National PMDT Scale-up Plan - India - 2011-12 - TBC India

National Scale up Plan for Programmatic Management of DR TB 2011 - 2012
– Reduce risk of expiry & exposure to poor storage conditions
– Simplify packing, supply and reporting by patient months
– Intensify monitoring of enrollments on monthly basis
– Enable better forecasting of drug transfers and procurements
– Enable standardizing specifications for box design at CTD
• Adjust to identified product supply imbalances; specifically for Cs & Eto for WB states (2350)
• Intensify monitoring of SDS and DDS up-gradation
• CTD and SAMS to develop standard curriculum and organize training of SDS Pharmacists on SLD
Drug Stock Management at Ahmedabad
• Share the technical specifications and guidance to states on local purchase of XDR TB drugs.
2. Laboratory Scale up:
• Support implementation of lab-committee endorsed reforms to the laboratory accreditation
process
• Expedite accreditation visits of Labs awaiting accreditation
• Monitor labs accreditation (Solid/Liquid) and fast-track introduction of LPA rapid diagnostics
with solid culture for follow up
• Support States to take decisions on lab linkage by states, in coordination with NRLs and
partners; Private labs to address C-DST deficits for preparatory states (BI, CG, GA, HP, JK, KA, PB,
UP, 8NE, 4UTs) and implementing states (DL, GU, RJ, TN)
• Accelerate provision of high throughput hybridization and other efficiency-oriented equipments
to existing LPA labs, in advance of switch to MDR Suspect category B in any area covered by the
laboratory, to help lab stay ahead of expected workload increases.
• Revise of C-DST Scheme to be undertaken to include rapid diagnostic techniques like Liquid
Culture and LPA as well as Second Line Drugs like Ofloxacin / Kanamycin.
• Revise of Sample Pick up transport Scheme to include collection and transport of samples in cold
chain within 72 hours to the C-DST laboratory.
• Reiterate the guidance on procurement, installation, AMC of Lab equipments to preparatory
states like Bihar, Jammu & Kashmir, Jharkhand, Madhya Pradesh, Assam, Arunachal Pradesh,
Manipur and Sikkim
• Regularize visits by NRLs with partners to Labs under up-gradation
3. Enrollments of MDR TB Suspects and Cases:
• Re-visit enrollment plans of DL and RJ, who currently plan enrollment of cases in excess of their
planned drug capacity, and arrive at solutions with the States.
• Consider delay in switching between suspect criteria in some large states if drug supply becomes
constrained.
4. DOTS Plus Sites:
• Engage states to fast track civil work up gradation in 2011.
• Installation and maintenance of UVGI to be considered in North and North-East states with cold
climates with support of PATH (USAID)
• Linking up Architects/Engineers trained in “Building Design and Engineering approaches to
Airborne Infection Control” to states for up-gradation of DP Site.
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