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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 tb2
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
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
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
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
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 strategies7
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
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
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!!