Pillar 1. Content Creation

Pillar 1. Content Creation

The first component of the modernized training system is the machinery to develop standardized training material that can be used for training all personnel across the country. The material developed needs to be:

  1. standardized (to ensure consistent messaging/ practices) accessible openly in an electronic form
  2. reusable (the same training content can be used for overlapping needs for different cadres) 
  3. easily updatable (to allow easy change of standardized content)

This component will involve a large number of stakeholders ranging from national institutions, technical and programmatic experts, to instructional learning experts and digital media creators. All the stakeholders need to follow uniform processes to interact and produce training material, spanning all of NTEP operations, in a consistent manner, maintaining a high level of quality.

The system of content development will be made of three parts. These are:

  1. Knowledge map: It is a list of ideas that require to be included in training and will encompass all training needs in NTEP. Each item/ idea will detail out the messages/ learning objectives that need to be conveyed.
  2. Page Library: Based on the list of ideas on the knowledge map, training content using different media (Text, images, videos, animation etc) are prepared as Content Pages. Content Pages will also include linked questions based on the various learning objectives. The list of Content Pages are available in the Page Library.
  3. Training Courses: Based on the training need for each cadre the Content Pages are organized in to Courses consisting of modules and chapters along with quizzes (based on questions of each node).

These three different parts are explained in more detail in the subsequent sections.

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Conceptual Framework for Content Creation

Conceptual Framework for Content Creation

The Framework for training content creation has three parts:

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Parts of Content Development System

1. The Knowledge Map:

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Knowledge Map Concept

The entire universe of ideas/ concepts required for training in NTEP has been visualized as a map or list called the ‘Knowledge map’. The knowledge map will drive the content development of standardized e-training content in a defined structure, help plan, prioritize and achieve parallelization of content development by multiple partners. Each unique idea/unit in the Knowledge Map is called a ‘node’, which serves as a building block to the entire training content development process. 

The knowledge map will enable defining the overall training requirement in NTEP and will drive continuous development of training content. It will also permit multiple partners / agencies to divide the overall training content development requirement and co-ordinate with each other.

Further specifications of the knowledge map and related process are described in a subsequent section.

2. Standardized Training Content Development: 

Based on the entire network of nodes, every node will require standardized training content to be developed. The training content will exist in an e-training platform (currently Swasth eGurukul, or SeG) as ‘pages’. A page is expected to impart training related to that idea/node in 2-3 mins on an average.

Development of pages will include:

  1. Understanding learning objectives and gathering technical material
  2. Designing/ redesigning the instruction/ digital content for each page using various media (Text+/- images, Audio/ Videos, interactive animations etc) based on feedback from the end-users.
  3. framing questions associated to the various learning objectives and adding them along with the page 
  4. translation of select pages according to need/feedback from the end-users

Pages for all the knowledge map nodes, are to be developed and published on the e-training platform and will be available as a “Page Library”.

3. Curriculum Development:

Pages drawn from the Page library will serve as building blocks for designing training curriculum or “Courses”. Any number of Courses can be prepared  by grouping/ structuring the pages from the Page Library in a sequence. The grouping/ selection of various pages and their sequencing will address all varieties of training needs for different cadres.  Pages are organized under chapters in a sequence; chapters are in turn organized under modules and later modules are organized into Courses. Courses will be used to implement training.

 

This model where the training content development is divided into three parts, allows adherence to the initial principles of reusability, standardization and ability to be kept updated. Through the knowledge map there is a comprehensive understanding of the various current knowledge/ training needed in NTEP and becomes a repository of the same. The content in pages is standardized for use across the country. The availability of individual pages allows it to be reused in multiple training courses for different cadres; and allows individual pages to be updated, whereby the courses using these pages can be automatically updated with the latest information  or upgraded into a more engaging and prioritised way.

The Pre-test , intermediate quizzes and post-test also constitute an important component of the course curriculum. These quizzes are composed of selected questions drawn from the question bank generated from the pool of questions linked to each page added to the course.

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1.1 The Knowledge Map

1.1 The Knowledge Map

This section describes the various concepts, principles, roles and processes related to maintaining and updating the knowledge map.

