410 Promoting public–private mix for TB-DOTS: a multicountry study from the WHO Eastern Mediterranean Region

Abstract

This study was carried out to document the implementation status of public-private mix (PPM) in 6 member countries of the World Health Organization Eastern Mediterranean Region, with a particular focus on advocacy, communication and social mobilization (ACSM) specific to PPM. Interviews and focus group discussions were held with staff of national tuberculosis control programmes and partners. Four PPM models were being practised. For all models, ACSM specific to PPM was at the elementary stage. Participants perceived that promoting private partners was difficult, specific policy guidelines were deficient and human resources and capacity for both initiatives were lacking across the region. Building ACSM capacity is required along with the development of guidelines and the implementation of country-specific communication plans to carry out local-level advocacy, strategic communication and effective social mobilization to maximize the benefits of PPM. RÉSUMÉ La présente étude a été menée pour documenter le statut de mise en oeuvre du partenariat public-privé dans six pays membres de la Région OMS de la Méditerranée orientale, avec une attention particulière pour la sensibilisation, la communication et la mobilisation sociale (SCMS) propres au partenariat. Des entretiens et des groupes de discussion thématiques ont été organisés avec le personnel des programmes nationaux de lutte contre la tuberculose et les partenaires. Quatre modèles de partenariat public-privé ont été mis en pratique. Pour tous les modèles, les activités de SCMS spécifiques au partenariat étaient à un stade élémentaire. Les participants percevaient la promotion des partenariats privés comme difficile, les directives politiques spécifiques comme déficientes et les ressources humaines et les capacités pour les deux initiatives comme insuffisantes dans l'ensemble de la Région. Le renforcement des capacités en matière de SCMS est requis ainsi que l'élaboration de directives et la mise en oeuvre de plans de communication spécifiques aux pays pour mener à bien la sensibilisation, la communication stratégique et une mobilisation sociale efficace au niveau local et optimiser les bénéfices du partenariat public-privé.‫املتوسط‬ ‫لرشق‬ ‫الصحية‬ ‫املجلة‬ ‫عرش‬ ‫الثامن‬ ‫املجلد‬ ‫اخلامس‬ ‫العدد‬ 411

Public–private mix for tuberculosis care and control: a systematic review

“…3,4 Among 93 recipient countries of Global Fund-supported TB grants, 58 had implemented PPM activities up until 2009, and among these, at least 15 had launched national PPM-DOTS programs. 100,101 Even in some highincome countries like the USA and South Korea, PPM has been initiated to provide quality services to vulnerable populations such as homeless people, multidrug-resistant (MDR)-TB patients, and persons in other high-risk groups. 84,95,96 In addition, the properties of PPMs vary by area, due in part to the characteristics of local medical care systems.…”

Institutionalizing documentation for WHO Nigeria country office visibility and improved donor relations, 2013–2016

“…Previous studies by Haq Z et al to document the implementation status of public-private mix (PPM) in 6 member countries of the WHO Eastern Mediterranean Region concluded that the implementation of country-specific communication plans to carry out local-level advocacy, strategic communication and effective social mobilization maximize the benefits of PPM [5]. Another example is the United Nation’s (UN) Central Emergency Response Fund (CERF) secretariat resource mobilization, communications and advocacy efforts [6].…”