International Consultants' Training Course - GHDonline

TB-Infection Control 

International Consultants’ Training Course 

18-22 February 2008 

Gaborone, Botswana 

Report by 

Dr Masoud Dara 

KNCV Tuberculosis Foundation

TABLE OF CONTENTS 

ACKNOWLEDGEMENTS.............................................................................................2 

OUTLINE OF THE TRAINING COURSE.......................................................................3 

METHODOLOGY........................................................................................................4 

PROCESS .................................................................................................................4 

NEXT STEPS.............................................................................................................4 

COURSE AGENDA .....................................................................................................5 

SUMMARY OF END-COURSE EVALUATION BY PARTICIPANTS ..................................6 

ANNEX I: LIST OF PARTICIPANTS, FACILITATORS AND SECRETARIES.......................................................................... 9 

ANNEX II: INFECTION CONTROL ASSESSMENT EXERCISES ...................................................................................... 10 

GOAL ....................................................................................................................................................................... 10 

ANNEX III: APPLICATION FORM TO PARTICIPATE IN THE COURSE............................................................................. 25 

ANNEX IV: TABLE FOR FIELD VISIT.......................................................................................................................... 27 

1

Acknowledgements 

KNCV Tuberculosis Foundation would like to thank the Ministry of Health of Botswana, 

USAID, Centers for Disease Control and Prevention Botswana, TBCAP partners and 

participants who contributed to this training course. 

2

Outline of the Training course 

Introduction: Transmission of tuberculosis (TB) in health care and congregate 

settings is a major challenge to TB control and public health. However, many 

countries lack the institutional capacity to adequately address TB infection control. 

Recently, the importance of appropriate TB infection control has become 

increasingly acknowledged due to reports of an extensively drug resistant TB (XDR- 

TB) outbreak in South Africa which predominantly affected people living with 

HIV/AIDS. This outbreak had a very high case-fatality rate, included both patients 

and health care workers and was likely preventable had there been appropriate 

infection control measures in place. Nonetheless, at present, only a handful of 

qualified international and national experts are available to provide technical 

assistance in TB infection control training, planning, implementation and monitoring. 

Multiple international TB control partners in a coalition with TBCAP— including the 

US Centers for Disease Control and Prevention/American Thoracic Society, the 

KNCV Tuberculosis Foundation, the World Health Organization, the International 

Union against TB and Lung Disease, Management Sciences for Health, Family Health 

International, Japan Anti-TB Association (JATA) among others— have acknowledged 

the importance of capacity development in TB infection control in developing 

countries. 

To this end, KNCV Tuberculosis Foundation, of behalf of TBCAP organized a training 

course in Gaborone, Botswana, 18-22 February 2008 to increase the number of 

qualified consultants available to conduct TB infection control assessments and to 

develop infection control plans, particularly for countries with a high burden of TB, 

high rates of HIV or high rates of MDR-TB. 

Criteria for selection and enrollment into this course: 

• Working experience as a consultant or willingness to work as a consultant in 

health related issues with particular emphasis on TB, HIV and/or airborne 

infections 

• Availability to participate in a one-week mission as an on-thejob/complementary 

training with an international TB infection control 

consultant (within one year after the training course) 

• Be available to conduct two field missions per year and provide requisite offsite 

follow-up 

The course focused on teaching following skills: 

o How to conduct a health facility TB infection control risk assessment 

o How to develop an infection control plan 

o How to implement the hierarchy of infection control measures 

o How to conduct missions as an international consultant (preparation, 

cultural aspects and safety issues) 

Course Coordinator: Dr Masoud Dara (KNCV Tuberculosis Foundation) 

Facilitators: Paul Jensen (CDC/USA), Masoud Dara (KNCV), Rose Pray (WHO-HQ), 

Nancy Jensen (CDC/USA on leave), Cristi Popa (Institute Pneumolog Romania/Free 

Lancer), Scano Fabio (WHO-HQ) 

Secretaries/logistics: Orlanda Graca (KNCV), Susan Makani (Free lancer) 

3

o 

o 

o 

o 

o 

Methodology 

Presentations by facilitators in the plenary 

Introductory presentation of each level of Infection control hierarchy 

Questions and Answers during and after each presentations, sharing country 

experiences on TB Infection control 

Field visit to Inpatients and outpatients and facility risk assessment in small 

groups 

Reporting observations and recommendation back in the plenary 

Process 

The organizing committee (facilitators) prepared an application form and first 

announcement in December 2007 and sent it around through their network of national 

and international partners. In total 37 applications were received, based on selection 

criteria, 33 participants were selected of whom three were self funded and the rest were 

funded through TBCAP mechanism and its partners. Two participants could not attend 

due to administrative problems (loss of passport, lack of available paper ticket). 31 

participants attended the course. 

