Project Background

The ICN TB/MDR-TB Project has been part of the Eli Lilly MDR-TB Partnership since 2005. The project aims to build global nursing capacity in the prevention, care and treatment of TB. This is achieved by training experienced nurses to cascade information to nursing colleagues and other health workers with the purpose of making improvements to patient care delivery. From 2005 to 2008, in Phases 1 and 2 a transformational training methodology was developed along with regularly updated training materials including an e-learning tool. The practice-oriented nature of our training programme enables nurses to improve the implementation of policies and guidelines relating to TB and MDR-TB using a patient-centred approach.


The training courses are run in countries with a high burden of TB and MDR-TB where ICN has a strong working relationship with the National Nurses Association (NNA). This is essential as it is the TB focal point in the NNA who makes all the local arrangements to make the courses run as efficiently and cost-effectively as possible.  Using this approach ICN has prepared 1600 nurses in 18 countries in Africa, Asia, and Eastern Europe since 2005. These nurses have in turn rolled out the training to over 80,000 nurses and allied health workers.

One of the key outcomes to date has been the identification of the day-to-day challenges faced with regard to delivering good quality care and the barriers that affect access to treatment. As a result nurses who have been involved in the training have already started working on local research projects to address these issues. In Phase 3, which runs until 2017, ICN hopes to further contribute to improving patient outcomes by

a) Continuing to build the capacity of nurses using the transformational training methods developed in Phase 2

b) Publishing the results of the training evaluation data collected in 2012 and 2013

c) Contributing to strategies which identify and address the bottlenecks to providing patient centred care which are demoralising for staff and lethal for patients through nurse-led research and advocacy

Carrie Tudor - Project Director
Oscar Ferreira - admin. assistant
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