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TB Notes 3, 1999

Training and Educational Materials

Satellite Primer | School-Based TB Care

TB Frontline
Satellite Primer Continued: Modules 6-9

This three-part satellite course is based on four new Self-Study Modules on Tuberculosis (6-9) that have been developed by DTBE. This course is designed for health care staff who work on the frontlines of TB control, including outreach workers, nurses, and supervisors. Topics to be covered include contact investigation, patient adherence, surveillance and case management in hospitals and institutions, and confidentiality. The dates and times of the broadcasts are as follows:

January 27, February 3, and February 10, 2000

Eastern time: 1:00 p.m. - 3:00 p.m.
Central time: 12:00 p.m. - 2:00 p.m.
Mountain time: 11:00 a.m. - 1:00 p.m.
Pacific time: 10:00 a.m. - 12:00 p.m.

Participants must register by December 3, 1999. Participants who register and complete a pretest and posttest will be eligible to receive continuing education credits.

For additional information, contact the Francis J. Curry National TB Center at

Tel: (415) 502-7904
Internet: http:.//

This satellite course is a joint project of the Francis J. Curry National Tuberculosis Center; the Division of TB Elimination; the Charles P. Felton National Tuberculosis Center at Harlem Hospital; the New Jersey Medical School National Tuberculosis Center; and the Public Health Training Network.

Satellite Primer | School-Based TB Care

Information on School-Based Tuberculosis Care

The New Jersey Medical School National TB Center successfully utilizes school nurses to administer directly observed therapy (DOT) and care to children with TB disease and infection. This process, which combines education, continuous quality improvement, and consistent program evaluation, increases medication adherence and overall treatment in a beneficial and cost-effective manner.

In 1995, the Center compared adherence rates of school-based DOT with clinic DOT for the same population. Adherence was 17% lower for school-based DOT. A needs assessment and cross-sectional study determined interventions, which included more specific education and training regarding adherence barriers. These interventions produced an adherence rate of 91% in the next year. The DOT program was expanded to satellite clinics and to TB-infected patients; similar favorable results were obtained. It was also discovered that school nurses are valuable in screening for TB in high-prevalence areas and appropriately assuming a liaison role with treating clinicians.

In order to disseminate information on school-based TB programs, the Center developed the "Guidelines for Initiating School-Based DOT" and the "Tuberculosis School Nurse Handbook." The Handbook gives clinical information on diagnosis and treatment of pediatric TB and includes solutions to common adherence barriers. The Guidelines give instructions for implementation and evaluation of school TB care programs and education of school nurses.

These documents have been widely requested by a nationwide audience of school nurses, health departments, TB program managers, and nurse consultants. The "Guidelines for Initiating School-Based DOT" and the "Tuberculosis School Nurse Handbook" are available as a reference set entitled "School-Based DOT: Everything You Need to Know." Each set combines the experiences of school-based TB care. For a free copy of the set or to receive individual copies of the Handbook, please contact Rajita Bhavaraju at (973) 972-4811 or by electronic mail at The documents may also be downloaded and distributed from the NJMS National TB Center’s Web site at for the "Tuberculosis School Nurse Handbook" or for the "Guidelines for Initiating School-Based DOT."

—Reported by Rajita Bhavaraju
New Jersey Medical School National TB Center
Newark, NJ


Released October 2008
Centers for Disease Control and Prevention
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
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