scholarly journals O10‐2: Collaboration of professional organization as public‐private mix practice in tuberculosis control in Padang City, West Sumatera

Respirology ◽  
2021 ◽  
Vol 26 (S3) ◽  
pp. 28-28
Tuberculosis ◽  
2009 ◽  
pp. 846-846
Author(s):  
Mukund Uplekar ◽  
Knut Lonnroth

Author(s):  
Ram Gopal Nautiyal ◽  
Rajesh Kumar Singh

Background: As significant proportions of the tuberculosis (TB) patients in India are managed by the private sector, integration of the private sector with the revised national tuberculosis control programme (RNTCP) is crucial to achieve TB control in the country. The RNTCP of India has been therefore involving allopathic private practitioners (PPs) since its beginning through its RNTCP- Indian Medical Association public-private mix (RNTCP-IMA PPM) project for inclusive involvement of PPs in the programme to fight against TB. The objectives of the study were to evaluate whether or not the RNTCP-IMA PPM project in India could mobilize the support of the allopathic private practitioners (PPs) by analyzing their knowledge and perception about RNTCP, and their readiness to support the programme.Methods: A questionnaire based cross- sectional study was conducted in urban areas of districts of Kumaon division of Uttarakhand State of North India. Results: Of 71 PPs, almost 83% knew that in RNTCP sputum acid fast bacillus (AFB) examination was the most important diagnostic test for pulmonary tuberculosis, 66.2% knew that intermittent regimens under direct observation are practiced in RNTCP, 32.4% believed drug regimens in RNTCP of questionable efficacy, 29.6% felt ignored by the programme and only 2.8% felt RNTCP a successful strategy. 50.7% PPs showed readiness to support the programme with government support. Conclusions: The RNTCP-IMA PPM project seems to have performed sub-optimally as majority (97.2%) PPs did not perceive RNTCP as a successful strategy. For successful RNTCP-IMA PPM, India needs to upscale the existing PPM with strong political will and administrative commitment. 


2021 ◽  
Vol 21 (2) ◽  
pp. 86-94
Author(s):  
Elda Nazriati ◽  
Zulharman Zulharman ◽  
Fifia Chandra ◽  
Ucha Anggiani Putri

Public-Private Mix (PPM) is a strategy implemented in countries with a high burden of tuberculosis, including Indonesia. This study aims to identify PPM implementation at the Puskesmas and the success of the TB control program at the Puskesmas that have implemented the PPM strategy. The research was conducted in 2019 in Pekanbaru Municipality. It was an observational study that collected quantitative and qualitative data. The implementation of PPM was assessed through guided interviews. The success of the Tuberculosis control program was assessed through the Case Notification Rate and Success Rate using secondary data from 2010 to 2017. The results showed that PPM had been implemented in six health centers in Pekanbaru. However, there were obstacles such as a lack of human resources, NGOs, private clinics, and local governments. The Case Notification Rate and Success Rate showed an increasing trend after the PPM implementation. However, these indicators had not yet reached the national target. It can be concluded that PPM in Pekanbaru had been implemented but needed to be improved at all Puskesmas by involving more partnerships and following up on obstacles encountered. Furthermore, the Tuberculosis Control Indicator had shown an increasing trend, but it needed to reach the national target.


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