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HID/ Passport/ Birth certificate no.: Clinic/ Hospital no.: Name: DOS: / / Date of start of 2nd line anti-TB treatment: / / PF-MDR(X), supplementary record forms for MD RTB patients (Page 1 of 2)
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The programme form for MDR-TB is a document used to collect and report information about the management and treatment of multidrug-resistant tuberculosis (MDR-TB) cases.
Health facilities, government agencies, and other organizations responsible for the management and treatment of MDR-TB cases are required to file the programme form.
The programme form for MDR-TB is filled out by providing accurate and up-to-date information about each MDR-TB case, including demographic data, medical history, treatment regimens, and outcomes.
The purpose of the programme form for MDR-TB is to monitor and assess the effectiveness of MDR-TB control programs, track treatment outcomes, and identify areas for improvement.
The programme form for MDR-TB typically requires the reporting of information such as patient demographics, previous treatment history, drug susceptibility test results, treatment regimens, and treatment outcomes.
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