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

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National Scale up Plan for Programmatic Management of DR TB 2011 - 2012 − Establish sputum transport mechanism - Agencies or local solutions for transport of sputum samples in cold chain and drugs − Printing of records and reports well in advance − The states Plan for appraisals/accreditations early and request CTD for appraisals well in advance. 12. Summary The states have developed and own their PMDT Scale up plans. All states need to take the necessary approval of their State PMDT Scale up plans 2011-2012 both technical approval from State PMDT Committee and administrative approval on file from the Principal Secretary (Health), State Health Society and disseminate the plan to the districts officials through Principal Health Sectary, Director Health Services and MD NRHM. The states should priorities to fix basic programme gaps pertaining to Human Resources, Trainings, supplies of reagents, re-structure / re-organize basic service delivery by enhancing involvement of general health system staff thereby relieving the supervisory staff from routine service delivery and thereby strengthen supervision. The Civil works for LPA and basic civil works for solid culture can be undertaken in the labs at the same time. The necessary human resources including deputing contractual LTs from state pool may be considered by the states wherever required. Coordination by the state is crucial as many parties need to be aware of progress or problems faced in up-gradation and accreditation of each laboratory (CTD, NRL, FIND, PATH, WHO) as ultimately the states own their labs. The states are expected to budget for transportation of sputum samples, funds for C-DST Schemes under NGO PP head if services from any other sector laboratory are planned to engaged, additional lab consumables/articles required. The budget should be put into state annual action plans. The progress made by each state will be actively monitored by CTD against the plan on a regular basis. Frequent review of progress made by the states will be undertaken by CTD on quarterly basis. 40
National Scale up Plan for Programmatic Management of DR TB 2011 - 2012 Agenda for State Wise PMDT Scale up planning meetings 1. Review or to do the "backfill" drug quantity calculation for the state 41 Annexure 1 2. To determine how many new patients can be initiated on treatment in the states, and by which time point. 3. Lab team should be clear about when each lab in the states will be online, and at what level of capacity in terms of specimen processing. 4. Manipulate the district worksheets (attached) to match MDR suspects tested with available lab and drug capacity, matching each district over time with the right lab and the right suspect criteria. 5. To determine the needs for appraisals and training to meet that scale-up plan for the state, including training need for transition from suspect criteria failures to all RT. Outcome: By the end of the meeting, to have a viable state scale up micro-plan, matched to drug supply and lab capacity, with implications for appraisal and training responsibilities understood by all.
Page 1 and 2: National Scale up Plan for Programm
Page 3 and 4: Acknowledgements National Scale up
Page 11 and 12: 4. RNTCP Vision and Plans for PMDT
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Page 21 and 22: # of Patients per Quarter 70000 600
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State PMDT Plan DOTS Plus Plan DOTS
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State Profile: State Arunachal Prad
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Tripura : Enrollment Plan of MDR TB
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National PMDT Scale-up Plan - India - 2011-12 - TBC India

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