19 October-1 December 2020
The 51st Union World Conference On Lung Health
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Channel 5
SP-25-It takes more than bandwidth - using the Extension for Community Healthcare Outcomes virtual community of practice model to build local health workforce capacity.
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query_builder 16:30 - 17:50 | Event time (GMT+2)
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SP-25-It takes more than bandwidth - using the Extension for Community Healthcare Outcomes virtual community of practice model to build local health workforce capacity.
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Countries with a high burden of tuberculosis (TB) are implementing the ECHO (Extension for Community Healthcare Outcomes) telementoring model — based on a combination of video conferencing, case-based learning, sharing of best practices and monitoring outcomes — to target communities where health disparities are the greatest. We will introduce participants to the basic principles of the ECHO virtual community of practice model that connects national and international experts with local TB practitioners, highlight innovative and sustainable examples of implementation in a variety of country contexts, and promote discussion around the challenges and opportunities for adapting the model to TB education and workforce development globally.

16:30 - 16:35: Introduction

16:35 - 16:45: National Initiative to Strengthen Collaboration between HIV-TB through e-learning (e-NISCHIT) in IndiaIn 2017, the national AIDS and TB programs introduced conceptual changes in TB guidelines, wherein TB treatment for PLHIV was shifted from TB to HIV clinics. Initial experience pointed towards a countrywide need for mentoring of HIV teams in clinical and programmatic management of TB. An HIV-TB ECHO program, e-NISCHIT, was started in 2018, in collaboration with Government of India, CDC, Share India and ECHO India. National Institute of TB is the hub for this program and state run HIV Clinics from two states each of North and South India (~100 clinics) were selected to be the initial spokes. This program has successfully conducted 52 sessions to date, enabling rapid percolation of TB/HIV guidelines and handholding of peripheral HIV teams to undertake optimal TB management. The GOI has recently extended this program to areas with high prevalence of both HIV and TB in India's northeast and plans to expand nationwide.
Upasna Agarwal

16:45 - 16:55: Ensuring quality TB and specialty care for underserved patientsDespite universal access to tuberculosis (TB) diagnosis and treatment in Georgia, TB services in rural and underserved areas of the country are still unevenly distributed; there is a lack of access to multi-disciplinary and specialty care, as well as to the latest updates and innovations in TB diagnosis, patient care and treatment. As a result, the majority of TB patients are referred to the central TB treatment facility to receive quality TB and specialty care. To overcome the challenges of delayed treatment initiation and minimize time and costs of patient travel to central facilities, Project TB-ECHO was implemented in late 2017 and fully functional since early 2018. Over 800 patient cases have been discussed since ECHO implementation which gives the country a hope to soon have a significant improvement in the number of lost to follow-up cases, increased treatment success and enhanced capacity of human resources on all country levels.
Mariana Buziashvilli

16:55 - 17:05: Building a Community of Practice for TB Program Managers - Utilizing the ECHO ModelThe National Tuberculosis Controllers Association (NTCA) is the premier organization in the United States representing tuberculosis (TB) public health programs; NTCA has evolved as a non-profit, professional member service organization and has over 600 members from every state, city, and territorial TB program. NTCA wanted to enhance networking and educational opportunities to meet the unique needs of TB program managers responsible for overall program administration. The NTCA launched its first Community of Practice session on July 11, 2019 with 56 participants from across the United States.  The initial sessions (296 participants) focused on writing and preparing the CDC TB Cooperative Agreement 2020 Notice of Funding Opportunity.  Series Two, (161 total participants) focused on writing the CDC Cooperative Agreement Five Year Progress Report. Series Three, (237 participants) focused on the maintenance of TB programmatic and clinical activities despite the pressing COVID-19 responsibilities added to TB programs.
Diana Fortune

17:05 - 17:15: Expansion of the Regional TB ECHO Program across Central AmericaThe CDC Central America Regional (CAR) Office provides technical assistance to Ministries of Health in the region through a PEPFAR funded TB/HIV program. In 2019, WHO reported 14,353 TB cases in CAR including 1123 cases ofTB/HIV in the region of seven countries. Some of the challenges faced to obtain TB epidemic control in rural areas are lack of resources, poor referral of patients for care and treatment, difficult to reach communities and lack of specialized trained physicians to treat TB. From 2018-2019, CDC CAR launched three TB ECHOs in Guatemala, Panama and Honduras. The TB ECHO program in Guatemala included a 6-month TB basics national certificate program and trained around 300 healthcare workers. In addition to the national programs, CDC CAR and its partner SE-COMISCA (Commission of Ministries of Health in the region) launched a regional program in May 2020 to discuss common challenges for all countries such as TB cases in immigrants, people living with HIV, diabetes and COVID-19.
Diana Patricia Forno

17:15 - 17:25: Advancing Prevention in Massachusetts, USA - Implementing the ECHO model to increase latent tuberculosis infection testing and treatment in primary careIn 2016, the US Preventive Services Task Force updated recommendations to support latent tuberculosis infection(LTBI) testing as a preventive strategy and recommended that primary care providers(PCPs) integrate LTBI management into their primary care practices. PCPs rarely receive sufficient LTBI training and feel uncomfortable prescribing rifampin and isoniazid. In 2019, the Massachusetts (MA) Department of Health partnered with the University of MA Project ECHO hub to design a LTBI ECHO. The course incorporates six virtual telementoring sessions for MA PCPs. A mixed-methods program evaluation was conducted. Pre- and post quantitative structured surveys were administered to LTBI ECHO course participants. Qualitative in-depth interviews were conducted with participants and content experts to assess resulting practice changes and recommendations. We found that our LTBI ECHO course increases PCPs knowledge and confidence and supports practice change. Health departments may find LTBI ECHO programs to be an effective intervention to train PCPs in LTBI management.  
Daria Szkwarko

17:25 - 17:50: Q&A session

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E-posters
EP26-Improving knowledge: the benefits for person-centred TB care
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query_builder 10:00 - 11:00 | Event time (GMT+2)
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EP26-Improving knowledge: the benefits for person-centred TB care
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All E-posters are accessible via the "E-posters" section of the conference platform until 30 November.