Anonymous pre-test and post-test examinations were carried out so that each 

participant may assess himself/herself individually. 

An end-course evaluation by participants was conducted, summary of which you may 

find in this report. 

After the course, a rooster Excel sheet was prepared and sent to participants. Most 

participants indicated their availabilities for mentorship process in order to gain more 

experience on TB-IC. 

Next Steps 

The faculty met after the training course and agreed to do their best to make sure there 

is a follow-up for the training course. Most participants do not feel competent to conduct 

TB-IC missions on their own. There will be different types of TB-IC linked missions which 

vary from technical assessment on programmatic aspects of TB-IC, MDR-TB missions 

with link to TB-IC and full TB-IC assessment missions with detailed 

environmental/engineering aspects. The follow-up will be done by different TBCAP 

partners. The follow-up mechanism will be linked to other TBCAP initiatives, including 

developing the overall HRD strategy of TB-IC and coordination of mentorship process. 

4

Course Agenda 

Time Day 1 

18 Feb 08 

8.00 - 10.00 Unit 1: Welcome 

by authorities and 

course organizers 

/Opening Session 

(and pre-test) 

Unit 2: 

Introduction to TB 

Day 2 

19 Feb 08 

Unit 9: 

Environmental 

(engineering) 

controls 

Day 3 

20 Feb 08 

Day 4 

21 Feb 08 

Day 5 

22 Feb 08 

Unit 12: Field visit 1 Unit 15: Field visit 2 Unit 18: Development 

and review of TB 

Infection Control plans 

10.00– 10.30 Coffee/Tea Coffee/Tea Coffee/Tea Coffee/Tea Coffee/Tea 

10.30– 12.30 Unit 3: Infection 

control for TB 

control 

Unit 9: continue Unit 12: continue Unit 15: continue Unit 19: Conducting TB 

Infection Control 

assessments 

Unit 4: 

Administrative 

controls 

12.30– 13.30 Lunch Lunch Lunch Lunch Lunch 

13.30– 15.30 Unit 4: 


controls 

(continued) 

Unit 9: continue Unit 12: continue Unit 16: Field visit 3 Unit 20: Critical 

elements to ensure 

optimal impact as a 

consultant 

Unit 5: Infection 

control plan 

Unit 6: 

Introduction to 

bloodborne 

pathogens 

15.30 - 16.00 Coffee/Tea Coffee/Tea Coffee/Tea Coffee/Tea Coffee/Tea 

16.00 - 18.00 Unit 7: Respiratory 

Unit 21: Post-test 

protection 

Unit 8: Respirator 

Fit Testing 

Unit 10: Virtual tour 

of selected 

healthcare settings 

Unit 11: Logistics 

and objectives for 

Field Visit 1 

Unit 13: Debrief of Field 

Visit 1 

` 

Unit 14: Logistics and 

objectives for Field Visits 2 

& 3 

Unit 17: Debrief of Field 

Visits 2 & 3 

` 

Unit 22: Course 

Evaluation and 

certificates 

Unit 23: Charge to 

participants and closure 

5

Summary of end-course evaluation by participants 

We received course evaluations from the vast majority of participants (29/31). 

Twenty-seven participants (93%) indicated that the course met their expectations. 

However, some feedback for improvement was included (selected two or more 

participants mentioned this) as follows: 

• The course evaluation must be anonymous as names were asked and this 

potentially biases the candidness of participants 

• The course should be better guided by evidence and references to such 

evidence, such as in a course reader for each section. More on what is not 

know would also be useful. Pre-distribution of the literature CD-rom would 

be preferable than handing it out at the end of the course. 

• The costing and budgeting for TB-IC to support funding efforts, such as via 

the Global Fund, should be explicitly instructed 

• The course should have smaller group break out sessions and the first two 

days did not allow enough interaction. 

• The course, per many participants, should be more focused. 

• The environmental control lectures were not focused enough and more time 

could be dedicated to this subject area. 

