Empowering States & Districts & using biometric technology to deliver healthcare to the doorsteps of the poor

Size: px
Start display at page:

Download "Empowering States & Districts & using biometric technology to deliver healthcare to the doorsteps of the poor"

Transcription

1 Empowering States & Districts & using biometric technology to deliver healthcare to the doorsteps of the poor

2 Overview- What gets measured, gets done Operation ASHA -serving more than 54 Lakh people in India & Cambodia A local, deep, cost effective, high impact model believes in measuring impact & outcome Operation ASHA s transformative innovation has to do with listening to patients so they can design more effective treatment protocols and reduce transaction costs Aleem Walji, Director, Innovation Lab, World Bank 2

3 Problems India has much higher Infant Mortality and Maternal Mortality Rate than Bangladesh, which is otherwise far poorer than India in more aspect than one India s TB burden is more than double that of secondranked China It is a shame that we have reached Moon and Mars. We are a nuclear power. But a person dies of TB every two minutes, a disease that takes only Rs. 5,000 per patient in additional cost and should have been eradicated long ago. 3

4 Tuberculosis in India: The biggest public health crisis India has 2.8 Million TB patients, 31% of world s total burden 64,000 estimated cases of MDR- TB in India, only 16,588 cases diagnosed. (Source: Global TB report, WHO 2013) TB kills one 1 person in every 2 minutes in India & 750 people every day 300,000 children drop out of school because they, or a parent, have TB. (Source: TB India 2008) Lost wages: $300 million/ year; Total loss to Indian economy: $23 billion/ year.* 100,000 infected women are thrown out by families to die of disease and starvation (Source: TB India 2008) 4

5 Challenges in delivery of health services and prodcuts 1. Inaccessible Centers- Existing public infrastructure lacks the last mile connectivity 2. Limited/ Ineffective Education or counseling 3. The Quacks - incomplete, irregular, inadequate treatment 4. Negligible follow-up of defaulting patients 5. High cost of implementation for most other NGOs 6. Program level lack of electronic data, inaccuracy and human error

6 India s Healthcare program District Hospitals: Adequate CHC Hospital/ Warehouse Government facilities providing comprehensive diagnostics and treatment recommendation CHC CHC CHC District Hospital CHC CHC CHC: Adequate CHC CHC PHCs: Inadequate in slums and villages Local last mile centers CHC Inadequacy of PHC facilities results in poor health and crowding of District Hospitals. * Directly Observed Therapy - Short Course 6

7 OpASHA s Solution: Fill the Gaps: Community Empowerment: examples for TB Strategically located TB Centers Partner with local micro-entrepreneurs, priests etc. based in convenient, high-traffic areas Centers open at convenient hours No patient needs to miss work/wages or pay for bus fare to access treatment Local Community Members Hired as Counselors & Providers Work to treat TB, detect new patients, education camps, default tracking Familiarity with local customs, geography, and informal address systems Much more cost efficient than MD doctors Performance-based salaries for field workers & supervisors Specialized Training For active case finding Conduct health awareness programs Provide counseling to ensure adherence and prevent MDR To destigmatize TB 7

8 OpASHA: Results for TB 8

9 ecompliance: A New Idea. DOTS alone is not sufficient to curb the TB epidemic in countries with high rates of MDR- TB. - Stop TB Working Group Electronic datasets are needed to facilitate accuracy and analysis of data. - World Health Organization (2011) 9

10 ecompliance: Implementation Results Default: as low as 0 Over 9,000 patients enrolled so far Over 19,700 visits logged every month Total number of transaction (Supervised Dose Only) from both systems - 207,504. Total number of doses (Supervised, Unsupervised and Self-Administered) - 383, Total no. of terminals installed by the end of Nov

11 Cost Effectiveness Component Cost Tablet 8500 Fingerprint Reader Rs Installation cost Rs. 800 Internet Plan (per month) Rs. 200 The total cost of each ecompliance terminal = Rs. 13,500 Cost per patient = Rs 386, which is expected to be offset by increased productivity (each unit will treat 35 patients over 18 months) 11

12 Key Benefits of ecompliance PATIENT AND COMMUNITY LEVEL Positive impact on the psyche Improves motivation Seen as dedication towards quality treatment AT LEVEL OF FIELD STAFF Ensures integrity of DOTS: eliminates unsupervised doses Eliminates human error Improves skills Makes counseling easy, i.e. easier to convince patients Accurate reporting and up-to-date intelligence Saves time that would be otherwise spent in going through paper records Target counseling to patients who regularly miss doses 12

