Article ; Online: Operational priorities for engaging with India's private healthcare sector for the control of tuberculosis: a modelling study.
2024 Volume 14, Issue 3, Page(s) e069304
Abstract: Objectives: To estimate the potential impact of expanding services offered by the Joint Effort for Elimination of Tuberculosis (JEET), the largest private sector engagement initiative for tuberculosis (TB) in India.: Design: We developed a ... ...
Abstract | Objectives: To estimate the potential impact of expanding services offered by the Joint Effort for Elimination of Tuberculosis (JEET), the largest private sector engagement initiative for tuberculosis (TB) in India. Design: We developed a mathematical model of TB transmission dynamics, coupled with a cost model. Setting: Ahmedabad and New Delhi, two cities with contrasting levels of JEET coverage. Participants: Estimated patients with TB in Ahmedabad and New Delhi. Interventions: We investigated the epidemiological impact of expanding three different public-private support agency (PPSA) services: provider recruitment, uptake of cartridge-based nucleic acid amplification tests and uptake of adherence support mechanisms (specifically government supplied fixed-dose combination drugs), all compared with a continuation of current TB services. Results: Our results suggest that in Delhi, increasing the use of adherence support mechanisms among private providers should be prioritised, having the lowest incremental cost-per-case-averted between 2020 and 2035 of US$170 000 (US$110 000-US$310 000). Likewise in Ahmedabad, increasing provider recruitment should be prioritised, having the lowest incremental cost-per-case averted of US$18 000 (US$12 000-US$29 000). Conclusion: Results illustrate how intervention priorities may vary in different settings across India, depending on local conditions, and the existing degree of uptake of PPSA services. Modelling can be a useful tool for identifying these priorities for any given setting. |
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MeSH term(s) | Humans ; Private Sector ; Health Care Sector ; Tuberculosis/prevention & control ; Delivery of Health Care ; Cities ; India |
Language | English |
Publishing date | 2024-03-19 |
Publishing country | England |
Document type | Journal Article |
ZDB-ID | 2599832-8 |
ISSN | 2044-6055 ; 2044-6055 |
ISSN (online) | 2044-6055 |
ISSN | 2044-6055 |
DOI | 10.1136/bmjopen-2022-069304 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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