• The clinic visits could have been shortened 

• Provide more details of the writing of an infection control plan and perhaps 

have a mock infection control plan writing with budgeting 

• The blood-borne pathogens should be shortened or completely deleted from 

the course. 

• The course days were too long and this was not conducive for learning. The 

lunch hour could be extended to 2 hours instead of one, for instance. Or the 

course could end on Friday after lunch. Friday was very packed. Could 

consider ending the course at 4:30PM per day and possibly extended by 

another day if the content needs to be made up. Could consider having the 

field visits for only ½ day. Consider having additional 5 minute breaks. 

Generally, sessions should not last longer than 1 hour. 

• On overall outline of the course should be given on the 1st day. 

• Overall take home messages: 

o Could engage the trained consultant so that they do not forget via 

international missions. Did not focus enough on these possibilities on 

the last day. 

o Special website for the TB IC consultant would be beneficial 

o Need to have objectives for each session and not stray off course from 

the stated objectives 

o 

o 

Make more use of expertise in the room e.g., with small group sessions 

Change order of lectures to start more with the big picture, assessment 

then technical details 

• Other: name tags might be useful, folders for materials, toolkit to take 

home, evaluations could be done per day instead of at the end, coffee and 

tea should be provided all day long and perhaps u-shaped seating 

arrangements are better. 

6

Participant survey at the End of Training Course 

TB-IC training course for International consultants 

Gaborone 18-22 February 2008 

Name: _______________________________ 

Country: ____________________ 

Organization/Institution (if applicable): __________________ 

Now that you have finished the training course, please answer the following questions. 

1. Did the training course fulfill your expectations? yes / no (please explain briefly your answer) 

_____________27/29 (yes) 

______________________________________________________________________________ 

______________________________________________________________________________ 

_________________________________ 

2. Was the training course interactive enough? Yes/no. Was enough time given for each session? 

yes / no (please explain briefly your answers) 

28/29 Yes Interactive enough 

______________________________________________________________________________ 

________________________8/29 said that the sessions were given enough time whereas 

11/29 said that there was not enough time given to sessions 

______________________________________________________________________________ 

____________________________________________________________ 

3. How do you evaluate the role of facilitators? Please explain 

Please see summary in the previous page 

______________________________________________________________________________ 

______________________________________________________________________________ 

__________________________________________ 

4. Would you modify the structure/modules of the training course? Yes/no if yes: 18/29 said yes 

they would modify something, please see the summary in the previous page 

4a) What would you 

add?__________________________________________________________________ 

______________________________________________________________________________ 

___________________________________________________________________________ 

4b)What would you 

delete?________________________________________________________________ 

______________________________________________________________________________ 

___________________________________________________________________________ 

4c) How about the order of the sessions? ______________14/29 said the order was 

alright________________________________________________________________________ 

______________________________________________________________________________ 

____________________________________________________________________________ 

7

5. How did you find the field visits? (In terms of relevancy, usefulness and time-management 

etc.) 

5a) Hospital: 

______________________________________________________________________________ 

_______ 

__________________________ please see the summary in the previous page 

______________________________________________________________________________ 

___________________________________________________ 

5b) 

Clinics:________________________________________________________________________ 

_____ 

_________________ please see the summary in the previous page 

______________________________________________________________________________ 

______________________________________________________________________________ 

____________________________________________ 

6. Would you recommend this sort of international TB-IC training course to other coworkers/colleagues 

(TB consultants, national partners, engineers/architects/infection control 

specialists etc.) yes / no, 

If yes, to whom would you recommend it? If you have name and contacts, please add them 

below. 

______________________________________________________________________________ 

_______________________________________27/29 said that they would recommend the 

course to others and many left recommended names of 

contacts._________________________________________________________ 

______________________________________________________________________________ 

______________________________________________________________________________ 

Few provided names which will be used to contact 

______________________________________________________________________________ 

____________________________________ 

7. Did you have the opportunity to do the fit testing? Yes/no, if no, why? 

_______20/29 had fit testing __________________other mentioned they did not have enough 

time 

8. What else would you need in order to develop further your knowledge and/or 

skills/competencies in TB infection control assessment/consultancy? 

