21 September 2007, Tbilisi, Georgia21 September 2007, Tbilisi, Georgia

Lilly MDRLilly MDR--TB Partnership:TB Partnership:

Capacity Building for TB Capacity Building for TB

ControlControl

ICN:ICN: Strengthening nursing Strengthening nursing

capacity in TB/MDRcapacity in TB/MDR--TBTB

• A federation of 129 national nurses’

associations

• Represents more than 13 million

nurses

• Founded in 1899, based in Geneva

• Goals:

� to bring nursing together worldwide;

� to advance the nursing profession;

� influence health policy globally.

International Council of NursesInternational Council of Nurses

TB/MDRTB/MDR--TB Project GoalsTB Project Goals

Extend the nursing workforce for TB/ MDR-TB

ensuring that nurses:

• are equipped with relevant knowledge,

skills to combat TB/MDR-TB

• train/supervise other health care

workers

• effectivly market and implement the

DOTS strategy

• are able to effectivly work with mangers,

physicians, other health care professionals

• are participating in policy discussions at

local and national level

ICN Project OverviewICN Project Overview

Training of TrainersTraining of Trainers

• 5 - day workshop, 30 participants

• Each participant trains others

• Regular M & E

• Some outcomes:

- 560 nurses trained in SA

- 250 nurses trained in the Philippines

- 400 HCW trained in Swaziland

- 180 HCW trained in Malawi

- 50 + nurses trained in Russia

ICN ICN •• Lilly Award for Nursing Lilly Award for Nursing

Excellence in TB/MDRExcellence in TB/MDR--TBTB

• Recognises outstanding

achievement;

• Motivates and encourages

nurses in their TB-related work;

• Offers recipients an educational

grant for continuing professional

development;

ICN Online Resource CentreICN Online Resource Centre

Future DirectionsFuture Directions

The Working Group on MDR-TB of the

Stop TB Partnership

September 20-22, 2007

Tbilisi, Georgia

Development of a Distance (on-line) Learning Course

on MDR-TB Control, Treatment and Prevention for

Hospital/Clinic/Health Facility Managers

International Hospital Federation13, Chemin du Levant, Immeuble JB SAY

F-01210 Ferney Voltaire, FranceTelephone: +33 (0) 4 50 42 60 00 Facsimile: +33 (0)4 50 42 60 01

Email: info@ihf-fih.org; Internet: www.ihf-fih.org

www.ihf-fih.org

PROJECT RATIONALE

• The role of managers for effective TB and MDR-TB control?- Serve as facilitators for doctors, nurses and community level

health workers

- Financial and organisational support for continuous &

uninterrupted supply of TB treatment drugs

• The IHF generic materials and tools:- Not textbooks on TB and MDR-TB control

- Clarify the roles and skills for managers (some of whom may be

medics, nurses or administrators) in developing and maintaining

a successful and sustainable TB and MDR-TB control

programme.

PROJECT OBJECTIVE

• Preparation of a Training Manual for

hospital/clinic/health facility managers engaged

specifically in TB and MDR-TB Control

programmes.

• Course participant to emerge prepared to assume

and exercise the vital role in leadership, planning,

implementation and follow-up of more effective

and sustainable TB and MDR-TB control

programmes.

www.ihf-fih.org

PROJECT ACHIEVEMENTS:

PHASE I OF PROJECT: 2004 - 06

• Field testing of the product - Conduct of Workshop Version of

Manual, March 2006 in Pretoria, South Africa

• Publication (paper, CD-ROM) of workshop version of the manual

• Posting of manual on IHF official website

• Update of paper version of manual to include 'infection control' and

XDR elements and posting on IHF website; additional IHF MDR-TB

primary partners' reference material, namely ICN & WMA

• Consultation meetings with collaborating organizations - ICN, IFRC,

WHO and WMA

• Presentation and exhibition of the manual to international hospital

and health facility management network/audience

www.ihf-fih.org

PROJECTIONS IN PHASE II OF PROJECT 2008 - 11

• Update Manual

• Translate Manual - Chinese / French / Spanish

• Creation Of On-Line Course (including accreditation)

• Expansion Of Collaborative Communications

Outreach ActivitiesTB Day Press

Conference Events

• Partnership Collaboration Joint Workshops and/or projects

Eli Lilly Partnership Summit Meetings

• Introduction Of MDR-TB Sessions In IHF

International EventsConferences

Regional workshops

Trainer of trainers workshops

www.ihf-fih.org

September 20-22. 2007 STOP TB Working Groups - Tbilisi, Georgia

World Medical Association

Online Training Course

for Physicians on

Multi-Drug Resistant

Tuberculosis

September 20-22. 2007 STOP TB Working Groups - Tbilisi, Georgia

Aim

• Transforming the new WHO guidelines on

the Treatment of Multi-drug Resistance

Tuberculosis (MDR-TB) into a Physician

targeted teaching material

• Available free of charge over the internet

• Accredited by the National Medical

Association

September 20-22. 2007 STOP TB Working Groups - Tbilisi, Georgia

Project Partners

WMA Partners:

• The Foundation for Professional Development (FPD) of the South African Medical Association - authoring course material

• Norwegian Medical Association - preparing online material

• South African Medical Association - testing

• German Medical Association - coordination

• Eli Lilly - project support, NGO integration

September 20-22. 2007 STOP TB Working Groups - Tbilisi, Georgia

Phase 1

• Setting up an international advisory body

• Outlining a training course concept by the FPD

- Revision by the international advisory body

• Transforming the WHO guidelines into a text material

- Revision of the training material by the international advisory body

• Setting up an online format

• Transforming content into an online material

September 20-22. 2007 STOP TB Working Groups - Tbilisi, Georgia

Phase 2• Field testing of the online course in South Africa with 22 physicians

• First Feed back from the physicians about the course material is very positive– Comprehensive course

– Interactive teaching material

– Easy to understand

• Review of the course material after the evaluation

• Worldwide access of the course through internet

September 20-22. 2007 STOP TB Working Groups - Tbilisi, Georgia

Phase 3 – in planning

• Expansion of the MDR-TB online course

– CD version – accessible in areas without internet

– Handbook version – available during patient visit

– Available in 5 languages (English, Russian,

Spanish, Chinese, French)

• Development of TB refresher online course

to prepare physicians for the MDR-TB course

September 20-22. 2007 STOP TB Working Groups - Tbilisi, Georgia

new

Joint ICN/IHF/WMA training seminar

Health Care Worker Saftey in the Context of

drug-resistant TB in low and middle income ountries

12 / 13 November 2007

Cape Town, South Africa

INTERNATIONALHOSPITAL FEDERATION