• 2 sputum examinations are done for each chest symptomatic patient (cough >2 weeks) for diagnosis
• Sputum examinations are done at the Designated microscopy centre using high quality binocular microscope by a trained laboratory technician (LT).
• Quality Assurance of Sputum Microscopy is ensured with EQA through the Senior TB Laboratory Supervisor (STLS).
• Diagnostic Algorithm is strictly followed by MOs for sputum negative case 
  

• Un-interrupted supply of good quality drugs in patient wise boxes.
• Treatment given under direct observation of DOT provider, at the convenient place and time to the patient.
• Updating of patients treatment card.
• Registration of every TB patient diagnosed in TB Register

• Supervision of overall RNTCP implementation by STS, STLS, MOTUs, DTO.
• I wise analysis and feedback of the performance from district.
• TU Wise & District Wise Analysis of Performance from State.
• Supervisory visits to the districts from State TB cell and STDC
• Sound and robust record keeping and reporting system
  All the districts and corporations are electronically connected and they submit quarterly reports through EPI Centre software to the State and Central TB Division, Delhi
  

• Sensitization of State/District and Village level political leaders/Executives etc.
• Use of Mass media - radio/ TV/Print media etc.
  Display of health education message - hoarding, banners, posters, pampheltes etc.,Patient Provider group meetings,Community meetings,School Activites.

Training

• To assist State TB Officer in all areas of human resource development, including planning and monitoring of initial training, retraining and update training.
• To plan and impart quality training to all the District level key personnel and supervisory staff (MOTC, STS and STLS).
• To train relevant personnel in EQA, DRS and other new initiatives.  Raise a group of master trainers within the State
• Build capacity for imparting quality training at district level.
• Evaluation of training activities in the State.
• Ensure use of standard RNTCP training material, including translation of training

• To undertake supervisory visits to the districts in coordination with the STO.
• Coordinate and support the STO in monitoring of the programme and providing feedback on the programme activities to districts.
• To help the STO to carry out periodic internal evaluation of district programme

Quality Assurance (QA) of Sputum microscopy

The STDC will act as an intermediate reference laboratory (IRL) and carry out all activities that are laid out for IRL in the RNTCP protocol for quality assurance in sputum smear microscopy. This would include panel testing and on-site evaluation of district level and participation in the panel testing for the IRL conducted by the national reference laboratory, and routine submission of required reports to STC and CTD as per programme guidelines.

• To provide quality assured Culture and DST facilities for M. tuberculosis
• To undertake Drug Resistance Surveillance in the states as and when instructed by CTD.

Operational Research (OR): Undertake OR and provide technical support to research activities in the state

• Assist the STO in planning and coordinating the advocacy and IEC activities in the state.
• Undertake all programme related activities as directed from the state and CTD from time to time.