18/08/2026
Facility Evaluated:
Rural Health Centre (RHC) Pir Jo Goth
Monitoring Officer: Dr. Tahir Hussain Kanhar (District TB Coordinator, CDC-III, Khairpur Mirs)1. DOTS Center
Performance Review Conducted a strategic briefing and performance meeting with the facility's DOTS Incharge.
Audited the current programmatic metrics, focusing heavily on evaluating the daily presumptive/suspected TB case notification ratio to identify diagnostic screening trends.
2. Laboratory Section & Microscopy
Evaluation Hand-audited the facility Microscopy Unit to enforce standardized diagnostic protocols.Evaluated technical technician proficiency by auditing the quality of slide preparation and staining processes.Directly evaluated and verified active positive sputum smears under the microscope to guarantee laboratory diagnostic accuracy.
3. Molecular Diagnostics (GeneXpert Testing)Inspected the operational status of the GeneXpert Section to assess automated molecular diagnostic workflow efficiency.Reviewed tracking pipelines for drug-resistant cases and checked the optimization of advanced turnaround times for regional sputum samples
4. Pharmacy, Cold Chain & Inventory ManagementAudited the centralized Anti-TB Drug Store for supply chain integrity.Inspected the environment's temperature logs to confirm safe storage criteria for clinical stocks.Reconciled physical inventories against the Stock Registers and cross-verified active case cohorts inside the main Total Registered Cases Ledger to eliminate drug reconciliation discrepancies.
5. Clinical Desk Performance (Duty Doctor & HTL Liaison)Evaluated active casework at the Duty Doctor's Room and the Hospital To Laboratory (HTL) Desk.Performed a quantitative progress check on passive screening workflows, checking that programmatic tracking loops are active from primary triage straight to diagnostic pipelines.
6. Administrative Alignment & Institutional CollaborationConcluded the supervisor visit with an alignment meeting alongside the RHC Pir Jo Goth Administrative Team.Strategized institutional workflows to streamline and accelerate the structural referral system of confirmed and presumptive TB cases into care lines.