Concepts

  1. KMNodes(knowledge map nodes) :

    A KMnode may be a unique concept, process, idea, definition, algorithm, or any other aspect with a specified learning objective.

  2. Relationships:

The KMnode will have defined relationships with other KMnodes which may further detail or explain the concepts or describe a higher-level concept. 

For example, there will be a node defined for the concept of ‘ZN microscopy’ and it will be related to further nodes such as ‘staining’, ‘smear preparation’ and so on, or link ZN microscopy and Fluorescent microscopy through the overall concept of ‘Microscopy’ in general. Thus, the nodes and their relationship will exist as a network / map where there is no defined hierarchy. The hierarchy will dynamically be identified when a trainee or training need is defined.

The KMnodes have the following attributes:

Table 2: List of Attributes of the KMnode

Attribute

Description

ID

This is a unique identifier for tracking the nodes in the knowledge map database.

Name

Title of the page. This should be able to identify the unit sufficiently and its difference to other pages should be clearly evident.

Description/ Learning Objective

Provides short synopsis of what the content associated with the unit should cover.

Maintainer

Name/ UserName of the expert who is currently responsible for the maintenance of the node and its related training content. The maintainer has to ensure that the node and its content are in line with the principles of the knowledge map and with the current guidelines/ directives.

Relationships

Describes the relationships of the node to other entities. This will include entities such as 

  1. KMnodes (Child/parent or links) 
  2. Training content (link to Page- described below)

The current version of the Knowledge Map can be viewed from the link. The knowledge map here is represented as a list of nodes linked with other units in the knowledge map. 

 

Principles of the knowledge map

  1. Idea/ concept centric- Non audience dependent: The KMnodes and their learning objectives linked to it represent one defined idea/ concept. 

  2. Unique Unit Based:  A learning objective will only be represented in one and only one node. 

  3. Complexity in division: In cases where the concept or topic to be discussed has many aspects, a single node may be used to represent the overall concept in brief, while specific details or in depth concepts may be presented in other nodes.  

  4. Dynamicity, Organic and iterative evolution: The knowledge map is meant to be a dynamic collection of nodes, where new nodes are constantly added with new program areas/ expansion, older nodes updated with changes in program structure and deleted with outdated concepts/ideas being removed. These changes are to be made  in real time as and when the program update/ change happens.

Roles

  1. Maintainer: The maintainer is a person/ expert who is responsible for maintaining the integrity, comprehensiveness and quality of the knowledge map and ensuring adherence to the above described principles. The maintainer may perform additions, modifications, and depreciations(Deletions) of nodes on the knowledge map. There may be many maintainers organized into a committee/ group and may be collectively responsible for the knowledge map. Each maintainer may be assigned a group of nodes to maintain. All nodes will mandatorily need to be assigned to a maintainer. 

  2. Content Creator: Content creators are people who develop training content for each KMnode on the knowledge map. A content creator may be assigned a node to develop content against. However, they only have view permissions on the knowledge map; but may be able to respond to comments made by anyone on the nodes assigned to them. 

  3. Others: The knowledge map being open content, all users(including the above two) may have access to view the entire knowledge map. They may suggest new nodes on the knowledge map and add comments/ suggestions on existing nodes. New nodes will need to be approved by the assigned maintainer before it is published on the knowledge map. Each newly added node will also be assigned to any one of the maintainers. 

