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  • Annexure 1 & 2 TB MP-1

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    Issac Salas
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    The document is a verification format for a district TB team to verify claims submitted by panchayats. It includes fields to capture the team members, location details, number of claims to verify, and indicators on TB notification rates, treatment success rates, drug susceptibility testing rates, enrollment in the Ni-kshay Poshan yojana program, and nutritional support provided to TB patients. The format also includes fields to capture data on each panchayat being verified and whether it can be declared TB-free.

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    Tuber culosis

    Original Title

    ANNEXURE 1 & 2 TB MP-1

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    The document is a verification format for a district TB team to verify claims submitted by panchayats. It includes fields to capture the team members, location details, number of claims to verify, and indicators on TB notification rates, treatment success rates, drug susceptibility testing rates, enrollment in the Ni-kshay Poshan yojana program, and nutritional support provided to TB patients. The format also includes fields to capture data on each panchayat being verified and whether it can be declared TB-free.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    6 views1 page

    Annexure 1 & 2 TB MP-1

    Uploaded by

    Issac Salas
    The document is a verification format for a district TB team to verify claims submitted by panchayats. It includes fields to capture the team members, location details, number of claims to verify, and indicators on TB notification rates, treatment success rates, drug susceptibility testing rates, enrollment in the Ni-kshay Poshan yojana program, and nutritional support provided to TB patients. The format also includes fields to capture data on each panchayat being verified and whether it can be declared TB-free.

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    © All Rights Reserved
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    of 1

    ANNEXURE 2

    VERIFICATION FORMAT FOR DISTRICT TB TEAM

    1. Name and designation of the Team Members:


    2. Name of the Block
    3. Name of the District:
    4. Name of the State:
    5. Number of submitted claim by Panchayat to be verified:

    Indicator 1 Indicator 2 Indicator 3 Indicator 4 Indicator 5 Indicator 6 Panchayat


    TB Treatment Drug Ni-kshay Nutritional can be
    Number of Notification Success Susceptibility Poshan support to declared TB-
    Name of presumptive TB rate/ 1000 rate Test Rate Yojana TB patients free
    Population of
    S.No. eligible examinations/1000 population under (Yes/No)
    the Panchayat
    Panchayat population Pradhan
    Mantri TB
    Mukt Bharat
    Abhiyaan

    Signature of the Verification Team

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