The project was implemented by a team of experts in TB-IC
from the Netherlands and Romania working together with
the NTP of Romania. The project was an implementation
study using two methods of evaluation: (1) a cross sectional
questionnaire study; and (2) collection of information, during
the training, on challenges related to infection control and to
the project's implementation. The team used a descriptive
cross sectional study design to assess the use of the TB-IC
template, using a self-administered questionnaire. The challenges
with TB infection control and problems encountered
with the implementation of the project were discussed during
the plenary sessions of the training and recorded in a report.
The project started with an inception phase, during which the
main stakeholders in the country refined the project's objectives
and agreed on the methods. These stakeholders included
the NTP manager, coordinators of the NTP departments (MDRTB,
surveillance, drug management) and TB coordinators from
Bucharest. All activities and steps of the project are reflected
in Fig. 1. The next step of the project consisted of the development
of a TB facility IC plan template divided into several
sections. The project team experts together with the NTP
designed the template in a participatory way and in line with
the guidelines of the World Health Organisation (WHO)8 and
Centers for Disease Control and Prevention (CDC).9