Journal of Medical Society

LETTER TO EDITOR
Year
: 2015  |  Volume : 29  |  Issue : 1  |  Page : 57--58

Public private partnership schemes in the field of tuberculosis


Saurabh R Shrivastava, Prateek S Shrivastava, Jegadeesh Ramasamy 
 Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. Saurabh R Shrivastava
Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, 3rd Floor, Ammapettai Village, Thiruporur - Guduvancherry Main Road, Sembakkam Post, Kancheepuram - 603 108, Tamil Nadu
India




How to cite this article:
Shrivastava SR, Shrivastava PS, Ramasamy J. Public private partnership schemes in the field of tuberculosis.J Med Soc 2015;29:57-58


How to cite this URL:
Shrivastava SR, Shrivastava PS, Ramasamy J. Public private partnership schemes in the field of tuberculosis. J Med Soc [serial online] 2015 [cited 2019 Dec 7 ];29:57-58
Available from: http://www.jmedsoc.org/text.asp?2015/29/1/57/158939


Full Text

Sir/Madam,

Globally, in the year 2013, almost 11.6 million new cases of tuberculosis (TB) has been diagnosed & reported, of which India alone has a share of more than 25% of the cases. [1] Similar trends have been observed in the country with regard to drug resistant types of TB. [1] However, parameters like inadequate number of health care establishments, inequitable geographical distribution, insufficient number of trained health care providers, rise in number of slums especially in urban cities, and limited utilization of the government health establishments by the community, have seriously hampered the routine TB related prevention and control activities. [2],[3]

In order to expand the coverage of services, the Revised National TB Control Programme (RNTCP) has advocated for building strong linkages with all health care providers (viz. medical colleges, private providers, non-governmental organizations (NGOs)) to bring about a significant reduction in incidence of disease and its related outcomes. [4] Thus, RNTCP has proposed 10 different schemes for encouraging their involvement so that the even in remotest part of the country, no member of the community is left undiagnosed / untreated. [4]

The proposed schemes are ACSM scheme (viz. the purpose is to increase awareness about the different dimensions of the disease among the masses); Sputum collection center scheme (viz. the idea is to neutralize the issue of geographical inaccessibility to the designated microscopy centers (DMCs)); Sputum pick-up and transport service scheme (viz. to ensure transportation of the collected sputum specimen to DMC for examination); Designated microscopy-cum-treatment centre scheme (viz. to build ties with a private laboratory to assist the public health sector in establishing a diagnosis of TB in areas where there is no DMC affiliated to the public health sector); Laboratory technician (LT) scheme (viz. employed in situations when there is no availability of LT in a specific area despite presence of DMC); Culture and drug sensitivity testing (C&DST) scheme (viz. the idea is to expand the activity of C&DST so that burden of the existing reference laboratories can be reduced and quick results can be obtained); Treatment adherence scheme (viz. It is an attempt to involve each member of the society irrespective of their literacy/occupation status so that patient need not come to the directly observed treatment (DOT) centre regularly); Slum scheme (viz. implemented in those urban slums where the residents have limited accessibility to the public health delivery system); Tuberculosis unit scheme (viz. employed only in those regions where the public health infrastructure is extremely weak, owing to which effective implementation of RNTCP strategies cannot be guaranteed); and TB-HIV scheme (viz. realizing the special needs of the vulnerable group, this scheme has been proposed to formulate and implement targeted interventions to high-risk groups like commercial sex workers, etc.). [4],[5]

Under each of the discussed scheme, the involved private sector will be financially and logistically assisted so as to not hamper the quality of the work. Thus, the role of the program manager is most crucial in facilitating the involvement of private sector, starting from the identification of the issues that need to be addressed in their jurisdictional area; joint planning with the private provider to execute the plan of action; timely release of financial assistance; and for ensuring regular monitoring and evaluation. [4],[5] In addition, the program is committed to sensitize the private providers regarding the basic concepts and recent advances in TB. [4],[6]

In conclusion, the quality and reach of the services provided under RNTCP program can be significantly improved provided involvement of private sector can be ensured.

References

1World Health Organization. Global Tuberculosis Control Report 2014. Geneva: WHO Press; 2014. p.1-11.
2Ministry of Health and Family Welfare. National family health survey (NFHS-3); 2005-06. Available from: http://www.measuredhs.com/pubs/pdf/SR128/SR128.pdf. [Last accessed on 2013 Sep 16].
3Shrivastava SR, Shrivastava PS, Ramasamy J. Implementation of public health practices in tribal populations of India: Challenges and remedies. Healthc Low-resource Settings 2013;1:e3.
4TBC India. Managing the RNTCP in your area - A training course (Modules 5-9). Available from: http://www.tbcindia.nic.in/documents.html. [Last accessed on 2013 Sep 22].
5TBC India. Guidelines for PMDT in India, 2012. Available from: http://www.tbcindia.nic.in/documents.html. [Last accessed on 2013 Sep 16].
6TBC India. Ministry of Health and Family Welfare. Guidance for TB notification in India; 2012. Available from: http://www.tbcindia.nic.in/pdfs/Guidance%20tool%20for%20TB%20notification%20in%20India%20-%20FINAL.pdf. [Last accessed on 2013 Sep 25].