______________________________________________________________________________ 

________Most mentioned they need to be involved in the mentorship process to develop 

further their skills 

______________________________________________________________________________ 

9. Please add further comments/take-home message or suggestions you may have. 

______________________________________________________________________________ 

please see the summary in the previous pages ____ 

8

Annex I: List of participants, facilitators and secretaries 

Participants 

FIRST NAME FAMILY NAME COUNTRY EMAIL 

Marième Ba Sourang Italy mbasourang@yahoo.fr 

Marijke Bleumink Belgium marijke.becx@gmail.com 

Mayindo Kagubare USA jkagubare@msh.org 

Grace Egos Philippines grace_egos@tdf.org.ph 

Judith Glynn UK judith.glynn@lshtm.ac.uk 

Guangxue He China heguangxue@chinatb.org 

Luc Janssens Belgium luc@msci.ge 

Kitty Lambregts-van Weezenbeek The Netherlands lambregtsk@kncvtbc.nl 

Rajeswari Ramachandran India rajerama@yahoo.com 

Maria Angélica Salomão Zimbabwe salomaoa@zw.afro.who.int 

Jerod Scholten The Netherlands scholtenj@kncvtbc.nl 

Takashi Yoshiyama Japan yoshiyama@jata.or.jp 

Seraphine Kabanje Zambia skabanje@fhizambia.org 

Mustapha Gidado Nigeria gidadomansu@yahoo.com.au 

Samar Abdel Sattar Egypt hass_361112@yahoo.com 

Isabel Ochoa Peru isa_ochoad@yahoo.es 

Margarita Villafañe Britos Paraguay daisyvbr@yahoo.com 

Nguyet Thu Huyen Mai Vietnam maihuyen1967@yahoo.com 

Robin Vincent-Smith South Africa robin.smith@msf.org.za 

Nii Nortey Hanson-Nortey Ghana nii.nortey@ghsmail.org 

Tore Steen Botswana tsteen@gov.bw 

Jeffrey Hafkin Botswana hafkin@gmail.com 

Ezra Tessera Ethiopia ezraashi@yahoo.com 

Norbert Ndjeka South Africa norbertn@tasc-tb.co.za 

Godwin Munuo Tanzania gmunuo@path.org 

Charles Daley USA daleyc@njc.org 

Samson Haumba Swaziland samsonh@qap.co.za 

Oaitse Ipeleng Motsamai Botswana oimotsamai@gov.bw 

Koobiditse Radisowa Botswana radisowak@bw.cdc.gov 

Boingotlo M. Gasennelwe Botswana gasennelweb@bw.afro.who.int 

Robert Makombe Botswana MakombeR@bw.cdc.gov 

Facilitators 

First name Last name Institute-Location Email 

Paul Jensen CDC/USA pej4@cdc.gov 

Masoud Dara KNCV/Netherlands daram@kncvtbc.nl 

Rose Pray WHO/Geneva prayr@who.int 

Nancy Jensen CDC/USA nbj9@cdc.gov 

Cristi 

Popa 

Institute 

Pneumolog/Romania 

cripooh@yahoo.com 

Fabio Scano WHO/Geneva scanof@who.int 

Secretaries/Logistics 

First name Last name Institute/Location Email 

Orlanda Graca KNCV/Netherlands gracao@kncvtbc.nl 

Susan Makani Botswana suemak4@gmail.com 

9

Annex II: Infection Control Assessment Exercises 

Infection Control Assessment Exercises 

21 February 2008 

Goal 

To conduct snippets of a TB IC assessment of selected settings at Julia Molefhe and Old Naledi 

Clinics. 

Procedure 

All groups will cycle through all four exercise locations. Not all the exercises below will be 

completed by every group; however, the exercises listed below will be used by you and your 

facilitators as a general guide. 

Schedule 

Please strictly adhere to the time schedule below: 

Time 

Background 

and Patient 

Flow 

08:00-08:30 Group #1&2 

DOT Room 

(Admin & 

Environ 

Controls) 

Julia Molefhe Clinic 

Future ARV Site 

(Admin Controls) 

Peds and Waiting 

Room 

(Admin and 

Environ Controls) 

Nancy & Cristi Cristi Nancy Nancy/Cristi 

08:30-09:30 Group #1 Group #2 

09:30-10:30 Group #2 Group #1 

10:30-11:30 Group #2 Group #1 

11:30-12:30 Transfer to Old Naledi Clinic and Lunch 

12:30- 13:00 Group #3&4 

13:00 -14:00 Group #3 Group #4 

14:00 - 15:00 Group #4 Group #3 

15:00-16:00 Group #4 Group #3 

16:00 Transfer to Gaborone Sun Hotel 

10

Time 

Background 

and Patient 

Flow 

Masoud & 

Isabel 

08:00 -08:30 Group #3&4 

DOT Room 

(Admin & 

Environ 

Controls) 

