TB / MDR TB Project

TB / MDR TB Project

Mardi, 14 Juillet 2015 08:44

Liang Yuexin

Professor of nursing, Longtan Hospital of Guangxi Zhuang Autonomous Region (China)

In 2011, Liang Yuexin attended TB/MDR-TB training organized by ICN and the China Nurses Association in Beijing. Following the training, she founded a QQ group (social network group) for ICN training members. This platform helps TB nursing colleagues from all over the country to have more convenient and quick access to relevant information about TB prevention and control, and then promptly apply these TB health measures.

After returning to Longtan Hospital, her place of work, Liang Yuexin trained more than 250 nursing staff on MDR-TB knowledge. Her hospital has many patients co-infected with TB and HIV, which brings a lot of difficulties and confusion to nursing. Therefore, her training also emphasized teaching about TB/HIV co-infection as well as improving the nurses' knowledge of relevant content, how to facilitate nurse-patient communication, to improve clinical nursing work, to improve the patient's medication adherence and the on-time consultation rate.

Mardi, 14 Juillet 2015 08:43

Zamani Dlamini

TB Coordinator, Hlabisa Hospital, UMkhanyakude district (South Africa) 

Zamani Dlamini is a professional nurse working at Hlabisa Hospital as a TB/MDR-TB coordinator and also acts as an operational manager for the MDR-TB clinic. Zamani faced a lot of challenges in the TB programme as the rural area where he works covers a large area with a population of more than 250,000 and faces a lack of resources. His district also has a high rate of both TB and HIV.

Zamani Dlamini teaches his patients who are coming to take medications on a daily basis at the MDR-TB clinic about the proper infection control at home, importance of taking medication, common side effects associated with MDR medications and even about stigma associated with TB and HIV&AIDS. This education promotes compliance and reduces the defaulter rate. He also teaches the injection and tracer teams that go out every day about TB/MDR management. He provides guidance and coaching to the enrolled nurses that are working in the TB programme in the 17 fixed local clinics including 4 mobile teams on all aspects of the TB programme including infection control, increasing suspect index, increasing cure rate, decreasing death and defaulter rate, increasing bacteriological coverage, increasing success rate and many more. He also provides training to the hospital management and hospital staff to understand the proper infection control measures that will prevent the spread of TB in the institution and the 21 outlying clinics. Zamani conducts regular in-service training in the wards in order to make staff members understand the importance of screening each and every person who enters the ward or department.

Mardi, 24 Mars 2015 00:00

Wang Xiuhua

Director of Nursing Department, Beijing Chest Hospital (China)

Ms. Wang Xiuhua is the nursing director of Beijing Chest Hospital, Capital Medical University. She was trained by participants of the ICN TB Project in 2010. Ms. Wang lobbied the top leaders of the Chinese Tuberculosis Society to organise a TB Nursing Forum as part of the annual Academic Congress of the Chinese Tuberculosis Society. She invited TB nurses from across the country (especially participants of the ICN TB/MDR-TB Project) to attend and submit abstracts. The first TB Nursing Forum was held in in 2013. Prior to this there was no opportunity for nurses working in TB to share their experiences and research with each other.  She is also the sponsor of a sub-specialty group of TB nursing under the Chinese Anti-Tuberculosis Association (CAA). To date, 41 nurses from 26 provinces have registered to this group, which was established in July 2014, and they say it has provided a great opportunity to exchange their experiences and lessons of TB nursing care.

Lundi, 23 Mars 2015 00:00

Li Chunmei

Head nurse, Shandong Chest Hospital (China)

Li Chunmei has identified many issues to solve during her 26 years working with tuberculosis patients. For example, the protection of medical staff, training of nurses, patient education and management of DOTS treatment after the patients are discharged, etc.. The ICN TFT training programme, not only increased her knowledge and confidence but taught her how to do scientific research on nursing.

Following the ICN TB/MDR-TB Project’s TFT programme, she established a standard management system to enhance the infection prevention and control in her workplace to protect staff. This included separating patients based on their smear status, improving air ventilation, providing surgical masks for patients and N95 respirators for medical staff etc. No nurses or doctors have developed TB since the TB smear-positive ward was set up four years ago. She has trained more than 200 health workers in her hospital and in the Shandong Anti-tuberculosis Association.

Dimanche, 22 Mars 2015 00:00

Ntombasekhaya Mlandu

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.

Samedi, 21 Mars 2015 00:00

Nadezhda Baycharova

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.

Vendredi, 20 Mars 2015 00:00

Ekaterina Ryabova

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.

Samedi, 26 Juillet 2014 21:12

Venesia Draghoender

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.

Samedi, 26 Juillet 2014 21:12

Hongmei Yu

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.

Samedi, 26 Juillet 2014 21:11

Sargylana Pavlova

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.


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