Successfully Engaging Private Providers to Improve Diagnosis, Notification, and Treatment of TB and Drug-Resistant TB: The EQUIP Public-Private Model in Chennai, India

Ananthakrishnan, Ramya; Richardson, M. D.; Hof, Susan van den; Rangaswamy, Radha; Thiagesan, Rajeswaran; Auguesteen, Sheela; Kamp, Netty

doi:10.9745/ghsp-d-18-00318

Cited by 22 publications

(23 citation statements)

References 13 publications

(6 reference statements)

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“…This is consistent with examples from PPP in the Asia Pacific focussed on adult health where private providers had access to free essential medicines and diagnostics, access to training and supervision, and branding to align the provider with the national program and generate demand. [25][26][27][28][29][30][31][32][33][34][35][36][37][38] This is also consistent with approaches more globally. [39] By contrast, incentives for the public sector were often less well articulated and/ or more altruistic (improved services for adolescents), but identifying these benefits were nonetheless important to ensuring enhanced partnership.…”

Section: Discussionsupporting

confidence: 82%

Key recommendations to strengthen public-private partnership for adolescent health in resource constrained settings: Formative qualitative inquiry in Mongolia, Myanmar and the Philippines

Azzopardi

Hennegan

Prabhu³

et al. 2021

The Lancet Regional Health - Western Pacific

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Background Public health services can be inaccessible for adolescents. The private sector provides many services, but often in parallel to the public sector. This study aimed to understand current private sector engagement in adolescent health service delivery and develop recommendations to strengthen partnerships. Methods The study focussed on Mongolia, Myanmar and the Philippines. An initial participatory workshop in each country was followed by semi-structured key-informant interviews (32 in total) with public and private sector actors and adolescents to explore: perceptions of the public and private sectors, strengths and challenges, existing models of partnership, and insights for successful public-private partnership (PPP). Interview transcripts were analysed thematically, with findings and recommendations verified through a second workshop in Mongolia and the Philippines. Findings The private sector already plays a significant role in adolescent health care, and stakeholders reported a genuine willingness for partnership. Strengthened PPP was identified as necessary to improve service accessibility and quality for adolescents, unburden the public sector and introduce new technologies, with advantages for the private sector including improved access to training and resources, and an enhanced public image. Recommendations for strengthened PPP included the need to establish the foundations for partnership, clearly define roles and co-ordinate stakeholders, ensure capacity and sustainability, and monitor and evaluate efforts. Interpretation This is the first comprehensive study of public-private partnership for adolescent health in the Asia Pacific region. It identifies stakeholders are willing for stronger partnerships and the benefits this partnership will bring. We define eight key recommendations to enable this partnership across sectors.

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Section: Discussionsupporting

confidence: 82%

Key recommendations to strengthen public-private partnership for adolescent health in resource constrained settings: Formative qualitative inquiry in Mongolia, Myanmar and the Philippines

Azzopardi

Hennegan

Prabhu³

et al. 2021

The Lancet Regional Health - Western Pacific

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“…Thomas et al [16] suggest that to facilitate effective TB notifications among solo PPs, user-friendly intervention strategies with different options can be used, especially smartphone media, such as direct telephone calls, SMS, or applications. Another study in India demonstrated that online case reporting platform improved accessibility to reporting for private providers, however remains time-consuming and require the support of an intermediary NGO to deal with the amount of required data [17].…”

Section: Discussionmentioning

confidence: 99%

Acceptability of mandatory tuberculosis notification among private practitioners in Yogyakarta, Indonesia

2019

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Objective Indonesia ranks second globally in the number of cases not reported to the National Tuberculosis Control Program, accounting for 11% of the total cases lost worldwide. In 2016, the Ministry of Health has issued Regulation Number 67 on tuberculosis control, which requires mandatory tuberculosis notification. We aimed to assess the prospective acceptability of mandatory tuberculosis notification among solo private practitioners and private primary care clinics in Yogyakarta. Results Our study highlighted critical issues which need to be addressed in ensuring acceptability of mandatory tuberculosis case notification. We found that that private practitioners do not notify tuberculosis cases due to a lack of policy knowledge. Mandatory tuberculosis notification and its potential penalties were also felt as burdensome by private practitioners. There were ethical concerns among the private practitioners in our study about patient’s privacy and patients potentially lost to other healthcare facility. Private practitioners emphasized the need for intervention coherence and cooperation. We also observed pattern variations of these constructs across characteristics of private practitioners.

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“…For example, in India alone, optimising PSE can potentially avert 8 million deaths from TB between 2019 and 2045 8. The innovative models such as Enhanced Use of Quality Drugs and Utilization of Innovative Diagnostics for TB Management in the Private Sector contribute to increased case notifications from the private sector in India 21. However, such models need to be sustained for reaching end TB strategy targets.…”

Section: Resource Gaps Of Tb Control and Treatment Interventions In Tmentioning

confidence: 99%

Ending TB in Southeast Asia: current resources are not enough

et al. 2020

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The Southeast Asia Region continues to battle tuberculosis (TB) as one of its most severe health and development challenges. Unless there is a substantial increase in investments for TB prevention, diagnosis, care and treatment, there will be catastrophic effects for the region. The uncontrolled TB burden impacts socioeconomic development and increase of drug resistance in the region. Based on epidemiological inputs from a mathematical model, a costing analysis estimates that the desired targets of ending TB are achievable with additional interventions, and critical thresholds require an increase in spending by almost double the current levels. The data source for financial allocation to TB programmes is the report submitted by countries to WHO, while projections are based on modelling. The model accounts for funding needs for all strategies based on published data and accounts for programme and patient costs. This paper delineates the resource needs, availability and gaps of ending TB in the region. It is estimated that close to US$2 billion per year are needed in the region for TB-related activities for a meaningful bending of the incidence curve towards ending TB.

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Successfully Engaging Private Providers to Improve Diagnosis, Notification, and Treatment of TB and Drug-Resistant TB: The EQUIP Public-Private Model in Chennai, India

Cited by 22 publications

References 13 publications

Key recommendations to strengthen public-private partnership for adolescent health in resource constrained settings: Formative qualitative inquiry in Mongolia, Myanmar and the Philippines

Key recommendations to strengthen public-private partnership for adolescent health in resource constrained settings: Formative qualitative inquiry in Mongolia, Myanmar and the Philippines

Acceptability of mandatory tuberculosis notification among private practitioners in Yogyakarta, Indonesia

Ending TB in Southeast Asia: current resources are not enough

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