Old Naledi Clinic 

Exam Rooms w/ 

Small Waiting 

Area (center) 

(Admin Controls) 

Larger Waiting 

Area 

(Admin and 

Environ Controls) 

Isabel Masoud Masoud/Isabel 

08:30 -09:30 Group #3 Group #4 

09:30 -10:30 Group #4 Group #3 

10:30 -11:30 Group #4 Group #3 

11:30 -12:30 Transfer to Julia Molefhe Clinic and Lunch 

12:30 -13:00 Group #1&2 

13:00 - 14:00 Group #1 Group #2 

14:00 - 15:00 Group #2 Group #1 

15:00 -16:00 Group #2 Group #1 

16:00 Transfer to Gaborone Sun Hotel 

11



Background and Patient Flow 

Date: 21 February 2008_____________________ Time: __________________ 

Location: Julia Molefhe Clinic ____________ 

Room number: ___________ 

Purpose of room: ________________________________________________________ 

General background information: 

Number of patients 

Number of suspect TB patients 

Number of known TB patients 

Number increasing, steady, decreasing? 

Time from registration to: 

Seeing Nurse 

Seeing Doctor 

Sputum collection 

Sputum results 

Preliminary diagnosis 

Admission to TB ward or referral 

Where do they wait? 

Perceived risk 

TB incidence among staff 

Contact with patients 

IC procedures and policies in place 

Other . . . __________________________________________________ 

__________________________________________________________ 

__________________________________________________________ 

__________________________________________________________ 

Observe path of patient: 

Create flowchart of the path of patients in the admission ward (registration, vital signs, 

waiting, exam, procedures, radiology, sputum collection, other procedures, etc.) 

Flowchart path of patient: 

12



Assessment of the DOT Area 


Location: Julia Molefhe Clinic____________ 









Seeing Nurse 

Seeing Doctor 










Other . . . __________________________________________________ 

__________________________________________________________ 

__________________________________________________________ 

__________________________________________________________ 

Draw the room: 

13

Room dimensions: Width ____________ Depth ____________ Ceiling _________ 

(List all dimensions on drawing) 

Mark ventilation pipes/grilles on drawing. Label as supply air or exhaust air. 

Air Exchange Rate Calculations: 

Dimensions of Window openings: Width (W) ____m 

Width (W) ____m 


Height (H) ____m 



Area (W • H): ________ m 2 

Area (W • H): ________ m 2 

Area (W • H): ________ m 2 

Velocity measurements: Window 1 

Velocity #1 ________ m/s Velocity #2 ________ m/s 





Average Velocity: ________ m/s 

Average Airflow Rate: 

Airflow Rate = Area • Average Velocity 

________ m 2 • ________ m/s • 3 600 s/h 

________ m 3 /h 










________ m 2 • ________ m/s • 3 600 s/h 

________ m 3 /h 

Pressure differential (smoke test): 

Room to hallway: ____ Positive ____ Negative 

Airflow patterns (smoke test): 

Sketch on the plan 

14



Design of Proposed ARV Site 





General background information (we will make some assumptions): 


Number increasing 




IC policies and procedures in place 

Other . . . 

List functional procedures and space requirements for the potential ARV site 

Sketch the available rooms 

Sketch proposed flow of patients and staff 

Include proposed UV lights, ventilation grilles, air cleaners, beds, doors, 

elevators, misc rooms, waiting rooms . . . 

Estimate room dimensions 

Draw proposal of new ARV site 

15



Pediatrics and Waiting Areas 






Number of patients (planned) 

Composition of patients 

Number increasing, steady, decreasing 





Other . . . __________________________________________________ 

__________________________________________________________ 

__________________________________________________________ 

__________________________________________________________ 

Observe path of patient through area: 

Create flowchart of the path of patients in the ward (procedures, medications, radiology, 

sputum collection, other procedures, etc.) 











Area (W • H): ________ m 2 

Area (W • H): ________ m 2 

Area (W • H): ________ m 2 










16

________ m 2 • ________ m/s • 3 600 s/h 

________ m 3 /h 










________ m 2 • ________ m/s • 3 600 s/h 

________ m 3 /h 




Sketch on plan 

Alternative procedures and location for waiting area? 

