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Revised National TB Control Programme (RNTCP)
Public-Private Mix (PPM) Workshop, 20-21 August
2004, New Delhi
The Central TB Division
(CTD), Ministry of Health and Family Welfare, Government of India, led by Ms
Rita Teaotia, Joint Secretary and Dr. L. S. Chauhan, Dy. Director General
(TB), in collaboration with the WHO Country Office, and with technical
support form a team from WHO Headquarters, conducted a workshop in Delhi on
20-21 August ’04 to review the surveillance data from the twelve pilot sites
of the PPM project of the RNTCP in India. The analysis showed that the
scaling up of PPM DOTS in the pilot sites had resulted in the detection of a
substantial proportion of additional cases of TB through different categories
of health care providers. The proportion of cases detected by health
providers outside the public health sector was 43.8%. The workshop discussed
future plans of action, including a plan for conducting an economic
evaluation of the PPM project. The workshop resulted in the conclusions
and recommendations stated below. The support by CIDA is graciously
acknowledged.
Conclusions
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a)
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The trends for all the
PPM sites put together show a steady and gradual increase in case
detection.
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b)
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In all the sites, the
Public Health Sector remains the largest contributor to case detection.
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c)
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Medical Colleges, though
fewer in number, have contributed a sizeable proportion of cases.
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d)
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The NGO sector is also an
important source for care in TB in select areas.
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e)
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The case yield from the
Private Sector is not proportional to the large number of providers
involved.
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f)
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It is too early to draw
conclusions on the comprehensive and broad impact of PPM on case detection.
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g)
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Additional site-wise
analysis of the data is to be undertaken at a later stage.
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Recommendations
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a)
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Since Medical Colleges
are an important source for TB case detection, a concerted effort should be
made to involve all the departments of all Medical Colleges in RNTCP, even
in non PPM sites.
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b)
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Coordination of the
‘other Government’ sectors and bringing them to the RNTCP fold is best led
by CTD.
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c)
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While selecting private
sector partners, priority should be given to larger providers taking into
consideration the quantity and quality of potential contribution to case
detection.
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