This section offers a set of interactive training materials on the treatment of MDR-TB. These materials were created by Partners In Health in partnership with the Lesotho Ministry of Health. The Ministry has since adopted them as their official training curriculum for TB coordinators, TB officers, ART nurses and doctors.

Structured for presentation in three four-day sessions, the curriculum covers a number of topics, including MDR-TB diagnosis and treatment; case discussions; infection control; and referral system plans. Short pre- and post-training tests are included to evaluate the effectiveness of the training.

		MDR-TB Training Curriculum Partners In Health Division of Social Medicine and Health Inequalities, Brigham and Women’s Hospital Lesotho Ministry of Health Editors: KJ Seung and Hind Satti
	Development of this module and the accompanying Partners In Health training course was generously supported by the Open Society Institute. Download complete volumes: Full training [pdf, ppt, 69.9 mb] Facilitator materials [pdf, 46.9 mb] Participant materials [pdf, 32.9 mb] Lectures [ppt, 55.1 mb] Additional materials [pdf, 546 kb] Or download the individual units found on this page

Note: These materials refer to the following items which have not been included:

• National MDR-TB guidelines - These should be obtained from your country of operations
  

This MDR-TB curriculum contains the following:

Facilitator materials

• PIH Facilitator Guide MDR-TB [pdf, 1 mb]
  
• pre- and post-training test [pdf, 27 kb]

Participant materials

• 1 Chronic Care for MDR-TB training module [pdf, 565 kb]
• 1 Case Book contains cases used for discussion throughout the course [pdf, 58 kb]
  
• 1 national MDR-TB guidelines (see local resources for your particular country)
• 1 PIH Guide to the Medical Management of MDR-TB [pdf, 1.5 kb]

The following lectures will require an LCD projector and PowerPoint slide set:

• Day 1 [ppt, 9 mb]
  
  
• Session 1: TB-HIV Epidemiology
• Session 2: TB-HIV Co-management
• Session 3: Introduction to MDR-TB
  
  
• Day 2 [ppt, 14.3 mb]
  
  
• Session 2: Community-based Care for MDR-TB
• Session 3: Second-line Anti-tuberculosis Drugs
• Session 3: Constructing a Regimen
  
  
• Day 3 [ppt, 8.8 mb]
  
  
• Session 2: MDR-TB in Pregnancy
• Session 2: MDR-TB in Children
  
  
• Day 4 [ppt, 1.4 mb]
  
  
• Session 1: Infection Control
  

Additional materials:

• Training plan for a new DOTS-Plus treatment supporter [60.6 kb]
  
• TB-HIV Co-management wallcharts: size A2 [1.2 mb], size A3 [386 kb]
• TB drug cards [18 kb]
  
• Side effect cards [15 kb]
• Patient intake form [36 kb]
• Follow-up form [34 kb]
• Category-4 treatment card [21 kb]
  

Maximum class size should be less than 15 participants. Two or more facilitators are recommended to provide enough supervision during the group sessions and case work.

We recommend separate classes for nurses and doctors, as we have found that nurses find it difficult to discuss freely, particularly when doctors they work with daily are in the same classroom. Nurses and doctors may go into their separate classrooms after the first session on Day 1.