Managerial activities

Clinical description

They serve to achieve the first objective to strengthen coordination of implementing and monitoring appropriate TB infection prevention and control (IPC) measures and standards.

Each health care facility must have a functioning multidisciplinary IPC committee. TB-IPC measures fall under this committee. As a minimum requirement, at least one member must have a TB background and training on TB-IPC.

Training of staff on standard precautions and transmission-based precautions is essential.

Training on airborne precautions should include the following:

• Basic concepts of TB transmission and pathogenesis, i.e. the difference between

infection and disease;

• Risk of TB transmission to HCW;
• Symptoms and signs of TB;
• Impact of HIV infection on increasing risk of developing TB disease and the importance

of TB as a major cause of disease and death in PLHIV;

• Importance of the facility IPC plan and the responsibility that each staff member must

implement and maintain TB-IPC practices;

• Specific TB-IPC measures, standards, procedures and SOPs that reduce the likelihood

of transmitting TB;

• Specific checklists to monitor compliance with TB-IPC standards.
• Renovating buildings or rearranging the use of available spaces and placement of

furniture to optimise the implementation of TB-IPC measures is also crucial.