Provision of the National TB Program

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PDF page 518 (handbook page 517)
1
9. Provision Of The National Tb Program
To promote health in general by decreasing the number of TB patient in LGU-General Trias
through DOTS.
Office or Division: Office of the City Health Officer
Classification: Simple
Type of Transaction: Government to Clients
Who may avail: All identified TB Symptomatic (All
TB Forms)
CHECKLIST OF REQUIREMENTS WHERE TO SECURE
None
FEE
PERSON
S TO PROCESSIN
CLIENT STEPS AGENCY ACTIONS RESPONSIBL
BE G TIME
E
PAID
1.1 Answers all your
queries on how to
avail TB drugs
for free
1. For Inquiry Conducts interview
about TB Recording / data
Program gathering of clients’
services medical history
Go to:
1.2 Assess / observes
a. Barangay clients complain /
Health symptoms
Station If identified as None 10 minutes Nurse / Midwife
b. TB Dots Presumptive TB
Manggahan Identify the treatment
c. TB Dots history,
Pinagtipuna Registered the client
n Main to Presumptive TB
Health Masterlist
Center
1.3 Instruct for proper
sputum collection
(1sputum specimen)
517

PDF page 519 (handbook page 518)
1
2.1 Check if the
specimen
sputum sample
is good sample
If the specimen
sputum sample
is good, gather
2. For Submission
all the correct
of sputum Mack Alfred
information
specimen Chico, RMT
needed
Go to:
Rhomma F.
a. City Health None
2.2 Inform the 5 minutes Salvador (Lab
Office
client of the Aide)
Laboratory
releasing of
b. TB Dots
Lorena Montoya
result is with in
Center (Lab Aide)
2 to 3 days
Manggahan
after
submission,
they will
receive a
message about
the result and
instruction on
what to do next
3.1 Explain clearly
the result
a. If the result
3. For release of
is MTB-
Genexpert
Negative, no
(sputum) result
chest Xray
as Instructed
result with
thru text Neldy C.
signs and
Cervantes, RN
message
symptoms- (TB Dots Brgy.
Go to:
request for Manggahan)
None 30 minutes
chest X-ray Ma. Josefa B.
a. TB Dots
b. For New Mugol, RN
Center
Cases (TB Dots Main
Manggahan
Health Center)
If the result
b. TB Dots
is MTB NOT
Center
DETECTED
Pinagtipuna
with chest x-
n
ray
suggestive
of TB with
518

PDF page 520 (handbook page 519)
1
signs and
symptoms
of TB, Enroll
the patient
for
treatment as
CLINICALL
Y
DIAGNOSE
D TB.
Take
patients vital
signs. Give
the
necessary
documents
for TB
enrollment.
c. If the result
is MTB
DETECTED
POSITIVE,
take the
patients vital
signs. Give
necessary
documents
for TB
enrollment.
d. For
Retreatment
Cases:
If the result
is MTB NOT
DETECTED
ask for xray
result if
none
request for
chest xray
Refer for TB
DOTS
Physicians
for further
managemen
519

PDF page 521 (handbook page 520)
1
t and
evaluation.
e. If the result
is MTB
DETECTED
,
RIFAMPICI
N
Resistance
DETECTED
, give the
patient
another 3
specimen
bottle for
collection to
be
submitted to
GEAMH TB
Culture for
further
Laboratory
test.
PATIENTS
ENROLLMENT
3.2 Prepare necessary
documents for
enrollment of patient.
4. Undergo Trained Provider
Initiated
counselling from
Counselling
health care provider.
4. Initiate counseling None 20 minutes and Testing
(Provider’s Initiative
(PICT)
Counselling and
Counselor.
testing)
5. Go to the
5. Conduct HIV Mack Alfred
Laboratory for actual None 25 minutes
testing Chico, RMT
testing.
6. Listen to the lecture 6. Conduct Lecture /
Neldy C.
/ health teaching health teaching about Cervantes, RN
about TB Disease TB Disease (TB Dots Brgy.
None 2 hours
Awareness, Awareness, Manggahan)
prevention and Prevention and Ma. Josefa B.
Intervention. Intervention. Mugol, RN
520

PDF page 522 (handbook page 521)
1
(TB Dots Main
Health Center)
7. Undergo process of
TB DOTS enrollment
for treatment Neldy C.
Cervantes, RN
(TB Dots Brgy.
For Drug Susceptible
7. Proper procedures Manggahan)
TB (6 months – None 10 minutes
in admitting clients Ma. Josefa B.
medication).
Mugol, RN
(TB Dots Main
For Drug Resistant TB
Health Center)
6 to 18 months -
medication
Neldy C.
Cervantes, RN
8. Report to your
(TB Dots Brgy.
Respective Brgy.
8. Dispense TB drugs Manggahan)
Health center before None 5 minutes
Monthly Ma. Josefa B.
drugs supply is about
Mugol, RN
to consumed
(TB Dots Main
Health Center)
9. Refer clients to TB
Dots Physicians when Neldy C.
Cervantes, RN
deemed Necessary /
(TB Dots Brgy.
9. Updates the status adverse reaction
Manggahan)
of your present health Regular vital signs None 5 minutes
Ma. Josefa B.
condition taking/monitor monthly
Mugol, RN
weight
(TB Dots Main
Monitor regularly –
Health Center)
DOTS
10. At the End of 6
Neldy C.
months treatment
Cervantes, RN
(168 days) 10. Issuance of (TB Dots Brgy.
Go to: certificate of Manggahan)
None 5 minutes
a. TB Dots completion for TB Ma. Josefa B.
Manggahan treatment Mugol, RN
b. TB Dots (TB Dots Main
Health Center)
Pinagtipunan
Main Health
Center
End of Process: Total None 3 Hours and 55 Minutes
521