Tuberculosis (TB) is an infectious disease caused by a bacterium, Mycobacterium tuberculosis, which spreads through the air by a person suffering from TB. An untreated TB case can transmit disease to at least 10 to 15 people in a year. Modern anti-TB treatment can cure almost all patients but it is very important that treatment is strictly taken for the prescribed duration, usually a minimum of 6 months. As the TB treatment is of such a long duration and patients feel better after just 1-2 months, and because many TB patients face other problems such as poverty and unemployment, treatment is often interrupted.
Central Tuberculosis Division (CTD), Ministry of Health and Family Welfare, Govt. of India is implementing ‘National Tuberculosis Elimination Program’ (NTEP) to achieve the ‘Sustainable Development Goal’ (SDG) of ending Tuberculosis in India by 2025, which will be five years ahead of global targets. In order to take on these tasks and intensify private sector engagement, National Technical Support Unit (NTSU) and State Technical support Units (STSUs) are considered as an institutional framework under NTEP.
HLFPPT is working for establishment of STSU at State headquarter of in 3 states, namely Madhya Pradesh, Karnataka and Bihar, to function with active support, supervision, monitoring from NTSU.
The goal is to adopt multi-sectorial approach and human capacity to accelerate the overall TB response in these three States by prioritizing the private health sector. In addition to this, we also aim to enhance synergies with mainstream health services with a long-term view to ensure sustainability of achievements, including high quality TB services for the State of Madhya Pradesh, Karnataka and Bihar.
Major objectives of STSU:
The key team members of STSU include team leader, Deputy Team Leader, Public Health Expert, M&E Expert, Contract Management Expert, Knowledge Management Expert, ICT Expert, DBT Expert, Inter-sectoral collaboration Expert and Finance & Accounts Expert. Each has a clearly defined role and work together with the objective to expand capacity of State TB Cell to manage large scale private sector engagement, strategic purchasing, DBT and multi-sectoral collaboration.
To provide the TB related services under National Tuberculosis Elimination Programme (NTEP), Hindustan Latex Family Planning Promotion Trust (HLFPPT) is implementing the “Patient Provider Support Agency (PPSA)” Project in Uttar Pradesh, Maharashtra, Chhattisgarh, Odisha & Gujarat State. The PPSA works as an interface agency between the State Health Society, NTEP, NHM, and private health sector, and shall be providing patient centric services at all levels. PPSA acts on behalf of the NTEP to liaise with laboratories, physicians, chemists and all other clinical medical establishments, and ensures that all private-sector patients have access to the highest quality of services with their preferred provider and with minimum out-of-pocket expenditure.
We aim to provide support to Private Health Facilities for quality and free TB Care by increasing notification of TB patients who seek care in private sector and ensuring successful treatment outcomes. The PPSA acts on a multi-pronged approach to cover the entire spectrum of services including provider management, diagnostic linkages, drug linkages, HIV testing, DST linkages, facilitating notification, provider incentives and patient support services. The agency is responsible for end-to-end provider engagement and patient support services.
There are many innovate approaches adopted in this project, including Ni-kshay Mitra to expand the reach, mobile application based real-time monitoring and reporting, and many more.