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TB case finding and treatment for children and adolescents lags behind that of adults, particularly in settings with a high burden of tuberculosis (TB) and HIV. Children, especially those under five years, continue to die from this otherwise preventable and treatable disease. Furthermore, children and adolescents at risk of or with TB often present to different health care entry points such as  outpatient departments or primary maternal and child health care services rather than directly to specialized TB clinics. Targeted efforts are also required to address TB among adolescents.

This calls for knowledge and skills enhancement among health care providers at the different health care entry points.  Since the development of the childhood TB training tool kit in 2014 and The Union’s online childhood TB training course in 2015, the World Health Organization (WHO) has published updated guidance on TB prevention, diagnosis, and treatment including TB/HIV and drug resistant TB. Additionally, achieving the ambitious END TB and UNHLM TB targets requires a responsive health work force in addition to a robust health system. 

The content in this training course is aligned to the WHO guidance on TB management in children and adolescents. National TB programs (NTPs) may adapt the content to fit the local context.

The purpose of this course is to equip health care providers with knowledge, skills and competencies to identify, manage, and notify children and adolescents at risk of or with TB in line with global or national recommendations.

This training is particularly targeted towards healthcare providers at primary and secondary level care facilities in TB endemic settings

This course has been developed for the following groups of health care providers:

  • Front–line health workers including medical doctors, clinical officers, nurses, and midwives who provide health care at facilities (health centres and hospitals) in public and private settings
  • NTP staff and staff from other relevant health programs such as MCH, HIV, nutrition services who manage children and adolescents
  • Project managers or officers who manage children as part of their work

This course assumes that the participants have received prior training on basic TB care. 

This training course covers the TB care cascade for children and adolescents and is structured in a modular format with module specific learning objectives. The course includes two parts.

  • PART I: Course Introduction
  • PART II: Modules 

There are nine modules that relate to TB in children and adolescents:

  • Module 1: Epidemiology 
  • Module 2: Diagnosis 
  • Module 3: Treatment 
  • Module 4: Prevention
  • Module 5: TB/HIV
  • Module 6: MDR TB
  • Module 7: Maternal and Infant TB
  • Module 8: Child and Adolescent TB and NTP
  • Module 9: Evaluation of Child and Adolescent TB 

The Child and Adolescent TB Training package is a collaborative effort by The International Union Against Tuberculosis and Lung Disease (The Union), the Elizabeth Glazer Pediatric AIDS Foundation (EGPAF) and the World Health Organisation (WHO). It was developed by Dr Moorine Penninah Sekadde and Dr Stephen M. Graham.

This endeavour was made possible thanks to the support from Unitaid, through the CaP TB project.

Training package finalized in April 2021.

Module 0 - Course Introduction
Module 1 – Epidemiology
Module 2 – Diagnosis
Module 3 – Treatment
Module 4 - Prevention
Module 5 - TB-HIV
Module 6 - MDR-TB
Module 7 - Maternal Infant TB
Module 8 - Child and Adolescent TB and NTP
Module 9 - Evaluation of Child and Adolescent TB
Facilitator’s Manual (not updated)
Participant’s Manual (not updated)
Guides on Child and Adolescent TB for Health Care Workers
Sample Questions
Sample Questions and Answers
Daily Evaluation
Course Evaluation

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