Pilot of PATIENT CENTRIC Linkages model for Public Sector DR-TB Patients

This pilot project aims to develop an improved patient centric model for DR-TB care in public sector. It will look at reducing the touch points, improving linkages and facilitating decentralization in order to provide better care to the patient.

operational area

This project is operational in the state of Rajasthan and covers 6 DR-TB centres

Objectives

  • Ensure that all presumptive DR-TB patients complete procedure of diagnosis and treatment in a timely manner
  • Minimize the touch points for DR-TB patients and simplify the patient pathway
  • Improve coordination between DOTS Centers, District DR-TB centers, Nodal DR-TB centers and Intermediately Reference Laboratory(IRL) /Culture (C ) – Drug susceptibility Testing(DST) labs to ensure all patients receive appropriate diagnosis and treatment
  • Minimize dropout rate among DR-TB patients

Activities

  • Supporting DR-TB patientsin completing various steps in the TB continuum of care from diagnosis to completion of treatment
  • Minimising the number of touch points and simplify the procedure
  • Strengthening coordination to minimize leakages, improve coverage and efficiency of services

Expected outcome

  • Increase in the number of patients diagnosed asRifampicin-resistant (RR) /Drug Resistant (DR) TB and are offered the follow up diagnostic tests
  • Increase in the number of patients diagnosed as RR and are initiated on DST guided regimen
  • Increase in the number of patients initiated on DST and are guided regimen at District level
  • Increase in the number of house hold visits of DR-TB patients
  • Increase in the number of contacted house holds getting screened for TB
  • Increase in the number of patients who are diagnosed of TB among contacted house holds are initiated on Treatment