Processes

  1. Add new node:
    1. Submit draft node: Any visitor on the knowledge map may suggest addition of a new node. New nodes need to be linked to any one existing “Parent” node and will be first added in a Draft mode. The maintainer of the parent node will be assigned to the new node. The visitor adding the node needs to fill in all the attributes of the nodes mandatorily.
    2. Review by Maintainer: New nodes added in Draft mode will be notified to the Maintainer, who will review the node and will perform the following actions
      1. Approve the new addition after it passes the following checklist. If the node does not pass it; the maintainer may outright reject the draft node or modify the attributes till it passess the checklist.
        1. The name of the node and the learning objective are clear and precise. For example, “Burden” is an unclear title; while “Burden of TB in India” is clear and precise.
        2. There are no other nodes in the knowledge map with overlap/ have duplicate learning objectives with the new node added.
        3. There is a training need that is attributable to the new node. For, example; in NTEP training, “Manufacture of 3FDC” may be considered as out of scope of training.
      2. Assign a different maintainer. The existing maintainer may judge that the node is better dealt with by a different maintainer, he/she may assign it to a different maintainer in the maintainers group.
    3. Publish the node: Approved new nodes get published on the knowledge map.
  2. Update existing node:
    1. Maintainers of the node may update any of its attributes except the unique identifier. All changes to a node will be tracked as different versions of the node. The update may be performed for the reasons such as:
      1. Update in Name/ Learning objective: The update may be triggered by various needs/ events, such as change in policy/ guidelines; any error identified on the learning objective or better understanding of the purpose of the node.
      2. Adding/ changing node relationships: The maintainer may identify new connections with existing nodes on the knowledge map. 
      3. Re-assigning maintainers: The existing maintainer may assign a node to any other maintainer on the maintainers group.
  3. Depreciate existing node: Any existing node may be depreciated when the node/ learning objective becomes outdated or no longer relevant. Such depreciated nodes effectively get removed from the published knowledge map.
  4. Commenting/ Discussions: Any visitor on the knowledge map may comment/ provide suggestions on any of the existing nodes. Comments may be reviewed/ replied to by the node maintainer/ the content creator assigned to that node.
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1.2 Content Development

1.2 Content Development

Concepts

  1. Page:

    A page is a unit of training content that expresses the content related to a KMnode on the Knowledge map. There will be one and only one page of training content for every node in the knowledge map; where the knowledge map node is representing the learning objective, while the page is expressing the corresponding content. The content on each page is based on technical training material / SOPs / guidelines of NTEP and may explain or demonstrate it in more detail. 

    Along with the main page content, some material may be provided as attachments, downloadable and printable job aids and posters that learners can print and put up in their work areas for quick reference/ use. The page content will also reference/cite any source document/ reference material. Each page may also have more than one translated version into another language linked to it. Trainees that use a page may give feedback for individual pages by linking them to the corresponding knowledge node and commenting upon them.

    The page will have the following attributes.

    Content Page ID

    `This is the unique identifier assigned to a page at the time of creation.

    Title

    The page will have the title same as the name of the node linked to it.

    Type

    This is the type of the page that is currently used to develop training content. The page types (A0, A, B, C1, C2, F1, F2) and their descriptions are mentioned in the subsequent section.

    Status of the page

    Used for page development workflow management to track progress of the page from page entry approval, prioritization, development, configuration and publishing on the CTD approved e-learning platform.

  2. Page Types:

    The page may undergo evolution / upgradation with time based on changes in the program or based on need for better content representation. This need may be driven by the nature of the learning objective, which may be easy or difficult to train, and may require static or interactive methods of explanation. To accommodate this evolution of a page, several page “Types” have been defined as follows:

    1. A0: (Text & Images only): All pages are first built with only simple text and images, (base technical content) The text and images will be based on content available in any existing guidelines/ documents/ training content, which is re-organized as per the needs of the knowledge map node against which the page is being developed. This page type is expected to ensure technical accuracy of the training content to be developed and will serve as the basis for any future version of the page. The A0 Page should be useful for training delivered at least in an instructor led mode. Images and graphics that can be created easily using common tools such as Powerpoint may be created in addition to the content available in the existing material.
    2. A1 (Creatively reformatted technical content): Type A0 pages may sometimes need to be redone, to explain the concept in a better way using better graphics/ text. This is done either by changing the way of representation (infographics), or by including examples / cases etc. This would improve the ability of the page to deliver the learning objectives to a level such that the trainee may read and understand the concept without any instructor.  
    3. B  (Text/image with voice over / video inset of presenter): This may be done in cases where the content requires an expert/ teacher's touch where a presenter will explain the concept in his/her own words in alignment with the material that has been prepared earlier in relation to that page. The delivery of the training will rely on the expert's ability to present the content in an easily understandable way. The video/ voice of the expert/ teacher explaining the page content may be recorded and placed on the page.
    4. C1 (Simple Animation) : These are pages with simple animated content, and the user interacts with it only in terms of start, stop/pause and rewind/seek and the animation has a single start and end point. This page type may be used in cases where learning objectives may be delivered better using a schematic/ moving representation of the concept as opposed to other ones. For example, simple workflows involving different locations and people over time.
    5. C2 (Gamified / Interactive animation) : These are pages with many different types of user interactions, such as clicking, drag & drop, text entry and so on. It may have one start point, but may branch out into different scenarios based on user interaction, with many end-points that  may backtrack and re-join at different places. It may also include videos/ narration as needed. This page type may be used when the learning objectives are complex, with decisions/ judgements that need to be made. For example constituting a DR-TB Drug regimen for a given diagnostic scenario.
    6. F (Video Shots): These pages with video shots of actual locations where a procedure or a protocol is demonstrated. The videos may be prepared using Existing footage(Type F1) or may require New footage(Type F2) to be recorded.

    In cases where combinations are used, the higher type of content classifier will be applied, for example, a video recording of an expert with an animation will be classified as Type C1(animation).

  3. Question 

    Based on learning objectives of a page and the training content placed in it, one or more questions may be added/ linked to the page. These will serve to assess whether a trainee has acquired the necessary knowledge/ understanding expected. The questions will usually be of multiple-choice type.

Principles 

The broad principles that have to be followed while developing a page are as follows:

  1. Self contained/ independent: The training content on a page should be self contained and should not be built on the context of content available on any other page or continue from another page. 
  2. Specific to learning objectives: The page should be able to deliver the learning objective without having to refer to another page and should contain only content specific to the learning objective of the knowledge map node linked to the page. There should not be any content included for the purposes of introduction or conclusion.
  3. As simple as possible: It should be possible to use any page for the training of any personnel. Hence the technical content should be explained in simple language as far as possible.
  4. Delivered in 2-3 minutes: It should be possible for the average trainee to consume the training content present on a page in 2-3 minutes.   

Roles

  1. Content Creator: These are personnel that will create content against the Knowledge Map node assigned to them. 
  2. Maintainer: The maintainer for a page is the same as the maintainer for the corresponding knowledge map node. The maintainer reviews and approves pages before it is to be published. He/she also is responsible for deciding the page type to be used while upgrading the page to a higher level page. 
  3. Trainees: All users are by default Trainees. Trainees access the page through one or the other training curriculum. They may provide feedback at the level of a page through the comments on the corresponding linked knowledge map node.

Processes

Note: Upgradation and Modification of a page will be considered as a new version of the same page, with the same unique identifier. Older versions of the page may be available at the back end of the LMS and may be accessed on special demand.

  1. Creation:
    1. The content creator assigned to a knowledge map node will create the corresponding page and its content. He/She may interact with the Maintainer to identify learning objectives, source documents as required and prepare the training content before creating the page. On page creation the status of the page will be “Pending Review”
    2. Pages that are of the status “Pending Review” will be evaluated by the maintainer of the page/ corresponding knowledge map node. The maintainer may approve or reject pages based on whether it clears the following checklist
      1. Alignment of titles- The page title and the corresponding knowledge map node should have the exact same title.
      2. Specificity of content: The page content needs to be specific to the title and the learning objectives of the corresponding linked knowledge map node. It should not convey any message that is or may be represented in another page.
      3. Content independence: The content developed on the page should not be in the context of any other page and it should convey the learning objective completely.
      4. Simplicity: Generally any learned reader should be able to read and understand/ consume the content and its learning objective without additional reference/ reading.
      5. Duration: It should be possible to consume the content by an average reader within approximately three minutes. In exceptional cases it can be longer.
      6. Questions
    3. If the page does not pass the above checklist and is rejected by the maintainer then it will be converted to the stage “Pending Modification”. It will be passed back to the content creator for addressing the comments/ reason for rejection.
    4. The page will also need to be marked as “Pending Modification” once the corresponding KM Node (Title or learning objective) is updated.
  2. Modification: Pages that are with the status “Pending Modification” may be reviewed by the content creator and he/she may make changes as per the requirement/ comments.
  3. Upgradation: A page whose content has not been performing as well as expected and there is a scope to improve the delivery of the learning objectives by using another type of page, it may be tagged for upgradation. Once a page  has been tagged for upgradation it will be available to the content creator in an upgradation queue.
  4. Translation: Certain pages after being built into courses for specific cadres who are less likely to understand English, may be tagged for translation into another regional/ local language. Once it is tagged for translation it will be available to the content creator in the Translation queue.
  5. Deletion: Page deletion only occurs when the corresponding KM node is depreciated. Such deletions may also be available on the LMS backend, but are not available for viewing.
  6. Prioritization: Individual pages depending upon the need to make available the published version it will have a certain priority value. Priority value of 10 means highest priority for content development, while 0 means least or no priority. The content creator may pick up pages from a queue for modification/ translation based on the order of priority. The maintainer of the page has the rights to set the priority of the page. 
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1.3 Curriculum Development

