International Resources


Where We Work
International Standards for Tuberculosis Care
The Patients' Charter for Tuberculosis Care
ISTC Handbook and ISTC Training Materials
Guidelines, Statements & Standards on Tuberculosis (version 8)


Where We Work

The Curry International Tuberculosis Center (CITC) provides curriculum development and training, educational products, medical consultation, research, and health systems strengthening technical assistance within the USA and internationally.

Under the leadership of Dr. Philip Hopewell, and in partnership with the American Thoracic Society (ATS), UCSF/CITC provides ongoing technical assistance to five pilot countries (Kenya, Tanzania, India, Indonesia, and Mexico) to promote the development of national tuberculosis programmes through implementation of the International Standards for Tuberculosis Care (ISTC; see more below). A particular emphasis of the ISTC is the development of private-public and public-public mix (PPM).

UCSF/CITC is providing support to Tanzania to develop an MDR TB treatment and training facility through funding from the Global Fund for AIDS, TB and Malaria (GFATM) and the US Agency for International Development (USAID).

UCSF/CITC, with support from ATS, has participated in World Health Organization (WHO) reviews of national tuberculosis programmes in Indonesia, Nepal, and Thailand. A focus of this technical assistance has been health systems strengthening, planning, financing, and budgeting.

CITC provides TB technical assistance to the International Training and Education Center for Health (I-TECH), which is a partnership between the University of Washington (UW) and UCSF's Pacific AIDS Education and Training Center. We are currently helping local institutions in the English-speaking countries of the Caribbean develop regional TB programmatic guidelines, TB and TB/HIV curriculum and training, and onsite technical assistance. The 2010 versions of the guidelines, training modules, facilitator's guide, and job aides are posted on the website of our regional partner the Caribbean HIV/AIDS Regional Training Network Regional Coordinating Unit (CHART RCU). CITC has also supported I-TECH's TB/HIV training and guidenlines development in Ethiopia, Zimbabwe, Namibia and Botswana.

UCSF/CITC also provides systematic reviews of TB research for WHO and The Bill & Melinda Gates Foundation.

CITC continues to provide ongoing technical assistance, training, and medical consultation for the US Pacific Islands Trust Territories, Mexico, and Taiwan.

View the USAPI Standards for the Management of Tuberculosis and Diabetes, ratified by the Pacific Island TB Controllers Association (PITCA) in December, 2010. A poster with these Standards was completed in May 2011.

World TB Day 2011

Click the image to open the poster

CITC has collaborated with the Southeastern National TB Center (SNTC) on a TB Infection Control project in Mexico. Visit the project website.


International Standards for Tuberculosis Care

Developed by the Tuberculosis Coalition for Technical Assistance (TBCTA) with funding from the United States Agency for International Development (USAID), the Standards describe a widely accepted level of care that all practitioners, public and private, should seek to achieve in managing patients who have, or are suspected of having, tuberculosis. The Standards are intended to facilitate the effective engagement of all care providers in delivering high-quality care for patients of all ages. Edition 1 of the Standards was released in 2006 and stated that it should be viewed as a living document.  The original 17 standards grew into 21 standards in the revised ISTC Edition 2 released in 2009. A further revision has been made in the ISTC Edition 3, released in 2014.

ISTC Website

View the Edition 3 English version



The Patients' Charter for Tuberculosis Care

Developed by the World Care Council in tandem with the International Standards for Tuberculosis Care, The Charter outlines the rights and responsibilities of people with tuberculosis. It empowers people with the disease and their communities through this knowledge. Initiated and developed by patients from around the world, The Charter makes the relationship with healthcare providers a mutually beneficial one.

Download English version (PDF, 1.0 MB)

Download Spanish version (PDF, 1.0 MB)


ISTC Handbook and ISTC Training Materials

Under the leadership of CITC's Principal Investigator, Dr. Philip Hopewell, UCSF/CITC and the American Thoracic Society have been working with five countries (Kenya, Tanzania, India, Indonesia, and Mexico) to develop the next implementation phases of the International Standards for Tuberculosis Care (ISTC).

The emphasis of the ISTC and The Charter is on care, more specifically patient-centered care, and serves as a complementary yet new approach to TB prevention, diagnosis, treatment, education, and management. The next phase involved the creation of an ISTC Handbook (The Handbook).

Download ISTC Handbook (PDF, 1.0 MB)

The ISTC Training Materials provide educational tools to assist national TB programs and other public and private TB providers to effectively adapt the Standards to country-specific needs. These materials were also revised in 2009 and Edition 2 of the TB Training Modules, Facilitator’s Guide, and other materials are now available. 

Edition 2 ISTC TB Training Materials

Chinese translation of Edition 1 ISTC TB Training Materials


Guidelines, Statements & Standards on Tuberculosis
(version 8)

Compiled by Madhukar Pai and Philip Hopewell, SFGH, University of California, San Francisco, February 2005.

Download guidelines (PDF, 79 KB)


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