Public Private Mix

Experience for TB control

National TB Control ProgramMinistry of Health

Government of Pakistan

TB Situation in Pakistan

Facts and Figures

• Ranks 8th among HBCs, 300,000 new TB cases/ year

• 15000 new MDR cases/year

Mile stones in PPM

• Inititiation of PPM - 2004

• No. of GPs engaged through PPM – 1600

• No. of NGO outlets providing TB services - 110

• No. of NGOs involved in ACSM - 7

PPM Progress in Pakistan

• Clear strategic vision

• First Public Sector allocation for PPM in Health

• Secured resources for PPM

o PC-1 – 8 Million

o GF-Round 2 – 1.5 Million

o GF-Round 3 – 4 Million

o Round 9 – 20 Million

o TBCAP - 0.3 Million

• Systematic approach

– Situation Analysis and operational plans

� Partners identification and mapping

� Good Life model 5 mega cities (1000 GPs)

� NGOs model

�AKHSP 5 Districts

�PATA 84 Districts

�TB CAP (5 NGOs) 5 Cities (400 GPs)

� District model 13 Districts (200 GPs)

� ACSM 57 Districts

� MDR 3 Pilot sites

� Evaluation

PPM Progress in Pakistan (cont…)

Active case detection

through chest clinic

Active case detection

through chest clinic

Paid by NGO.Paid by NGO.

Private Sector Contribution

Private Sector contribution in TB Control

Implemented in

how many total

districts*

Total cases

registered in

2008

Treatment

success in 2008

Total cases

registered in

2009

Contribution (%)

in National Data

in 2008

Districts led

model13 1458 94% 2862 0.6

Franchise model 5 12065 88% 6254 4.9

NGO led model

(PATA, AKHSP,

MALC, USAID)

101 10096 90% 19582 4.1

Gulab Devi 1 9545 71% 14464 3.8

Total

Contribution in

National Data

120 33164 84% 43162 13.3

* Districts may be overlapped, as more than one model is implemented in a district

PPM Scale up Plan

• Evaluation of ongoing PPM models

• Sustain and expand coverage in private sector

through public sector and Global Fund rounds

• PPM for DR-TB, TB/HIV and ACSM

• Develop National M & E Plan to collect

disaggregated data from Private sector

Technical Assistance Required

• Technical Support for the Development of

M & E system for PPM

• Third Party evaluation of various PPM models

• Technical Support in new areas of PPM; for

example PPM for DR-TB and PPM for TB/ HIV

Branding of Promotional Boards

Branding of Promotional Boards

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