17



Background and Patient Flow 











Seeing Nurse 

Seeing Doctor 










Other . . . __________________________________________________ 

__________________________________________________________ 

__________________________________________________________ 

__________________________________________________________ 

Observe path of patient: 

Create flowchart of the path of patients in the admission ward (registration, vital signs, 

waiting, exam, procedures, radiology, sputum collection, other procedures, etc.) 

Flowchart path of patient: 

18


Assessment of the DOT Area 


Location: Old Naledi Clinic___________________ Room number: ___________ 




Composition of patients (drug susceptible or drug resistant) 






Other . . . __________________________________________________ 

__________________________________________________________ 

__________________________________________________________ 

__________________________________________________________ 












Area (W • H): ________ m 2 

Area (W • H): ________ m 2 

Area (W • H): ________ m 2 









19


________ m 2 • ________ m/s • 3 600 s/h 

________ m 3 /h 










________ m 2 • ________ m/s • 3 600 s/h 

________ m 3 /h 





20



Assessment of the Exam Rooms in small waiting area 












Other . . . __________________________________________________ 

__________________________________________________________ 

__________________________________________________________ 

__________________________________________________________ 


21











Area (W • H): ________ m 2 

Area (W • H): ________ m 2 

Area (W • H): ________ m 2 










________ m 2 • ________ m/s • 3 600 s/h 

________ m 3 /h 










________ m 2 • ________ m/s • 3 600 s/h 

________ m 3 /h 





22



Assessment of the Larger Waiting Area 












Other . . . __________________________________________________ 

__________________________________________________________ 

__________________________________________________________ 

__________________________________________________________ 

Sketch room. Include main room, anteroom, hallway, UV lights, room air cleaners, other 

controls windows, doors, bed, and major furniture. 











Area (W • H): ________ m 2 

Area (W • H): ________ m 2 

Area (W • H): ________ m 2 










23

________ m 2 • ________ m/s • 3 600 s/h 

________ m 3 /h 










________ m 2 • ________ m/s • 3 600 s/h 

________ m 3 /h 





Other administrative or environmental controls? 

24

Annex III: Application form to participate in the course 

Application Form 

Please fax or email this form along the professional profile form 

No later than 15 January 2007 

Our direct fax number: +31-70-358 4004 (attn. Ms Orlanda Graca, GracaO@kncvtbc.nl) 

Name Participant: 

Address: 

Tel.: _____ 

Email: 

Fax: 

For visa purposes: 

Nationality: _______________ 

Passport number:____________ 

Date of birth: ________________ 

The organizing committee will review the applications and select the most 

suitable candidates by 31 January 2008. Once participants are selected, 

KNCV Tuberculosis Foundation will send a confirmation note and assist 

with travel arrangements. Based on the flight schedule, room reservation 

will be confirmed. 

Please indicate the exact title and full name as you would like to appear on 

your certificate of attendance: 

____________________________________________ 

Please indicate if you have any special diet: Yes/No 

If yes please define: _______________ 

Signature 

Date: 

25

In order to select the most eligible candidates for this course, may we kindly ask you to fill 

in the below Short professional profile form: 

Name (First name and Family name) 

Sex 

Current position 

(indicate your affiliation and responsibility, e.g. 

NTP officer, HIV/AIDS program officer, Nursing 

section, occupational health, etc.) 

Professional background (Medical doctor, nurse, 

engineer, health officer, etc.…) 

What are your current tasks and 

responsibilities in the field of infection 

control? 

Have you ever before participated in training on 

non-TB related infection control? 

Have you ever received training on TB Infection 

Control? If so, when and by whom? 

Yes/No 

Yes/No, … 

Have you been conducting consultancy missions 

in the past, if yes since when, in which fields and 

to which countries/regions 

Name and contact details of your 

supervisor/coordinator 

What are your expectations of the course? 

Will you be able to commit to 2-4 TB-IC related 

missions per year? If so to which 

countries/region(s) 

26

Annex IV: Table for field visits 

Prioritization Table for TB IC Assessment & Intervention (1/2) 

IC Hierarchy Priority Description How to 

implement? 


Controls 

When to 

implement? 

Budget (shortand 

long-term) 

What obstacles might 

you face? 

27

Prioritization Table for TB IC Assessment & Intervention (2/2) 

IC Hierarchy Priority Description How to 

implement? 

Environmental 

Controls 

When to 

implement? 

Budget (shortand 

long-term) 

What obstacles 

might you face? 

Respiratory 

Protection 

28

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