Title: Public-Private Mix Model in Enhancing Tuberculosis Case Detection in Dakshin Dinajpur
Authors: Sukumar Dey, Asok Kumar Biswas, Kalidas Poddar, Debajit Sarkar, Kalyan Sen
DOI: https://dx.doi.org/10.18535/jmscr/v5i1.90
Abstract
Object- To increase the TB cases detection using proposed trail tool for notification in collaboration with Public-Private Mix model (Charitable Hospital, Private Laboratory, Private Practitioner and Medical retail Shop) in the district of Dakshin Dinajpur, West Bengal, India
Method- The organizations were selected on the basis of following criteria defined in private- public partnership. The design study showed a change in the TB notification d rate (NR).
Results- Tuberculosis case notification rate after implementation of public-private mix model have increased for the last three month. Chalon and Hili TU showed a good responds regarding private notification. The new trail methodology was applied and twenty four (Table:2) specific retail shops were identified out of nearly 400 Medical retail shops of Dakshin Dinajpur. Simultaneously nearly 168 private notification was gathered from the medical retail shop in the month of December 2016. The new proposed trail tool may help to solve different type of questions like patient history, category of the patient, treatment protocol, patient compliance, follow up, drug resistance, death rate and diagnosis pathway of unregistered patients and we will be also understanding whether the patients is following the standard of TB care in India, So there was a huge need of extending the research to control and eradicate TB from the district like Dakshin Dinajpur as well as India.
Conclusion- Public private mix (PPM) model was effective in increasing the CDR of TB cases in district Dakshin Dinajpur, West Bengal. And the proposed new trail tool may be effective to get the unidentified TB cases who were not registered in the RNTCP, Nikshay portal. The new trail methodology may created a bridge between unregisters case finding and the format provided by the government of India for notification. The tool showed a unique technique to reach the unregister cases of tuberculosis. The last step of the proposed trail tool became the most important mechanism to find out the real purpose of notification from the private stakeholders. It is also is recommended that the public private partnership model in Tuberculosis case detection needs to be taken on a larger scale so as to reduce the huge TB burden in India
Keywords-Public Private Mix, NR, Tuberculosis, Notification, Standerddeviation.
