This ICN Project has been building global nursing capacity in the prevention, care and treatment of TB in all its forms as part of the Lilly MDR-TB Partnership since 2005.

The project uses a Training of trainers (ToT) methodology which has been specifically designed encourage practice development. This means that experienced nurses working mainly in the TB and HIV fields, are trained to cascade information to nursing colleagues and other health workers with the purpose of making improvements to patient care delivery.

The ToT 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 1000 nurses in 14 countries in Africa, Asia, and Eastern Europe since 2005. These nurses have in turn rolled out the training to over 20000 nurses and allied health workers.