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World Health Organization : Year 2006 ; World Health Organization, Hiv, Aids, Tuberculosis, And Malaria, Tuberculosis, No. 2006.360 - in English: Engaging All Health Care Providers in TB Control

By Mario Raviglione, Dr.

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Book Id: WPLBN0000234665
Format Type: PDF eBook
File Size: 3.8 MB
Reproduction Date: 2005

Title: World Health Organization : Year 2006 ; World Health Organization, Hiv, Aids, Tuberculosis, And Malaria, Tuberculosis, No. 2006.360 - in English: Engaging All Health Care Providers in TB Control  
Author: Mario Raviglione, Dr.
Volume:
Language: English
Subject: Health., Public health, Wellness programs
Collections: Medical Library Collection, World Health Collection
Historic
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Publisher: World Health Organization

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Dr, M. R. (n.d.). World Health Organization : Year 2006 ; World Health Organization, Hiv, Aids, Tuberculosis, And Malaria, Tuberculosis, No. 2006.360 - in English. Retrieved from http://www.ebooklibrary.org/


Description
Medical Reference Publication

Excerpt
PREFACE “.....We hope that on the basis of this, locally appropriate ways of involving private practitioners in DOTS implementation will be tried out and documented. This will help create an evidence-base for achieving an effective Public-Private Mix (PPM) for TB control. Such an evidence-base will also help delineate more concrete guidelines that may be published subsequently....” This was foreseen five years ago in the concluding paragraph of the Preface of the WHO document: “Involving private practitioners in tuberculosis control: Issues, interventions and emerging policy framework”. As envisaged then, several locally appropriate ways of involving private practitioners in TB control have indeed been tried out, documented and published. Importantly, however, the concept of PPM has evolved further in response to the ground realities. In different country settings, different types of private as well as public providers operate outside national TB programmes (NTPs). They include informal village doctors, private general practitioners, large public hospitals, specialist physicians, nongovernmental organizations, medical colleges, corporate health services etc. Since WHO?s embarking on the global PPM project, several initiatives in different countries have successfully engaged diverse health care providers in DOTS implementation. Evidence from such initiatives shows that the diversity of settings and provider types regardless, there are distinct commonalities in setting up productive collaborations with the wide array of public and private care providers and that they all fit well under the common umbrella of PPM. Evidence also indicates that PPM DOTS not only improves access to quality TB care but also saves costs of care for the poor. Therefore, engaging all health care providers in TB control is an essential component of the new Stop TB strategy and the Global Plan to Stop TB 2006-2015.

Table of Contents
CONTENTS Acknowledgements .............................................................................................................................4 Preface ...............................................................................................................................................5 Abbreviations ......................................................................................................................................7 1. Rationale and purpose ............................................................................................................9 2. Evolution and evidence ........................................................................................................11 3. Implementing Public-Private Mix ................................................................................ 15 3.1 National situation assessment ............................................................ 15 3.2 Creating national resources ............................................................... 16 3.3 Developing operational guidelines .................................................... 17 3.3.1 Formulating objectives ............................................................ 18 3.3.2 Defining task mix .................................................................... 18 3.3.3 Developing practical tools ....................................................... 20 3.3.4 Training .................................................................................... 21 3.3.5 Certification ............................................................................. 22 3.3.6 Incentives and enablers ............................................................ 22 3.3.7 Surveillance and monitoring .................................................... 22 3.4 Local implementation ........................................................................ 24 3.4.1 Preparation ............................................................................... 24 3.4.2 Mapping ................................................................................... 24 3.4.3 Selection of providers .............................................................. 24 3.4.4 Implementation proper ............................................................ 25 3.4.5 Advocacy and communication ................................................. 26 3.5 Scaling up .......................................................................................... 26 Annexes 1. The generic PPM model ............................................................................. 29 2. Summaries of country experiences in scaling up PPM ............................. 31 3. Generic format for budgeting PPM projects .............................................. 43 4. Suggested format for annual report of provider involvement and contribution by different providers to case detection and treatment .......... 45 5. References and resource material ............................................................... 49

 

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