Public-Private Mix (PPM) for TB Care and Control
The Public Private Mix (PPM) Initiative was set up by the World Health Organization (WHO) in 1995 to develop effective mechanisms and approaches to involve and link relevant public and private health care providers in the delivery of TB care and control services. WHO conducted a global assessment in 1999-2000 which highlighted the major role of private providers in TB care and underscored the need for NTPs to work with the private sector to initiate and sustain productive collaboration. Since then, the Stop TB Department in WHO has successfully embarked on several PPM initiatives based on the evidence from several pilot projects, which indicated that PPM for TB Care and Control increases case detection and treatment outcomes, saves costs of care for the poor and improves access to quality TB care.
To build on the work undertaken in PPM and to address the issue urgently and effectively, the DOTS Expansion Working Group (DEWG) established a global Subgroup on Public–Private Mix for TB Care and Control (the PPM Subgroup). The first meeting of the Subgroup, held in Geneva in November 2002, urged regions and countries to embark on and expand PPM for TB Care and Control.
Presently, engaging all care providers in TB control through PPM approaches with the help of the new International Standards for TB Care, is a core component of the new Stop TB Strategy (2006-2015).Several countries have already begun involving different types of health care providers in TB control and countries in Asia with a large private sector are making reasonable progress. Currently, 11 High Burden Countries (HBCs): Bangladesh, China, DR Congo, India, Indonesia, Kenya, Mozambique, Myanmar, Philippines, UR Tanzania and Viet Nam, have started scaling up public–private mix for TB care and control. Cambodia, Nigeria, Pakistan, Thailand and Zimbabwe have developed PPM guidelines and are in the process of preparing to scale up PPM implementation, while the remaining are either initiating or preparing for PPM pilot projects.
New strides are being made in the involvement of informal providers such as traditional healers, pharmacies, grocers, village doctors, etc. in PPM. Additionally, joint interventions are being undertaken with the focus on PPM for MDR-TB and TB/HIV.
For more information please contact:
World Health Organization
Stop TB Department
Tuberculosis Strategy and Health Systems (TBS)
20 Avenue Appia, 1211 Geneva, Switzerland
Tel: + 41 22 791 3794
Fax: +41 22 791 4199