1.3 Curriculum Development

Concepts

  1. Course: A course is an organized sequence of pages which will be used for the training of a  specific cadre. A course should comprehensively cover all training requirements of that cadre. Each course will have pages organized under the Page 🡪 Chapter ---> Module structure. Different courses will have different pages, but they may also use the same page as per the requirement of the course (which is linked with the same knowledge unit or node, and hence based on the same training need). This is depicted in the following schema:

    Fig: Course structure

    Each course will have a number of attributes as outlined below.

    Course ID

    This is the unique identifier assigned to the course at the time of creation.

    Title:

    The course will be named according to the cadre it is intended to train. Eg. Course for Treatment Supporters on NTEP

    Course Description

    This is a short description of the course, which will outline the objectives of the course and the topics covered under it.

    CourseStructure

    The course structure will contain the data regarding the linkage of the various pages organized under chapters/ Modules and the corresponding quizzes at various stages within the course/ Module/Chapter.

    Intended Cadre

    This will indicate the various cadres eligible to take the course.

    Status

    This will indicate the status of the course in terms of whether it is in draft stage/ unpublished or published status. It may also include statuses such as depreciated. 

    CourseMaintainer

    This is the person assigned to this course as the maintainer.

  2. Module: A module is created for a specific knowledge / functional area which is to be covered for a cadre based on the course objectives. A course may have different modules (knowledge areas) with different pages. For example, in the course for a Lab Technician, “ZN microscopy” may be a module. 

    NOTE: Modules may also have independent existence outside a course as well. These may be used for imparting a new knowledge area as a part of new expansion in the program or may be used for re/update training.

  3. Chapter: Chapters will be the topics that are to be covered under knowledge areas (modules). As above, there may be different topics (chapters) under each knowledge area (module). For example, in the module on Microscopy, “staining using ZN technique” may be one of the chapters. Chapters will hold the standardized learning material in the form of pages.
  4. Quiz: Courses will have quizzes at various stages (pre / post at the level of either course, module or chapter). The quizzes are created/ drawn from the questions attached to the pages that are contained within the course/ module/ chapter. The quiz, depending on how it is set up, will randomly draw questions from a set of questions that were associated with the pages. Based on configuration set by the course creator, the learners must pass/ clear the quiz to proceed and eventually complete the course and earn the certificate. The number of questions in an assessment and passing marks for each assessment will be set at the time of configuring the course/ module as per the need of the training. In the future a quiz may also be manually assessed/ scored.
  5. Certificate: Each course / module at the end or at achieving completion of the post-test successfully will have a certificate. The certificate is awarded from NTEP, and / or relevant institutions / stakeholders. A sample certificate has been provided in the Annex.   
  6. Webinar:  a webinar or an online training session would be scheduled inside the course whenever a remote facilitator would interact with the trainees for any particular purpose inside the course. This could be to deliver an instructor led session, conduct discussions or clarify queries. 

