Chest and TB Clinics

Mission: To provide timely, equitable, and patient-centered care for tuberculosis and chest diseases while contributing to national TB control goals.

Vision: To be a leading regional centre for excellence in respiratory care and TB eradication through integrated service delivery and innovation.

TB Clinic Lead – Clinical Officer (Chest Specialist)

Chest Physician (Consultant – On Schedule)

TB Nurses – 2

Pharmaceutical Technologist – For TB drugs dispensing

Lab Liaison Officer – Coordinates sample referrals and results

Records Clerk – Ensures accurate TB notification and reporting

Registration – Capture of patient details, TB number assignment for new cases

Triage & Screening – Symptom evaluation, risk profiling (HIV, diabetes, malnutrition)

Clinical Assessment – Physical examination and diagnostic workup request

Diagnostics – GeneXpert, sputum smear microscopy, chest X-ray, Mantoux test

Initiation of Treatment – Based on classification (DS-TB, DR-TB), weight bands, and regimen guidelines

DOT – Enrolment in Directly Observed Therapy Short Course (DOTS) with follow-up

Monitoring & Follow-up – Regular reviews, sputum conversion checks, side effect monitoring

Completion & Discharge – Clinical outcome documentation and reporting to NTLD-P

TB Diagnosis – Using GeneXpert, sputum AFB microscopy, chest X-ray, and clinical scoring

TB Treatment – First-line (DS-TB) and referral for DR-TB and MDR-TB cases

TB Contact Tracing – Household screening and follow-up of close contacts

TB Preventive Therapy – Provision of TPT (e.g., Isoniazid Preventive Therapy for eligible patients)

TB-HIV Collaborative Care – Integration with CCC (HIV clinic) for co-managed patients

Chronic Chest Disease Management – Asthma, COPD, bronchiectasis, post-TB lung disease

Pediatric TB – Diagnosis and treatment of childhood TB including malnutrition support

Referral to County TB Coordinators – For MDR-TB and complicated TB cases

Integration with CCC – HIV co-infection screening, ARV initiation, and adherence support

Lab Services – Seamless coordination with hospital lab and NTLD-P reference labs

Linkages with Nutritionists – Nutritional support for undernourished TB patients

Community Health Volunteers – Assist in DOT monitoring and household contact tracing

TB Awareness – Education on transmission, prevention, and adherence

Infection Control – Advice on cough etiquette, isolation practices, and hygiene

Chronic Respiratory Care – Use of inhalers, lifestyle modifications, and breathing exercises

Public Outreach – Sensitization campaigns during TB Day and in high-burden communities

Accredited TB treatment centre under the National TB Program

Modern diagnostics including GeneXpert and digital radiography

Trained staff with vast experience in TB, HIV, and chronic chest disease management

Comprehensive patient support including nutritional, psychosocial, and drug adherence counseling

Community-linked DOT program to improve access and treatment outcomes