The international course on clinical and operational management of drug-resistant tuberculosis was developed by the Union due to the global challenge for the world of tuberculosis with multi-drug resistance (MDR-TB), and more recently, Extremely TB (XDR-TB) tuberculosis; Difficult-to-heal forms of TB that have attracted increasing attention and resources in recent years.  Previously known as the International TB course, this course has been in existence for several decades. The main goal of this course is to provide the knowledge and skills to senior programme staff and other health professionals to improve the management of persons with TB and strengthen programmatic practices.