Principles

The broad principles to be followed while creating a curriculum/ course are as follows.

  1. One cadre One course- At a time in the training system of NTEP a specific cadre/ designation will only have one active standard course. A course should be comprehensive, such that it allows all necessary content required to successfully execute the TOR/JD of the corresponding cadre. The monitoring of the training status of a trainee will be considered as Trained/ Untrained under his/her cadre based on whether he/she has successfully completed the single course for that cadre. The individual may undergo modules that are independently available outside his/her course and will count as additional credit.
  2. Logical flow in sequencing of content: The training content will have to be placed in a sequence within the course. The pages will be sequenced within a chapter, followed by Chapters into Modules and finally modules into Courses. This sequence depending upon the intended audience/ cadre will have to be selected and ordered to ensure that both the appropriate high level concept is introduced and necessary in depth concepts are also discussed afterwards.
  3. Inbuilt pre/ post test : All courses should have an inbuilt assessment mechanism to objectively identify whether he/she has completed the requirements/ gained all necessary knowledge and skills expected from the course.
  4. Standard schedule: The course may be executed/ operationalized as per the convenience of the institution; however a standard scheduling pattern may be set. 

Roles

  1. Content creator - The content creator(described above) will also double up as the course creator/ curriculum designer. They will select and organize the pages prepared into chapters> modules> Courses in a sequence appropriate to the cadre. The content creator can create the course in unpublished form.
  2. Maintainer - The maintainer may review the draft/ unpublished courses and publish them. They may also unpublish existing courses and send them for revisions to the content creator or depreciate them altogether. 
  3. Operational Roles
    1. Course Coordinator - The course co-ordinator at various states/ STDCs will schedule the various courses according to the plan and training needs of the state and coordinate the conduct of the course
    2. Trainee - The trainee may access the course if he/she is one of the cadres for which the course is listed
    3. Facilitator - Facilitators may access the course when it is scheduled and he/she is added to that schedule as a facilitator.

 

Processes

  1. Create a new course: Once pages are available, a content creator may organize the pages into a course. After the Type A0 page is approved and published on the CTD e-learning platform, it may be included into a course. 
  2. Review and Approval of the course: Once the course is configured, approval from CTD and other stakeholders will be sought. A meeting of relevant stakeholders will be called to discuss feedback and will be documented. Relevant changes will be listed and made by course creator,
  3. Set up the course evaluation: As described in the previous section a course will have pre / post evaluation at the level of either course, module or chapter, randomly drawn from the questions attached to the pages that are contained within. The number of questions in an assessment and passing marks for each assessment will be set as per the need of the training in consultation with the relevant stakeholders.
  4. Configure the course certificate: A certificate for successful completion of the course will be awarded to the participants based on their performance in the course evaluation. The certificate will be designed with appropriate logos of the awarding organizations and will be decided based on consultation with the relevant stakeholders. A sample certificate is provided in the Annex for reference.
  5. Setup the feedback form: two types of feedback for a course will be sought from the facilitators and trainees: 
    1. Performance or retention of knowledge / skills from the course / module.
    2. Qualitative and Quantitative feedback from the end users on various aspects of the course/ module.
  6. Scheduling the course: Generally, once a course is configured, it needs to be scheduled for it to be accessible to trainees. Scheduling a course involves setting the start and end date for the course, adding webinars, contact sessions/ evaluations, adding facilitators, enrolling participants etc. The scheduling is done by the course coordinator based on the training plan.
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Style Guide

Style Guide

The style guide provide reference to what standard styles should be used while developing content. This would ensure uniformity of content appearance and will ensure that the trainee would identify the content as belonging to a whole. The style guide would specify standard content styles that can be applied to online content. This would include

  1. Color Palette
  2. Styles for text
    1. Headings with levels
    2. Bullets and numbering
    3. Quotes
    4. Captions for images, tables and figures
  3. Styles for Tables
  4. Styles for images
    1. Pictures and photographs
    2. Graphics
  5. Styles for videos
  6. Styles for animations
  7. Library of standard graphics
    1. People 
    2. Institutions
    3. Equipment

8. Language Guide

The details of each of the above will be provided subsequently.

