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Partnership options refer to the different modalities utilised by stakeholders of the National TB Elimination Programme (NTEP) to engage with a private-sector partner to improve the availability and quality of service delivery for TB patients.

 

The table below shows the partnership options that are currently available. The programme manager, based on the findings of the needs assessment, can identify the relevant partnership options that they can implement in their region.

 

Table: Available Partnership Options and their Scope of Services

Partnership Option Services
Patient Provider Support Agency (PPSA)
  1. Private provider empanelment and engagement
  2. Linkages for specimen transportation and diagnostics
  3. Patient management (public health action, counselling, adherence support)
  4. Logistics of anti-TB drugs

The PPSA is an example of a “service bundle” that covers a whole range of activities for end-to-end management of the private sector.

Public Health Action
  1. Counselling and adherence management
  2. Contact tracing and chemoprophylaxis
  3. HIV counselling, testing and treatment linkage
  4. Drug Susceptibility Testing (DST) and linkage for Drug-resistant TB (DR-TB) services
  5. Blood sugar testing and linkages for diabetic care
  6. Linkages for Nikshay Poshan Yojana
Specimen Management
  1. Collection of sputum samples
  2. Collection of respiratory (excluding sputum) and extrapulmonary specimens
  3. Transportation of specimens
Diagnostics
  1. X-ray centres
  2. Smear Microscopy (ZN/ FM)/ Molecular diagnostics
  3. Culture (stand-alone)/ Line Probe Assay/ Culture and Drug Susceptibility Testing (CDST)
  4. Pre-treatment and follow-up investigation
  5. Latent TB infection (LTBI) test
Treatment Services
  1. TB management centre
  2. DR-TB treatment centre (outdoor)
  3. DR-TB treatment centre (indoor)
  4. Specialist consultation for DR-TB patients
Drug Access and Delivery Services
  1. Drug supply chain management
  2. Improving access to anti-TB drugs for TB patients notified by the private sector
Active TB Case Finding and TB Prevention
  1. Active TB case finding
  2. TB prevention package for vulnerability mapping and LTBI management
Advocacy, Communication and Community Empowerment
  1. Advocacy
  2. Communication
  3. Community Empowerment

 

The partnership options stated above are those which are currently identified and recommended in the NTEP Guidance Document on Partnerships.

A programme manager can innovate new partnership options which suit the local context, e.g., hiring a service provider for airborne infection control, facility-risk assessment, rehabilitation of DR-TB patients, or alcohol de-addiction programmes for people with TB, etc.

In scenarios where multiple systemic gaps have been identified during the needs assessment, the programme manager may consider using more than one partnership option, via bundling. Bundling refers to combining a series of partnership options in a logical and sequential manner to ensure that no patient is left out at any point in the care cascade.

 

Resources

 

Assessment

Question​ Answer 1​ Answer 2​ Answer 3​ Answer 4​ Correct answer​ Correct explanation​ Page id​ Part of Pre-test​ Part of Post-test​
Which of the following are partnership options available for NTEP to engage with the private sector? Partnership option for drug access and delivery services Partnership option for diagnostics and specimen management Partnership option for treatment services All of the above 4 All of the options fall under available partnership options designated by NTEP. But programme managers can be innovative and create new options as required.      

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