MDR-TB Community Based Director, Jhpiego South Africa (South Africa)
Ms. Ntombasekhaya Mlandu of South Africa was one of the first nurse clinicians to begin initiating multidrug-resistant TB (MDR-TB) patients on treatment at a decentralized hospital site in Port Shepstone, South Africa. Ms. Mlandu has been a nurse for 17 years, has worked in MDR-TB for 7 years and loves caring for patients with MDR-TB and MDR-TB/HIV co-infected patients. She has become a leader, trainer and mentor for other nurse clinicians as nurse initiated MDR-TB care is implemented throughout the country. She believes strongly that the patient is at the centre of all care and that care needs to address the patient’s situation, and circumstances – not just the making sure they take the medication. She has worked hand-in-hand with the social worker in her hospital to conduct home visits for those patients who qualified for social grants. She made regular home visits to patients being treated in the community for medication delivery including injections, follow up and identification and management of side effects. Under her management, the defaulter rate among MDR-TB patients in her hospital decreased. She made efforts to involve the patients and their families in the care and support of the patient through the long and unpleasant treatment.
Deputy Chief Doctor on Nursing, Novosibirsk TB Hospital (Russia)
Nadezhda Baycharova began her professional career in 1980 as a nurse at Novosibirsk TB Dispensary. After three years of practice, she moved out of TB and accumulated much experience working in different settings and nursing positions. In 2005 she returned to her first place of work as a Chief Nurse and very soon as a Deputy Chief Doctor of Nursing. During this time of full-scale reforms of TB services in the whole Novosibirsk region, seven TB dispensaries with 1500 TB beds were united into one entity and Ms. Baycharova was responsible for resolving multiple managerial issues while leading a large team of nurses.
She was highly interested in developing nursing services and improving care. Through her membership in Novosibirsk regional branch of the Russian Nurses Association (RNA), she was invited to participate in one of the first TFT trainings brought to Russia by ICN. She also took part in a WHO lead programme for the specialists of TB sector. In 2013 she became a member of the RNA TB nurses’ professional network and in 2014 established such a network in her region.
Chief Nurse, Novosibirsk TB Hospital (Russia)
Ekaterina Ryabova began her career as a nurse in 2004 at a Bone-TB Children’s Sanatorium. She worked in different nursing positions and in 2009 became a Chief Nurse of Novosibirsk TB Hospital. Her main priority was to achieve the highest quality of care and improve satisfaction rates. She developed a system of quality control and individual criteria to evaluate the nurse’s work. She developed the content including numerous presentations to provide nurses of the hospital with regular trainings and established a system of continued monitoring of patients satisfaction rates with nursing care. Any patient can now report through the unit journal on a problem and it will be effectively resolved. At present, the journals are filled with thanks from the patients and it gives additional encouragement for nurses to work better and better.
says Carrie Tudor, TB Project Director.
"It is estimated that healthcare workers have a two- to three-fold greater risk of developing TB than the general population – even in high-burdened settings.
As World TB Day is later this month, I would like for us all to be reminded of the risk and to do what we can to protect ourselves, our colleagues and our patients through practicing appropriate infection control and advocating for appropriate infection control measures in our workplaces.
Unfortunately stigma remains a big issue with TB and healthcare workers who may develop TB. Many fear coming forward and disclosing their illness because of what their colleagues will say or think, what their patients and others will think. We all play a role in reducing stigma towards patients with TB as well as towards our colleagues who may have TB.
I urge you to watch the two videos (links below) on nurses who have had TB and MDR-TB and what these experiences were like for them :
None of us are immune to TB, but there is a lot we can do to protect ourselves, our colleagues and our patients.
I hope you enjoy these videos and feel free to share them with others."
The ICN TB Project’s ‘Leading Lights’ initiative was launched on 17 June 2014 at the WHO headquarters.
This initiative aims to showcase the work of exceptional nurses and other health care workers who have made a valuable contribution to TB prevention, care and management in their local facility and/or community.
The launch, which was attended by members of the WHO Strategic and Technical Advisory Group for Tuberculosis, included presentations about the Leading Lights Initiative and the work of the ICN TB Project from Evan Lee, Vice President, Global Health Programs and Access, Eli Lilly and Company; David Benton, Chief Executive Officer of ICN; and Gini Williams, TB Project Director.
ICN has been part of the Lilly MDR/TB Partnership since 2005 and since then has reached more than 90,000 nurses and allied health workers in China, Colombia, Egypt, Ethiopia, India, Indonesia, Kenya, Lesotho, Malawi, Mozambique, Philippines, Russia, Senegal, South Africa, Swaziland, Togo, Uganda, and Zambia. A United Way Worldwide grant made possible by the Lilly Foundation supports the project, which uses a transformational training methodology, designed specifically to encourage practice development. Experienced nurses working mainly in TB and HIV are trained to cascade information to nursing colleagues and other health workers to improve patient care delivery.
Nurse from China, works at Dalian Tuberculosis hospital.
Moved by the suffering of people affected by TB, Yu Hongmei has been doing all she can to improve the situation. In addition to training nursing colleagues and other staff she has initiated a number of projects to address particular issues. She improved case finding by strengthening integration between diagnostic and treatment services and organising the screening of contacts and other high risk groups.
She has also improved health education and support for patients by training the nurses caring for patients in hospital and in the community on all aspects of TB treatment and care with particular emphasis on improving nutrition and infection prevention. As a result of Yu Hongmei’s advocacy, the correct respiratory protection was finally provided for the staff and TB and MDR-TB in- and out-patient units were renovated with the result that nosocomial transmission was reduced. In spite of these achievements Yu Hongmei continues to strive to learn about new concepts and developments to improve the situation for the people she serves.
Nurse from South Africa, works at Jose Pearson TB Hospital.
Following the training she received in 2013, Venesia was determined to prevent transmission of TB by teaching staff about infection prevention and control and proving supportive supervision to make sure policies were understood and adhered to. She campaigned for staff to receive N95 respirators, provided training to ensure they were used correctly.
She also made sure that visitors were given N95 respirators as well as information about infection prevention. As a result of her advocacy a sputum booth was acquired. In her training, Venesia, promotes good quality on-going education of patients and their families about TB and DR-TB and stresses the importance of reducing stigma and discrimination overall.
Chief nurse from Russia, works at the TB children sanatorium, Yakutia Republic.
Sargylana has been instrumental in improving the care of children affected by TB in Sanatoria across Yakutia Republic. She has attended two courses run by the Russian Nurses Association in collaboration with the ICN TB Project, one in 2008, a training for nurse trainers on all aspects of TB prevention and care and another in 2013 on research methods.
In addition to training her colleagues, she has carried out research to improve nutrition and fitness of the children being cared for in sanatoria and as a result the nutrition and exercise programmes she has developed, have been adopted across the republic. As a result of her advocacy the Government of Yakutia Republic has provided funds to build a new, modern, sanatorium for 200 children.
St Patrick’s Hospital, Bizana, South Africa. After attending the TB training last year Mr Mbiko systematically trained all the nurses in his hospital, encouraged them to screen people for TB and ensured that people got registered and started on treatment. “This capacitation saved people’s lives because I went back with knowledge and courage to help these people who were just left to die.”