Lilly MDR-TB Partnership: Capacity Building for TB Control. ICN: Strengthening nursing capacity in TB/MDR-TB. 21 September 2007, Tbilisi, Georgia

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Lilly MDR-TB Partnership: Capacity Building for TB Control ICN: Strengthening nursing capacity in TB/MDR-TB 21 September 2007, Tbilisi, Georgia

International Council of Nurses 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.

TB/MDR-TB 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 Overview

Training 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 Lilly Award for Nursing Excellence in TB/MDR-TB Recognises outstanding achievement; Motivates and encourages nurses in their TB-related work; Offers recipients an educational grant for continuing professional development;

ICN Online Resource Centre

Future 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 Federation 13, Chemin du Levant, Immeuble JB SAY F-01210 Ferney Voltaire, France Telephone: +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.

www.ihf-fih.org 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 Activities TB Day Press Conference Events Partnership Collaboration Joint Workshops and/or projects Eli Lilly Partnership Summit Meetings Introduction Of MDR-TB Sessions In IHF International Events Conferences Regional workshops Trainer of trainers workshops

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

Joint ICN/IHF/WMA training seminar INTERNATIONALHOSPITAL FEDERATION new 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 September 20-22. 2007 STOP TB Working Groups - Tbilisi, Georgia