Unit 1. Introduction
TB Infection
Control
Training for
Managers
at the National
and
Subnational
Levels
Outline
•
•
•
•
Review goals and objectives of the
course
Introduce participants and facilitators
Go over course methods and materials
Discuss course evaluation process
2
The situation
• Transmission of TB in health care and
congregate settings is a major challenge
• Financial resources have been made
available, but there are insufficient
human resources for infection control.
3
Preventing TB transmission
is part of:
• the Stop TB Strategy
• the WHO three I’s for collaborative
TB/HIV activities (Intensified case
finding, Isoniazid preventive therapy,
Infection control)
• World Health Assembly resolution on
MDR, 2009
• International Standards for TB Care
4
Stop TB Strategy
1. Pursue high-quality DOTS expansion
2. Address TB/HIV, MDR-TB, needs of poor and
vulnerable populations
3. Contribute to health system strengthening
• Strengthen infection control in health
services, other congregate settings, and
households
4. Engage all care providers
5. Empower people with TB and communities
6. Enable and promote research
5
6
Goal of this course
To further develop the skills required to:
• organize
• implement
• monitor and evaluate
TB infection control at the national and
sub-national levels, within the
framework of the Stop TB Strategy
7
Course objectives
By the end of the course, participants will
understand:
• the recommended set of measures for TB
infection control
• their roles and responsibilities as managers
to ensure TB infection control
• how to prioritize interventions for health-care
facilities
• how to set targets for TB infection control
8
WHO TB IC Targets
By 2012, 50% of countries should have:
• Developed a national TB IC plan
• Set up national surveillance for TB
disease among health workers
• Assessed major health-care facilities and
congregate settings
• Reported on the implementation of IC
measures
By 2013: all countries
9
What this course does not teach
• How to conduct a thorough assessment of
health care facilities with regards to TB IC
• Professional skills needed to advise on
standards for facility renovation and upgrade
• How to organize a TB occupational health
program
• Specific measures to prevent TB transmission
in households or congregate settings
10
How do we accomplish these
goals and objectives?
- Lectures
- Discussions
- Site visits
- Practical demonstrations
- Problem solving
- Exercises
11
Focus on
Who?
• Patients, health workers and visitors at
risk
Where?
• In health care facilities and congregate
settings, especially where there is:
– a high prevalence of HIV
– a high level of multidrug resistant TB
12
Rights
• Of the community to attend a clinic or
hospital without fear of contracting TB
• Of health care workers to be in a safe
working environment
13
Course outline (1)
1.
2.
3.
4.
5.
6.
7.
Introduction
TB epidemiology
Infection control
Managerial activities
Administrative controls
Environmental controls
Respiratory protection
14
Course outline (2)
8. Advocacy, communication, and social
mobilization; Costing
9. Human resources development
10. Monitoring and evaluation
11. Laboratory safety
15
Course evaluation
•
Participants will evaluate the course by
completing a course evaluation form for
each Unit
•
Facilitators will evaluate participants’
infection control action plans and
exercises
16
Course evaluation form
1. Please rate the quality of the training module by
ticking the appropriate answer and adding any
narrative comments:
Excellent Good Fair
Poor
Overall course
Matching your needs as a
manager
Presentations
Exercises and field visits
Training materials
Accommodations
17
Introduction of
Participants and
Facilitators
18