Minimum requirements for health facilities for RR-/MDR-TB treatment

Treatment

Table 10.2-1: Minimum requirements for health facilities for RR-/MDR-TB treatment Criteria DR-TB referral site DR-TB registration and DR-TB treatment follow treatment site up site DR-TB team: 1 medical doctor, 2 1 medical doctor, 1 clinical 1 TB nurse, 1 clinical Programmatic clinical officers, 2-3 officer, 1 nurse, 1 TB officer, officer, one HSA, 1 EHO, 1 management of DR-TB nurses, 1 lab 1 lab technician, 1 pharmacy DOT supporter drug-resistant personnel, 1 pharmacy technician, 1 environmental TB (PMDT) personnel, 1 volunteer health officer (EHO)

training RR-/DR-TB 2 exam rooms, 1 DOT 1 exam room, one DOT 1 DOT clinic integrated outpatient clinic, dispensary and clinic and sample collection with drug susceptible services sample processing area area TB and with minimum infection control requirements RR-/DR-TB Separate male and Short-term separate male N/A inpatient service female DR TB wards (8- and female admission 10 beds) with isolation rooms to stabilise and room for management monitor patients in the of severely ill patients medical ward, with 2-4 beds Designated Separate waiting area Separate waiting area for Required patient waiting for RR-/MDR-TB RR-/MDR-TB patients area patients/cases Respirator At least 22 N-95 masks At least 22 N-95 per At least 22 N-95 per month per month per person, month/ person, 20 surgical per person, 20 surgical 20 surgical masks per mask patient/month, i.e. masks per patient/month, patient/month, i.e. average of 154 masks per i.e. average of 110 masks average of 220 masks month per month per month Follow up Refer sample to nearby Refer sample to nearby Make sure that patients culture and DST culture and DST centre culture and DST centre receive monthly follow-up services through existing courier through existing courier test; perform follow-up systems and make the systems and make the sputum examination as necessary follow-up necessary follow-up per schedule Xpert MTB/RIF required required