Training Resources

Training Resources

Course Content

The course runs over 4 days and covers the clinical aspects of disease (TB, TB/HIV and MDR-TB); disease management strategies (international and national policy) including infection control; patient care (in depth); and teaching methods. Participants commit themselves to training a further 10 nurses and 10 allied health workers and to target their training in order to address their most pressing challenges to improve the service offered to patients.

The course is designed to be participatory, encouraging discussion and problem-solving approaches. It is constantly being updated but the plan is to make it available as a training package by the middle of 2011. An interactive e-learning course on the care, prevention and management of tuberculosis and drug-resistant TB was launched in November 2010, which provides practical on-line tools to nurses and those involved in caring for patients, families and communities affected by TB.  The course is widely applicable for all settings, while also dealing with the challenges of providing care when resources are scarce and the workload is high.

It is very different from other courses in that it is designed for nurses by nurses taking into account the realities of their daily work. It is delivered by experienced nurses who are also skilled trainers.


     The TB Guidelines is available in the six following languages :

  • ENG version 
    TB GUIDELINES for Nurses in the Care and Control of Tuberculosis and Multi-drug Resistant Tuberculosis, 3rd Edition

  • FRA version
    DIRECTIVES RELATIVES À LA TUBERCULOSE à l’intention des infirmières chargées du traitement et du contrôle de la tuberculose et de la tuberculose multirésistante, seconde édition

  • SPA version
    DIRECTRICES SOBRE LA TUBERCULOSIS para las enfermeras de cuidadosy lucha contra la tuberculosisy la tuberculosis multirresistente, 2ª Edición

  • POR version
    LINHAS DE ORIENTAÇÃO para enfermeiros no cuidado e controlo da tuberculose e da tuberculose multirresistente, 2ª Edição

  • RUS version 
    Руководящие принципы TБ контроля Для медсестер в системе противотуберкулезного контроля и ухода за больными туберкулезом  и туберкулезом с множественной лекарственной устойчивостью, второе издание 

  • CHN version 

      However, hard copies of the TB Guidelines currently exist only in english, french, spanish and portuguese.

TB/MDR-TB Standards

Best Practice for the Care of Patients with Tuberculosis; A guide for Low Income Countries - second edition 2017

The International Standards for Tuberculosis Care (TBCTA)

Developed by the Tuberculosis Coalition for Technical Assistance (TBCTA) with funding from the United States Agency for International Development (USAID), the ISTC describe a widely accepted level of care that all practitioners, public and private, should seek to achieve in managing patients who have, or are suspected of having, tuberculosis. The Standards are intended to facilitate the effective engagement of all care providers in delivering high-quality care for patients of all ages.

TB Infection Control toolkit

A practical Toolkit for those involved in TB worldwide

Entitled “Risk Reduction and Inter-Professional Collaboration for TB Infection Control”, this toolkit comes at a time where increasing numbers of health care workers are falling victim to this preventable and curable disease.

The toolkit came to life as a result of the joint ICN / International Hospital Federation (IHF) / World Medical Association (WMA) / International Federation of the Red Cross and Red Crescent Societies (IFRC) training workshops for health professionals on infection control in South Africa, Brazil and Benin. These workshops are part of the ICN/Lilly MDR-TB Partnership which recognised that there is a lack of suitable materials addressing interprofessional collaboration in TB.

TB Online Learning Resources

ICN has developed an exciting new on-line course on the Care, prevention and management of tuberculosis (TB) which provides practical tools to nurses and those working with patients, families and communities affected by TB, including drug-resistant TB. The course is widely applicable for all settings, while also dealing with the challenges of providing care when resources are scarce and the workload is high. 

The course is broken down into a series of standards each addressing an important part of the patient's journey from before diagnosis to the end treatment. Each standard considers the resources, professional practice and knowledge required to meet the standard as well as how to measure progress. In addition to gaining practical knowledge through a variety of interactive exercises, there are opportunities to reflect on your own services and plan improvements.  

Standard statement: A good relationship is developed with the patient while symptoms, signs and risk factors consistent with TB are assessed and investigated appropriately

Sputum Testing

Standard statement:The patient produces good quality sputum specimens, delivers them to the appropriate place at the appropriate time and returns for the results. 

Standard statement: Each patient is registered appropriately, started on an approved treatment regimen and given practical advice, support and information according to their individual needs and concerns.
Standard statement: DOT will be arranged in the most convenient and reliable way possible taking into account the patient’s needs and wishes as well as local resources.
Standard statement: Contact tracing and investigation is carried out according to locally agreed protocols
Standard statement: Patient progress and DOT arrangements are monitored according to a schedule agreed upon between the Unit Coordinator, all health-care workers and other individuals designated to be involved in the care of TB patients.
Standard statement: Patients who do not attend when expected will be followed up, assessed and enabled to resume treatment as soon as possible.
Standard statement: Patients are assessed at the end of their intensive phase of treatment and a plan is developed with the patient for the continuation phase during which they are likely to have less contact with the management unit.
Case Management in the Continuation Phase
Standard statement: Ongoing support is available according to patient need and the necessary follow-up investigations are carried out.
Standard statement: Treatment is continuous throughout the course and appropriate arrangements are made if the patient needs to transfer his or her care to another management unit
Standard statement: Diagnostic HIV testing will be offered routinely to all patients with TB who do not know their HIV status, in a caring, consensual and confidential manner
Standard statement: The patient receives prophylactic treatment against common opportunistic infections, support and information with regard to staying healthy with HIV, including treatment with antiretroviral drugs, if appropriate, while on TB treatment before being transferred for ongoing care.



TB in the Workplace


  • ICN/IFRC/IHF/WMA Francophone Africa Inter-Professional TB Seminar  
    Health care worker safety in the context of drug-resistant TB in low and middle income countries
    28-29 September 2010
    Cotonou, Republic of Benin

  • ICN/IFRC/IHF/WMA Inter-professional TB Seminar
    Health care worker safety in the context of drug-resistant TB in low and middle income countries
    28-29 June 2009
    Durban, South Africa

  • ICN/IFRC/IHF/WMA Inter-professional TB Seminar
    Health care worker safety in the context of drug-resistant TB in low and middle income countries
    10-12 November 2009
    Rio de Janeiro, Brazil

  • ICN/IHF/WMA/IFRC Inter-Professional Training Seminar
    Health Care Worker Safety in the Context of drug-resistant TB in low and middle income countries
    12 / 13 November 2007
    Cape Town, South Africa

  • The World Economic Forum launched an awareness-building toolkit for tuberculosis (TB) and multi-drug resistant forms of the disease (MDR-TB). You can find the full text on

IJTLD Supplement : "Achieving patient-centred care for people affected by tuberculosis"

A supplement entitled "Achieving patient-centred care for people affected by tuberculosis"
was published alongside the October 2013 issue of the International Journal of Tuberculosis and Lung Disease.

The supplement is open access and has been co-sponsored by Jhpiego and the ICN TB Project.

It was guest edited by Stacie Stender, the Africal Regional Director for Jhpiego and Gini Williams as the Director of the ICN TB Project.

All ten articles in the supplement have been written by nurses from different parts of the world and present a variety of perspectives with regard to patient-centred care.

Following articles have been written by nurses directly involved in the TB Project :