Intermediary Agency to Bridge Govt& Private Sector
Over half the estimated 4.6 million annual TB infections in India are treated by a scattered range of private providers. Ignoring them is at a national peril. WHP’s intervention in Patna is part of an initiative of the Ministry of Health and Family Welfare’s Central Tuberculosis Division to find innovative ways of engaging with the private sector.
WHP’s projectinitially covered the city of Patna (2 million population). It later expanded to the entire district (4 million population). The project networks doctors, laboratories, pharmacies, and informal providers into a cohesive system with a strong electronic backbone connecting them to enable better coordination of activities. The clients receive tests and medicines free. WHP, with support from the Bill and Melinda Gates Foundation, reimburses the private providers at market rates. (The efficiency of WHP’s rate of settlement has resulted in the organisation being entrusted with the settlement needs of two other projects of the Ministry in Gujarat and Maharashtra.)
Upon completion of the project, the system will transition to the government where the government procured drugs will replace private drugs at pharmacies and various incentives will sustain interest of the providers.
the Bill and Melinda Gates Foundation with a first phase support of $3 million and second phase, started in Nov 2016 , of $ 3 million.
LESSONS AND RESULTS:
The model has produced spectacular results with a 400% increase in notifications. The Patna project currently accounts for about 9% of all private sector TB notifications in the entire country.