Unit 1. Introduction TB Infection Control Training for Managers at the National and Subnational...

Unit 1. Introduction

TB Infection Control Training for Managers at the National and Subnational Levels

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Outline

• Review goals and objectives of the course

• Introduce participants and facilitators

• Go over course methods and materials

• Discuss course evaluation process

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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.

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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

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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

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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

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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

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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

measuresBy 2013: all countries

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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

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How do we accomplish these goals and objectives?

- Lectures - Practical demonstrations

- Discussions - Problem solving

- Site visits - Exercises

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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

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

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Course outline (1)

1. Introduction

2. TB epidemiology

3. Infection control

4. Managerial activities

5. Administrative controls

6. Environmental controls

7. Respiratory protection

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Course outline (2)

8. Advocacy, communication, and social

mobilization; Costing

9. Human resources development

10. Monitoring and evaluation

11. Laboratory safety

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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

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Course evaluation form

Daily, please !

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 managerPresentations

Exercises and field visits

Training materials

Accommodations

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Introduction of Participants and

Facilitators