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Private and Public Partnerships for TB. Discussion points. Private and Public Partnerships for TB . Several thousand partners globally Wide range of partners involved

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Private and Public Partnerships for TB

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Private and Public Partnerships for TB

Discussion points


Private and Public Partnerships for TB

  • Several thousand partners globally

  • Wide range of partners involved

  • Significant contribution to national TB control efforts (25% increments in case detection; increase in treatment success rates; shorter diagnostic delays, better treatment adherence)


What has worked? some examples

  • Intensified training of private and public providers to develop, implement and evaluate joint approaches

  • Establishing forums for coordination, collaboration, networking

  • Clear definition of roles and responsibilities; sharing of responsibilities, Memoranda of Understanding

  • Franchising, social marketing

  • Inclusion of private laboratories in diagnostic network

  • Establishing referral networks

  • Endorsement of the International Standards of TB Care by professional bodies

  • Pooling of resources- human, financial, infrastructure

  • Joint monitoring and evaluation

  • Support for community support groups

    “ A strong and willing public health programme is key”


How can the private sector scale up participation?

  • Create own networks to work with each other and with the NTP

  • Peer sensitization, advocacy, monitoring

  • Document and disseminate best practices for wider replication

  • Medical technology, pharmaceutical firms can contribute beyond R and D; application of “corporate social responsibility” in communities

  • Fostering innovative approaches


Common barriers

Within the NTP:

  • Limited ability (staff time, capacity, motivation)

  • Limited networking, systematic approaches to involving private providers

  • Sustaining quality while expanding PPMa challenge (limited capacity for constant interaction, supervision/lack of forums to jointly address issues

    Within participating sectors:

  • Lack of information; Ideological differences- diverse group of providers—each requires a different approach

  • Reluctance to refer for diagnosis and treatment: uptake and sustaining of PPs’ interest in collaboration

  • Poor patient retrieval: limited referral links with community centres

  • Supervision by NTP staff not always well received

  • “Lack of ownership”


Solutions: strategies

  • Systematic approach,learning from pilots, revision of strategies, “structured approach”, packaging

  • Approach through professional societies and one-to-one peer sensitization

  • Establishing national networks, forums for regular interaction, improving service delivery

  • Strong leadership, flexible support by national programmes

  • Prioritization:which partners to involve and when, to maximally and rapidly benefit from partnerships


Solutions: strategies

  • Establishing interfaces, common forums to resolve issues, build mutual trust

  • Well defined transparent mechanisms for peer reviews, dissemination of experiences

  • Promotion of the use of the international standards of TB care

  • Sustained efforts to train, orient different providers, —adapting to needs, perceptions; pre-service training

  • Non financial incentives: recognition of contribution by private providers


Which areas could the private sector engage in more?

  • Raising political commitment for TB control

  • Setting policy, standards for PPP practices, mapping roles and responsibilities

  • Extension of services into workplaces, hospitals

  • Extension of Quality assured laboratory services SM, Culture and DST

  • Training, capacity building, counseling

  • Specialized care for complicated cases (eg., MDR-TB cases, adverse reactions)

  • Research and development

  • Advocacy, social marketing, increasing community awareness

  • Funding??


Facilitating co-investments: what can NTPs do?

  • Widely inclusive approach

  • Building on strong support, leadership by NTPs and contributions by partners

  • Documentation, dissemination, recognition of best practice examples to facilitate scale –up, adoption by other sectors

  • Greater engagement with corporate sector– regular interaction, attractive effective messaging to CEOs, addressing business interests, supported by technical support, clear guidelines for implementation

  • Inclusion of TB control in business plans of corporate organizations; learn advocacy from HIV!!


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