The project is most effective when strong working relationships develop between the National Nurses Associations and
the National TB Programme from the earliest stages, when participants and local co-trainers are being selected. A local co-trainer always participates in delivering the course alongside the lead ICN trainer to ensure that the course is locally relevant and this is usually a leading nurse from the National Programme.
It is useful for the NTP to be fully informed and at the very least be aware which nurses have been trained as trainers
as these may be people they can use to disseminate information to a large number of nurses and allied health workers.
The ToT participants are usually selected from a wide geographical area so coverage can be very broad depending on the size of the country. It also assists sustainability.
The project is sponsored as part of the Lilly MDR-TB Partnership and this current phase comes to an end
in December 2011. Courses have so far been run in the following countries :
India 2009 (following the course which was run in LRSI permission was sought from ICN to adapt the course materials
for use across India a working group has been set up and courses are due to be piloted shortly)
Indonesia March 2010
Philippines 2005, 2008, 2010, 2011
China 2009, 2010, 2011
South Africa 2005, 2007, 2008, 2009, 2010 (focus on infection control), 2011
Malawi 2006, 2010
Mozambique 2008, 2010
Lesotho 2007, 2009
Swaziland 2006, 2008
Zambia 2007, 2009, 2010
Kenya 2007, 2008, 2009, 2010
Uganda 2007, 2009, 2010
Ethiopia 2009, 2010, 2011
Russia: Tomsk (2006), Omsk (2007), St Petersburg, Ulianovsk, Kemerovo, Stavropol (2008), Chita, Moscow (2009),
Syktavkar, Novgorod (2010), Russia-wide review meeting planned for 2011.