German Leprosy & TB Relief Association India GLRA India
Team Lead – Axshya Plus
Madhya Pradesh West Bengal
Application Email :

Job Type

Full Time

Closing Date

Jun 18 2021


Terms of Reference for the Position of

Team Lead – Axshya Plus’, GLRA India


About GLRA India: German Leprosy and TB Relief Association (GLRA) India is a registered Trust and actively engaged in the cause of Leprosy, TB and Disability since 1966. Over 54 years, GLRA India has contributed in diagnosis, treatment and rehabilitation of around 2.7 million people affected by leprosy, TB and Disability. Currently, GLRA India supports 17 projects (including NGO, direct projects, Co-financed projects and technical support to National Leprosy Eradication Programme in West Bengal


About Axshya Plus Project: In 2019, the National TB Elimination Programme (NTEP) notified over 2.4 million of estimated 2.7 million incident TB cases - missing nearly 0.3 million TB cases. Children with TB comprised just 6% of the total TB patients; while 78% of children (aged <6 years) eligible for TB Preventive Treatment (TPT) received treatment. TPT uptake among people living with HIV (newly enrolled in care) was only 17%. The global prevalence of Latent TB Infection (LTBI) is estimated to be nearly 33%. In India, there are no estimates regarding the prevalence of LTBI; however, WHO data indicates that roughly 3.5 lakh children below the age of 5 years were eligible for LTBI treatment. Although most of the infected persons do not manifest the disease, the lifetime risk of reactivation of TB is estimated to be around 5–10%. If untreated, 40% of LTBI children under 1 year of age develop active disease, whereas it is 24% in children of 1–10 years and 16% in those between 11 and 15 years. The infected persons accumulate in the pool of LTBI and are a potential source of converting latent TB to active TB. To control the active infection, a reduction in the magnitude of the pool of latent infection is required.


GLRA India is a Sub-Recipient to The Union, to implement the project ‘’Axshya – Plus: Resilient Axshya Communities for Elimination of TB in India and mobilization of resources through multi-sectoral engagement’’ funded by Global Fund to Fight AIDS, TB and Malaria (GFATM). Project goal is to demonstrate implementation models for programmatic management of Latent TB Infection. The specific objective of Axshya Plus for the GLRA India is to demonstrate implementation models, generate evidence, and scale-up programmatic management of TB Preventive treatment. The Axshya-Plus will primarily strengthen TB preventive strategies aimed at Programmatic Management of TB Prevention Treatment (PM-TPT), focusing on household contacts of index TB patients. The core thematic areas are the Implementation of TPT models for better programmatic management of TB prevention and care services, and generate evidence through operational research to support policies and practice. Programmatic management of TB preventive treatment by GLRA India will be implemented through “Treat only” Model: This includes symptom screening of household contacts, preventive treatment, and follow-up services to be implemented in 38 districts of 2 States – Madhya Pradesh (27 districts) and West Bengal (11 districts). This model will focus on ensuring the treatment of eligible TPT beneficiaries based on symptom screening.


The Team Lead will be placed at district level and will report directly to the Assistant Program Manager. The Team Lead holds the overall responsibility of the field interventions.


Specific responsibilities

  • Plan the initial implementation strategies with the District TB Officer at the beginning of the project to have a specific geographical mapping of the field intervention.

  • Coordinate and organize all district level activities including regular meeting with the District TB Officer, Senior Treatment Supervisors and establish a cordial relationship.

  • Meet the NTEP personnel at the Tuberculosis Unit (TU)– Medical Officer and other staff

  • Assist collecting the list of index patient (microbiologically-confirmed pulmonary TB patients) diagnosed in the block from either the Nikshay portal or laboratory registers

  • Guide the LTBI coordinators during the initial phases of roll ut of the project and later provide supportive supervision to the field staff including MIS Assistant and LTBI Coordinators

  • Assign LTBI coordinators the task of making a house visit to index patients in their respective TU areas and meet the household contacts of index patients

  • Ensure that LTBI coordinators complete the cascade of care as mentioned in the training manual.

  • Ensure regular updates to LTBI coordinators on resource availability at TU level for smooth implementation of activities and timely action

  • Accompany at-least 10% of TB patients during (a) the counselling TB patients about Treatment adherence along with LTBI Co-ordinator, (b) Counselling family members about TB prevention and care, (c) Informing about Tuberculosis Preventive Therapy to family members, (d) Preparing for screening of family members for LTBI, (e) Mobilising family members to nearest collection centres and Chest X-ray facility during initial months of implementation and with any new joinees during implementation

  • Support, review and adopt corrective measures with justified documentation in - recording and reporting of the details of household contacts, their LTBI status and eligibility for TPT after thorough assessment.

  • Co-ordinate with engaged laboratories or private health facilities for sample collection and testing.

  • Ensure that all reports are communicated to household contacts through LTBI coordinator

  • Establish linkages with doctors at the public health facilities for hassle-free assessment of household contacts for TB disease and TPT.

  • Ensure that all eligible household contacts are initiated on TPT. Ensure that all diagnosed TB patients are put on anti-TB treatment

  • Interact with >10% of household contacts on TB preventive therapy at the start of treatment initiation

  • Interact with >10% of household contacts on TPT at the end of treatment.

Supervision and Reporting


The position reports to the Assistant Programme Manager – Axshya Plus


No. of Positions: 14(1 for each district).




Madhya Pradesh - Gwalior, Indore,Bhopal, Jabalpur Ujjain, Rewa, Dewas and Hoshangabad


West Bengal: - North 24 Parganas, Darjiling, Uttar Dinajpur, Dakshin Dinajpur, and Maniktala (Kolkata) and Koch Bihar


Geographical scope: The ‘Team Lead’ will travel to the projects at short notice.


Qualification & Experience:

  • Bachelor’s degree in any discipline.

  • Minimum of 5 years’ experience, post qualification.


  • Experience of working with Central and State government in public health programs.

Competencies and Skills:

  • Proven ability and experience in leading and facilitating training workshops.

  • Must be a self-driven individual with a strong sense of initiative.

  • Work effectively within a team environment throughout the development life cycle.

  • Good interpersonal skills including problem solving and leadership abilities.

  • Excellent verbal and written communication skills.

  • Detail-oriented with the ability to work independently.

  • Working knowledge of Microsoft Office applications including Excel, Word and PowerPoint and Outlook.

  • Ability to plan, set priorities, handle multiple tasks under tight deadlines

Interested candidates may submit resume(indicating their motivation to apply) to, by mentioning the position and location applied in the subject line latest by 18th June 2021, along with current salary.


Salary is negotiable and commensurate with experience and qualification.


Only shortlisted candidates will be contacted for Interview.

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