Childhood TB for Healthcare Workers: an Online Course

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Childhood TB for Healthcare Workers is a course that can be completed entirely online and at your own pace. It covers how to diagnose, treat and prevent childhood TB, including how to perform contact screening. The course is interactive and will ask you to make decisions about fictional cases in different settings.

The course is designed for healthcare workers at the secondary and primary level of the healthcare system. The content is based on the World Health Organization's (WHO) 2014 Guidance for national tuberculosis programmes on the management of tuberculosis in children, as well as the Union's Desk guide for diagnosis and management of TB in children, and focuses on the clinical management of childhood TB.

The course is made up of the six modules listed below. Each module will require at least one hour to complete. If you start a module, you may leave it and return later; your progress will be saved. You can view more information about each module below.

Once you have completed all six modules, you can download and print a certificate of completion.


If your Internet access does not allow you to perform the online training, you can still access the information by downloading the full course here. However, certificates can be awarded only to those who complete the training online.

Module 1 - Epidemiology

In this first module, you will learn about TB in children and the risk factors for exposure/infection, disease, and severe disease. You will also take a look at TB reporting data and how this information rolls up into the global picture of childhood TB.

Module 2 - Diagnosis

In module two, you will learn how to assess a child who has symptoms that could be caused by TB. For each child, you will take a history of symptoms and signs, perform a clinical examination, and request some diagnostic tests before making a diagnosis.

Module 3 - Treatment

In module three, you will learn how to initiate children with TB onto treatment. You will also learn how to follow them up, manage adherence issues and side effects, and support the child and their family throughout the whole treatment period.

Module 4 - HIV/TB

In module four, you will learn about the specific considerations of TB in the context of HIV, building on skills for diagnosis and treatment that you learned in previous modules.

Module 5 - Prevention

In module five, you will learn ways to prevent the development of TB in children through vaccination, preventive therapy, and infection control. You will also learn how to detect new cases of childhood TB in households of TB patients.

Module 6 - Practice

In this final module, you will apply what you have learned to diagnose, treat, and prevent TB in a series of patients.

The course was created by:
Anne Detjen, Child Lung Health Consultant, The Union
James Seddon, Clinical Lecturer in Paediatric Infectious Diseases, Imperial College London
Amanda Warner, Learning Designer,

with support from Steve Graham, Child Lung Health Consultant at The Union, Chair of Stop TB Partnership Childhood TB Subgroup,
Professor of International Child Health at University of Melbourne, and Malgosia Grzemska and Annemieke Brands, World Health Organization.



The Global Health Bureau, Office of Health, Infectious Disease and Nutrition (HIDN), US Agency for International Development, financially supports this online training course through TB CARE I under the terms of Agreement No. AID-OAA-A-10-00020. This training course is made possible by the generous support of the American people through the United States Agency for International Development (USAID). The contents are the responsibility of TB CARE I and do not necessarily reflect the views of USAID or the United States Government. 

We would like to thank all who provided feedback, photos, and performed user-testing during the development of this course.

James Benjamin, Chishala Chabala, Onwuchekwa Chukwuemeka, Mohammod Chisti, Maria Regina Christian, Poorana Devi, Elisa Dewo, Blessing Ekanem, Monica Firmida, Carlos Garces, Robert Gie, Cornelia Henning, Anneke Hesseling, Beate Kampmann, Ghislain Khoura, Michelle Lafay, Daniel Langer, Anna Mandalakas, Sonia Maosa, Ben Marais, Olga Morales, Goodwin Mtetwa, Julian Nabatanzi, Gabby Okulaja, Lara Oladele, Cynthia Opoku, Carole Peignot, Carlos Perez-Velez, Nukutau Pokura, Banu Rekha, Jeanne Rini, Clemax Sant'Anna, Valérie Schwoebel, Kunrath Seak, Bhekisisa Tsabedze, Pervaiz Tufail, Pilar Ustero, Egere Uzochukwu, Klassina Zimr