13 Key Benefits of ecompliance (contd.) MANAGEMENT LEVEL Comprehensive Electronic Medical Record System. Accuracy of records Multi-level accountability and transparency An accurate platform for monitoring Eliminates absenteeism, late coming Prevents tampering Transparent treatment supervision Ensures accuracy of incentives THE PUBLIC HEALTH PERSPECTIVE Ensures DOTS is being delivered Prevents MDR-TB CAN BE UPGRADED FOR Daily dose regimen Adherence for MDR-TB, HIV treatment Diabetes Mid-day Meal schemes 13

14 ecompliance Web-based reporting system: sets supplied/ installed in Madhya Pradesh 14

15 Expansion in India & Cambodia Jharkhand Treatment Centers 400 Cambodia Orissa Maharashtr a Chhattisgarh Rajasthan MP 200 Punjab UP

16 Impact to date 38,118 2,28,708 $4,000 Cost of creating a job Total enrollments 86.9% Treatment success rate <3% Default rate Infections averted 103 Jobs created for Semi-literate youth 161 Microentrepreneurs/ community partners who earn additional income in disadvantaged communities that serve as locations for Operation ASHA treatment centers SROI 3,217% 16 16

17 Replication in other countries Operation ASHA has successfully replicated its model in: 1. Uganda 2. Kenya 3. Dominican Republic 4. Cambodia 5. Discussions going on in 8 other countries 17

18 Replication in Other Countries (contd.) UGANDA- Replication of e-compliance by Researchers at Columbia University & Millennium villages {third party replication} e-compliance started in June 2012 Outstanding results: Death+Default rate down to ZERO from > 16% in the preceding year The results of Ruhiira are a staggering improvement. They mean better TB care worldwide Huffington Post, World TB Day CAMBODIA Expansion/ Replication of the entire model by OpASHA since 2010 Serving 6% of the population and 8% of the patients Working in 5 Operational Districts, in 2 provinces; Detection rate increased by 70% 18

19 PRESSING ECONOMIC AND HUMANITRARIAN RATIONALE FOR EXPANDING OPERATION ASHA ACROSS THE STATE India MP Ratio Population (Lakh) % Deaths pa % Prevalence Patients/Lakh) 216 Total patients Patients enrolled by RNTCP Missing Patients Proposed Expenditure (In Crores) 42.9 Proposed prevention of deaths 9287 Proposed additional detection Cost per life saved (Rs.) Number of additional detections for Rs Increase in earning per patient treated (Rs. Lakhs) 8.36 Total increase in earning (Rs. Crores) 4007 Prevention of economic loss per patient treated (Rs. Lakhs) 7.34 Total prevention of economic loss (In Crores) 3518 Total economic benefit to the state (Rs. Crores) 7525 Economic benefit per Re invested by the State 175 Number of jobs created 2145 So, each investment of 2 Lakhs SAVES 4 LIVES, TREATS 16 ADDITIONAL PATIENTS AND GENERATES RS. 3.5 CRORES IN ECONOMIC BENEFITS AND CREATES 1 JOB 19

20 How Government and Operation ASHA work together Alternatives: Operation ASHA can run the project on its own and deliver all services with its staff Train a local autonomous body or local NGO to replicate our work Train Government appointed ASHA workers or any other cadre in improving TB care Funding: One time expenses, software and expertise will be brought in by Operation ASHA Government will provide funding for recurring cost under GoI s Guidelines for TB Program/ RNTCP or any other GoI/ State Scheme 20

21 Request Allotment of entire state or at least all 5 districts in full + tribal or Maoist affected districts, to turn them into model districts with measurable indicators like Finding missing cases/ Improvement in detection Improvement in Treatment Success Rate Reduction in mortality rate because of TB Operation ASHA distribution channel can deliver other products and services to improve lives of the people who are marginalized. We can help in vaccination, malnutrition and better care of pregnant women thereby increasing institutional deliveries. 21

