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Greetings.
This is Hannah Monica Dias from
the World Health Organization
Global Tuberculosis Program.
I lead the work at WHO
on reaching the
millions of people with
TB prevention and care
through the flagship initiative,
Find, Treat All, End TB,
through efforts on
public-private mix or
or public-private
partnerships which help
strengthen engagement
with all care providers,
this is the topic
for the talk today.
I also lead the work
on TB elimination.
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The main focus of this talk
is to reach the missing
millions of people
who don't access TB
prevention or care services,
or they miss out on accessing
lifesaving TB prevention
and care services.
One of the core approaches to
achieving this is called
public-private mix (PPM).
Public-private mix
is a key component
of WHO's End TB strategy.
We've had policies
spanning decades on this,
but it's only recently
that we've seen that
public-private mix is being
slowly-scaled up by countries.
What does PPM really mean?
PPM, or public-private mix,
encompasses diverse
collaborative strategies.
It refers to public-public mix,
which basically
means engagement by
the national TB program of
public sector care providers
that are not directly linked
to national TB programs.
This can be public hospitals
like in Indonesia,
public medical colleges
like in India,
prisons or detention centers,
military facilities, railways,
public health insurance
organizations
like in a lot of Latin America.
Often, these unengaged
public sector care providers
manage a lot of people with TB,
but they don't necessarily
report them to
national programs
and so we don't
know what kind of care
they're receiving,
or if the right guidelines
are being followed.
It's really important
to make sure that
public sector comprehensive
engagement is achieved,
especially if you know
from an analysis of
the patient pathway in countries
that the public unengaged
care providers are
actually a part of a
big provision of care
for people with TB,
so it's really important
to engage with them.
The second strategy is
public-private mix,
and this refers to
the engagement by
the national TB program of
private sector care providers,
especially in countries
with a large private sector
and this can include
private individual
and institutional providers,
the corporate or business
sector, mission hospitals,
nongovernmental organizations
and faith-based organizations.
In a nutshell, we
are looking both at
public-public mix and
public-private mix
to make sure that all
care providers are
engaged in efforts to end TB.