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Language Guide

Language Guide

The TB language guide is primarily extracted from the 'Words Matter' document (Second Edition) published by StopTB Partnership in 2022 (https://conf2022.theunion.org/wp-content/uploads/2022/05/stbp_words-mat…). Its use has been envisioned to guide the accommodation of inclusive language for TB training & communication while developing & reviewing course content under the Modernised Training System. Categorized into 'Alternatives', 'To be Carefully Used' and 'Emerging Terms', the guide underlines terms that 'must be replaced or alternatives that are sensitive and inclusive, use of terms that must be re-considered and other emerging terms in TB. 

Alternatives

Use

Replace

Comments

They/them He/him, She/her More inclusive & gender sensitive
Contact Person TB Contact Does not have strong negative connotations but is not person-centered
Person Lost to Follow Up Defaulter Unnecessarily and unfairly places blame on the person receiving treatment
Noncitizen resident or Unauthorized resident/worker Illegal/Alien worker Offensive & isolates their access to TB treatment & care
Person with presumed TB TB Suspect Negative association
TB Prevention & Care or Ending TB TB Control Its continued use is no longer recommended by the World Health Organization (WHO) not people-centered, ignores contributions of communities & people affected by TB, -ve connotations of TB authorities as being in full control of all aspects of prevention, treatment & care
PLHIV/AIDS PLHWA/Person living with HIV AIDS Patient Necessary to reflect the fact that an HIV-positive person may continue to live well and productively for many years
Person Living with HIV/AIDS Innocent Victim The term wrongly implies that people infected in other ways (other than those infected medically or at birth through no fault of their own) are somehow guilty.
Person/s with physical disability physically challenged The term ‘physically challenged’ is deemed inappropriate as it places focus on the identity rather than the person & their barriers

To be carefully used

Use

Use carefully

Comments

Person with presumed TB Presumed Presumptive The term ‘Presumed Presumptive’ places emphasis on the disease and not the person with possible tuberculosis. While, it can be used to describe a stage in the process of diagnosing TB, when discussing an individual, it is best to say a person with presumed TB
Burden   It should be stressed that it is the disease, not the people affected by the disease, that burdens a country, a region or the world
Case Finding/Case Detection   Activity occurs by virtue of action taken by the person experiencing symptoms
People deprived of their liberty Prisoner/Inmate An alternative can be ‘People deprived of their liberty’ (in some contexts it can stigmatize people and can impact perceptions regarding the right to health for all
Compliance, Non-Compliance   Noncompliance unfairly assigns blame to the person receiving treatment when many external factors outside a person’s control may be the cause
Adherent/Nonadherent   Unfairly assigns singular responsibility for treatment completion to the person receiving treatment, when many external factors outside a person’s control
Mobile Worker   Refers to a large category of persons who may cross borders or move within their own country on a usually frequent and short-term basis for a variety of work-related reasons, without changing their primary residence or home base
Bacteriologically +ve/-ve Sputum/Smear Positive/Negative Smear microscopy is no longer recognized as a recommended diagnostic strategy. The preferred term is bacteriologically positive/ negative
Key and Vulnerable Population Risk Groups While the term is used in the epidemiology of TB to describe clinical risk groups when discussing an individual or group, it is best to say key and vulnerable populations .
Person Affected by TB/Person on Treatment/Client Patient/TB Patient Patient/TB Patient ‘clinicalizes’ them and focuses on the treatment process rather than the person
Emerging Terms

Terms

Definition

COVID-19 An infectious disease caused by the SARS-CoV-2 virus. COVID-19 was first reported to the WHO on 31 December 2019
Bi-Directional Testing The delivery of simultaneous diagnostic testing for more than one disease
COVID-19 Response Mechanism (C19RM) A special initiative of the Global Fund to Fight AIDS, TB and Malaria to provide countries with additional funding to respond to COVID-19 to mitigate its impact on HIV, TB and malaria programs and to initiate and strengthen improvements in health and community systems
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