Private Sector Engagement for Tuberculosis Elimination: India’s Journey from Pilots to National Scale-Up (2012–2021)

Publication:
Private Sector Engagement for Tuberculosis Elimination: India’s Journey from Pilots to National Scale-Up (2012–2021)

dc.contributor.author	World Bank
dc.date.accessioned	2023-03-30T18:09:44Z
dc.date.available	2023-03-30T18:09:44Z
dc.date.issued	2023-03-30
dc.description.abstract	Tuberculosis (TB) is a leading cause of illness and death worldwide. India accounts for 26 percent of the world’s TB burden; hence, the significance of India’s role in achieving the global elimination of TB cannot be overstated. India has a mixed health care system comprising a vertical program-oriented public health care system and a fragmented private health care system, which drives out-of-pocket expenditures by households. Approximately 80 percent of TB patients start their diagnostic and treatment journey in the private sector, and nearly 50 percent continue their treatment there. Thus, private sector engagement (PSE) is an essential intervention for the Indian context. PSE is an important pathway for the government of India to achieve national TB targets. Since the mid-1990s, the National Tuberculosis Elimination Program (NTEP) has been implementing various PSE activities, in some cases with support from development partners. Most early PSE projects and interventions yielded poor-to-mixed results and did not impact the quality of private sector care. From 2012, NTEP began to scale up innovative approaches with support from development partners. Encouraging results from the pilots were instrumental in convincing policy makers and program managers to transition and integrate financing for newer PSE models into India’s domestic budgets. The program has successfully transitioned and institutionalized various PSE models. This working paper examines and documents early experiences and lessons from India’s TB PSE journey. While it is still too early to evaluate the impact of the transition, the story of how India transitioned from pilots to national scale-up holds lessons for other health programs and countries with similar TB burdens.	en
dc.identifier	http://documents.worldbank.org/curated/en/099447203162313246/IDU0c355d530019b80453d0b9070996ca75cbd4d
dc.identifier.doi	10.1596/39623
dc.identifier.uri	https://openknowledge.worldbank.org/handle/10986/39623
dc.language	English
dc.language.iso	en_US
dc.publisher	Washington DC
dc.rights	CC BY-NC 3.0 IGO
dc.rights.holder	World Bank
dc.rights.uri	https://creativecommons.org/licenses/by-nc/3.0/igo/
dc.subject	TUBERCULOSIS
dc.subject	TB
dc.subject	PRIVATE SECTOR ENGAGEMENT
dc.subject	NATIONAL SCALE
dc.title	Private Sector Engagement for Tuberculosis Elimination	en
dc.title.subtitle	India’s Journey from Pilots to National Scale-Up (2012–2021)	en
dc.type	Working Paper
dspace.entity.type	Publication
okr.crossref.title	Private Sector Engagement for Tuberculosis Elimination: India’s Journey from Pilots to National Scale-Up (2012–2021)
okr.date.disclosure	2023-03-30
okr.date.lastmodified	2023-03-16T00:00:00Z	en
okr.doctype	Working Paper
okr.doctype	Publications & Research
okr.docurl	http://documents.worldbank.org/curated/en/099447203162313246/IDU0c355d530019b80453d0b9070996ca75cbd4d
okr.guid	099447203162313246
okr.identifier.externaldocumentum	34022894
okr.identifier.internaldocumentum	34022894
okr.identifier.report	180892
okr.import.id	283
okr.imported	true	en
okr.language.supported	en
okr.pdfurl	http://documents.worldbank.org/curated/en/099447203162313246/pdf/IDU0c355d530019b80453d0b9070996ca75cbd4d.pdf	en
okr.region.administrative	South Asia
okr.region.country	India
okr.topic	Health, Nutrition and Population::Disease Control & Prevention
okr.topic	Health, Nutrition and Population::Health Indicators
okr.unit	HD - E.Asia Director (HEADR)