EP26-344-23-Feasibility of appreciative inquiry to co-create an evaluation framework for TB and HIV Extension for Community Healthcare Outcomes (ECHO) implementation in India and TanzaniaEvaluating training and education initiatives such as Project ECHO (Extension for Community Healthcare Outcomes) is essential to understand impact. We describe the feasibility of an appreciative inquiry approach that engages stakeholders in creating an evaluation framework to assess TB and HIV ECHO implementation in India and Tanzania.
Smita Ghosh

EP26-345-23-Creating TB awareness through active involvement of learners in secondary schools: A case of Amref Health AfricaDocumentation of strategies used to create tuberculosis (TB) awareness in public secondary schools in five high burdened counties in Kenya. The school fraternity was equipped with TB education and students were able to create unique TB-related performing arts that were presented during World TB day, reaching various community members.
Christine Mwamsidu

EP26-346-23-Integration of family-focused education and counselling in Daru TB preventive therapy programmeIntegration of family-focused education and counselling into the preventive therapy programme in Daru has led to improved understanding of latent tuberculosis by families of children on treatment. It has also contributed to improvements in treatment adherence and rates of treatment completion.  
Allan Kuma

EP26-347-23-Experience describing co-creation of an assessment framework for implementation of a virtual learning platform: TB Extension for Community Healthcare Outcomes implementation in IndiaProject ECHO (Extension for Community Healthcare Outcomes) leverages virtual video conferencing technology to build capacity, disseminate knowledge and promote mentorship through case-based learning. An appreciative inquiry approach was utilised to engage stakeholders and co-create a comprehensive assessment framework and data collection tools in order to assess TB ECHO implementation in India.
Smita Ghosh

EP26-348-23-Engaging first line care providers for screening and referral of presumptive TB patients in Nigeria: results of a targeted approachCommunity pharmacists and patient medicine vendors play a key role in expanding patient-centred approaches to tuberculosis (TB) care. Stakeholders for TB control need to imbibe the right strategy to engage these important first line care providers for effective and standardised implementation in order to significantly contribute to TB case finding.
Chidubem Ogbudebe

EP26-349-23-Unprepared and unprotected: graduating medical students’ knowledge, attitudes and practices regarding drug-resistant TB in Cape Town, South AfricaSouth Africa has a high burden of drug-resistant TB, which is managed extensively by junior clinicians at the primary care level. In this cross-sectional study, we assessed the knowledge, attitudes and practices of graduating medical students at the University of Cape Town, South Africa.
Johnathan Watts

EP26-350-23-Can patient navigators help potential TB patients navigate the diagnostic and treatment pathway?People brave a variety of social, structural and health system barriers to seek healthcare in fragmented and complex health systems. Patients navigators can change this. We evaluate navigators’ utility in enabling person-centred care in both public and private sector tuberculosis programmes in India.
Miranda Brouwer

EP26-351-23-A new 'normal' for health service provider capacity building in response to the COVID-19 pandemic in the PhilippinesWith travel restrictions and physical distancing to contain COVID-19, a new way of capacity building for healthcare providers is needed. We share the results of synchronous, web-enabled, class-based training on national tuberculosis guidelines, which was conducted for a pool of trainers in place of face-to-face training in the Philippines.
Ruth Orillaza-Chi

EP26-352-23-Study of participant satisfaction with directly observed therapy and TB programme staff members' interpersonal skills, patient education and patient-centred communicationsWe conducted a randomised crossover trial comparing in-person, directly observed therapy (ipDOT) with electronic DOT (eDOT) for tuberculosis (TB) treatment in NYC. We report participants’ satisfaction with both DOT methods as well as responses to questions focusing on TB programme staff members' interpersonal skills, provision of patient education and patient-centred communications.
Marco M. Salerno

EP26-353-23-Knowledge, attitudes and current practices and roles of pharmacy professionals concerning TB treatment in IndonesiaWith 52% of initial care-seeking by tuberculosis (TB) patients happening in pharmacies and drug stores in Indonesia, pharmacies can be an effective channel to direct presumptive TB patients to health facilities for diagnosis and care. This is a digital, cross-sectional survey investigating pharmacy professionals’ knowledge, attitudes and practices concerning TB.
Vania Gones

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Channel 1
SP-NAP-TB educational material discussion session
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query_builder 15:00 - 16:20 | Event time (GMT+2)
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place Online Session/Virtual
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SP-NAP-TB educational material discussion session
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15:00 - 15:05: Introduction

15:05 - 15:17: Building Australian nursing workforce capacity through the Masters of Nursing (TB Management)
Kerrie Shaw
Linda Gregory

15:17 - 15:29: U.S. CDC TB education and training materials
Allison Maiuri

15:29 - 15:41: Development of a nursing job aid for managing side effects to DR-TB treatment
Carrie Tudor

15:41 - 15:53: Impactful advocacy capacity strengthening
Lynette Mabote

15:53 - 16:20: Q&A session

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