An Operations Research Study for Implementation of Public Private Mix Partnership in Revised National Tuberculosis Control Programme (RNTCP) in the State of Rajasthan

Abstract

A study sponsored by Central TB Division, MOHFW, Government of India, with the overall objective of enhancing of PPM under RNTCP in the state of Rajasthan was conducted by National Institute of Health and Family Welfare (NIHFW). After completing the diagnostic part of the study, a new approach of horizontal integration of PP and NGO schemes was suggested to overcome implementation constraints at government functionaries level, private providers level and community level. During the study it emerged that under RNTCP, PPs and NGOs are being involved but demand for services and supply of services is not properly matched. It was found that 59.2 per cent of eligible PPs were willing to be involved in various schemes under RNTCP. 51 per cent PPs informed that detection rate and cure rate can be increased if more PPs are involved in the programme. The findings of the study reveal that to fill the gap of demand and supply, NGOs should be given the responsibility of handling the paper work of PPs. Besides, they may be given the task of address verification of TB patients, default retrieval and awareness campaign under RNTCP.