5 DECLARING TREATMENT OUTCOMES:6.6 RECORDING THE TREATMENT OUTCOME:6.7 WORKING AS A TEAM AT THE HEALTH FACILITY:6.8 SUMMARY POINTS:7.1 SESSION OBJECTIVES7.2 REPORT ON NEW CASES & Previously Treated Case(TB07)7.3 QUARTERLY REPORTING ON SMEAR CONVERSION (TB08)7.4 THE QUARTERLY REPORT ON TREATMENT RESULTS (TB09)7.5 SUMMARY POINTSSession-1Introduction To Tb Control In PakistanEffective Communication & Tb Case Management Desk guideSession 2Identifying And Managing A Presumptive Tb CaseAnd Diagnosing TbSession-3Classifying, Prescribing And Registering A Case Of TuberculosisSession 4Educating Tb Patients And Managing ContactsExplaining Dot And Selecting Treatment SupporterPreparing Treatment SupporterRESPONSES JAMIL 4.1RESPONSES SHAMIM 4.2Session 5Patient Monthly Review And Follow-Up At Bmu / Tb Care FacilitySession 6Managing Patient Who Interrupt TreatmentTreatment Outcomes & Quality Of CareSession 7Case Notification And Treatment OutcomesWORK SHEETSBlank PageBlank PageBlank PageBlank PageBlank PageBlank Page

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