Private sector involvement envisaged in the National Strategic Plan for Tuberculosis Elimination 2017-2025: Can Tuberculosis Health Action Learning Initiative model act as a road map?
Journal Title: Medical Journal Armed Forces - Year 2019, Vol 75, Issue 1
Abstract
Tuberculosis (TB), one of the oldest diseases known to mankind has become a notifiable disease. Public private mixes guidelines for TB programme managers had already been published by Central TB Division in the Ministry of Health and Family Welfare. One of the tremendous challenges that impede private sector involvement in TB care is delayed diagnosis, treatment of variable quality, surveillance, adherence monitoring, contact investigation, and outcome recording. The present article has addressed the involvement of the private sector with special emphasis on Tuberculosis Health Action Learning Initiative (THALI) model. The key elements of THALI being: (1) Identifying and scaling up of innovative approaches to improve the quality of private sector diagnosis, referral, and treatment of TB, (2) Strengthening the utilization of TB resources of the respective municipalities, (3) Testing of upcoming technological innovations, and (4) Improving data for evidence-based decision making. Nevertheless, sustainable parallel implementation framework adopting the strategies of THALI Model, along with prior Geographic Information System mapping of private health facilities e.g. hospitals/nursing homes, private providers, diagnostic centres, pharmacies etc. should be in place so as to correctly implement the slogan e “Unite to end TB: Leave no one behind”.
Authors and Affiliations
Bobby Paul
Keywords
Related Articles
- EP ID EP664860
- DOI 10.1016/j.mjafi.2018.12.009
- Views 78
- Downloads 0
Quantitative assessment of prevalence of pre-analytical variables and their effect on coagulation assay. Can intervention improve patient safety?
Background: Very few Indian studies exist on evaluation of pre-analytical variables affecting ‘‘Prothrombin Time’’ the commonest coagulation assay performed. The study was performed in an Indian tertiary care setting wit...
Serum PSA levels in Indian population. Is it really different?
Authors concluded that the age wise PSA (mean) in present study was higher as compared to other Indian studies2 being a hospital based study but authors have not specified whether these 2124 patients had LUTS or not.
Performance of Indian Diabetes Risk Score (IDRS) as screening tool for diabetes in an urban slum
Background: India is diabetic capital of world, with maximum number of diabetic patients. There is large burden of undetected diabetic cases in community. There is increasing risk of diabetes in urban slum, because of il...
Hallermann Streiff syndrome: 'Bird faced' but not 'bird brained'
Hallermann Streiff syndrome or Francois dyscephaly syndrome is a rare condition with approximately 200 reported cases in the world. It is of unknown aetiology but it has been suggested that developmental disturbance of b...
A clinical correlation of conjunctival microangiopathy with grades of retinopathy in type 2 diabetes mellitus
Background: Conjunctival microangiopathy has been described among diabetics similar to retinal vessel angiopathy. Correlation of these conjunctival microangiopathy changes with retinopathy may form the basis of screening...