SUPPORT MEASURES FROM NTP
(3)
｡?egular supply of drugs and laboratory agents.
｡? quality control system in laboratories.
｡¬raining and refresher courses organized at the national level and/or provincial level.
｡?egular supervision and evaluation from outside the province and district.
3.3 TUBERCULOSIS CONTROL ACTIVITIES IN PHC
｡?CG vaccination
｡?ase-finding
｡?OTS
｡?onitoring
CASE-FINDING
｡?ll adults attending the health units, or met at home visits, should be questioned for the presence of the following symptoms: cough, expectoration, haemoptysis, fever, chest pain, and loss of weight and last for more than two to three weeks.
｡?f such symptoms are present, the person is asked to produce to sputum specimens, one on the sport, the other the following morning. The person should be instructed how to produce sputum and not simply saliva.
SPUTUM EXAMINATION
｡¬o send the sputum to the nearest place where microscopy can be done.
｡¬o send the sputum smeared and heat fixed on slides.
｡?efer the patient to the nearest location where diagnosis can be performed.
｡?n the are where chest radiograph is also used in case-finding, every effort should be made to have the diagnosis of TB confirmed bacteriological so that overdiagnosis is avoided.
