Tuberculosis

We develop and implement effective and comprehensive solutions for TB prevention, care and control.  Our specific focus is on finding the “missing” TB patients and working towards TB elimination. Our work empowers vulnerable communities to access to quality TB services with a focus on private health service delivery, enhance their health seeking behaviour; enhance involvement of private healthcare providers in TB control; bridge the private-public health sector gap in TB treatment; and influence policy.

Delays in TB diagnosis and initiation of treatment, and poor quality and non-standardised treatment of TB by private health providers lead to debilitating illness and expenditure for the patient. Private providers are more accessible and preferred by the urban poor. However, knowledge and acceptance of standards for TB care tend to be low among them. Patients treated by these providers are not notified to health authorities, are likely to be poorly diagnosed and receive suboptimal treatment with inadequate follow up. Effective TB control calls for an interface mechanism to bridge gaps between the public and private health sectors thereby increasing the range of patient choice of providers for high quality, standardised TB services.


Current Projects

THALI

Improving TB control in urban India

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SHOPS – TB

Strengthening private providers’ capacities in TB prevention and care

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Concluded Projects

  • Axshya: Providing Supportive Supervision for Counsellors working in DRTB sites

    Project Axshya (meaning ‘free of TB’) was launched in April 2010 as
    the civil society component of a five year project funded by a Round 9
    grant from the Global Fund to Fight AIDS, TB and Malaria (The Global
    Fund).The government is focusing on scaling up access to MDR-TB
    diagnosis and treatment to over 750 million people by 2015. Axshya
    aims to support the Government of India’s Revised National
    Tuberculosis Control Programme to expand its reach, visibility and
    effectiveness. It engaged community based providers to improve TB
    services, especially for women and children, and marginalised,
    vulnerable and TB- HIV co-infected populations. Axshya is
    coordinated by two civil society representative organisations-
    International Union against Tuberculosis and Lung Disease and South
    EAST Asia Office and World Vision India. KHPT implemented it from
    2010 to 2015 in Karnataka.

  • Market based partnership for health initiatives in tuberculosis control and care

    The project used a social franchising model to create and expanded the network of private providers on a large scale to adopt DOTS referral, diagnosis and treatment policies. A high intensity community outreach plan covered 50 per cent of the targeted population in urban slums in 13 districts in Karnataka. The communities were mobilised to substantially reduce gaps in knowledge, improve their ability to access TB services and successfully adhere to treatment as mandated by the protocols. A systematic, collaborative sustainability plan was designed with the country’s Revised National Tuberculosis Control Programme (RNTCP) for eventual transition to the government. KHPT implemented the project, funded by USAID through Abt Associates, Delhi, from 2011 to 2012.

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