22 OpASHA : Awards, Partners and Media Coverage 22 and many more

23 NSP Cure Rate 2Q10 Before & After Validation of Data - 8 Districts 100% 90% 86% 86% 89% Target - 85 % Cure Rate 80% 70% 71% 81% 69% 81% 75% 79% 60% 50% 40% 30% Significant Drop in Cure Rates (32%) Found after Validation of Data 2Q10 60% 34% 28% 25% 25% 25% 32% 20% 10% 0% 1% 0% Kanker Durg Mahasamund Dhamtari Narayanpur Bastar Dantewada Bijapur Total (8 Districts) District Reported NSP Cure Rate (2Q10) TB Register NSP Cure Rate after validation of reports (2Q10)

Empowering communities & using ecompliance technology to treat TB, and prevent Drug-Resistant TB. Operation ASHA 2013

Empowering communities & using ecompliance technology to treat TB, and prevent Drug-Resistant TB. Operation ASHA 2013 Empowering communities & using ecompliance technology to treat TB, and prevent Drug-Resistant TB Operation ASHA 2013 1 Overview- What gets measured, gets done Operation ASHA -serving more than 6.1 million

More information

OpASHA: Improving Tuberculosis Treatment and Outcomes

OpASHA: Improving Tuberculosis Treatment and Outcomes Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized, Public Disclosure Authorized OpASHA: Improving Tuberculosis Treatment and Outcomes A social enterprise provides care

More information

Special thanks to the Operation ASHA team, led by Sandeep Ahuja and Shelly Batra.

Special thanks to the Operation ASHA team, led by Sandeep Ahuja and Shelly Batra. OpASHA: Improving Tuberculosis Treatment and Outcomes A social enterprise provides care and control at the last mile for tuberculosis and other diseases in India by leveraging the community, technology

More information

New Delhi, India April 23-25, Team Members: Shashank Batra and Neeraj Kr. Singh

New Delhi, India April 23-25, Team Members: Shashank Batra and Neeraj Kr. Singh Project Title: Implementing ecompliance to treat and prevent normal tuberculosis and turn the tap off on Multi-Drug Resistant TB Organization Title: Operation ASHA New Delhi, India April 23-25, 2014 Team

More information

Dr. Ajay Khera Deputy Commissioner Ministry of Health and Family Welfare, Government of India February 17 th, 2012

Dr. Ajay Khera Deputy Commissioner Ministry of Health and Family Welfare, Government of India February 17 th, 2012 Dr. Ajay Khera Deputy Commissioner Ministry of Health and Family Welfare, Government of India February 17 th, 2012 1 What has India achieved so far? Goals Achievements National Rural Health Mission (By

More information

Revised National Tuberculosis Control Programme TRIBAL ACTION PLAN

Revised National Tuberculosis Control Programme TRIBAL ACTION PLAN Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Revised National Tuberculosis Control Programme TRIBAL ACTION PLAN July 2012 Central

More information

Philippine Strategic TB Elimination Plan: Phase 1 (PhilSTEP1)

Philippine Strategic TB Elimination Plan: Phase 1 (PhilSTEP1) 2017 2022 Philippine Strategic TB Elimination Plan: Phase 1 (PhilSTEP1) 24 th PhilCAT Convention August 16, 2017 Dr. Anna Marie Celina Garfin NTP-DCPB, Department of Health Reasons for developing the NTP

More information

Janani Suraksha Yojana (JSY) State Institute of Health & Family Welfare, Jaipur

Janani Suraksha Yojana (JSY) State Institute of Health & Family Welfare, Jaipur Janani Suraksha Yojana (JSY) State Institute of Health & Family Welfare, Jaipur JSY A safe motherhood intervention, replacing the National Maternity Benefit Scheme, under NRHM 100 % centrally sponsored

More information

SOURCE OF LATEST ANTI-TB TREATMENT AMONGST RE-TREATMENT TB CASES REGISTERED UNDER RNTCP IN GUJARAT

SOURCE OF LATEST ANTI-TB TREATMENT AMONGST RE-TREATMENT TB CASES REGISTERED UNDER RNTCP IN GUJARAT Original Article.. SOURCE OF LATEST ANTI-TB TREATMENT AMONGST RE-TREATMENT TB CASES REGISTERED UNDER RNTCP IN GUJARAT P Dave 1, K Rade 2, KR Pujara 3, R Solanki 4, B Modi 5, PG Patel 6, P Nimavat 7 1 Additional

More information

Business Coalitions- Mediators for TB care and control

Business Coalitions- Mediators for TB care and control Business Coalitions- Mediators for TB care and control 1st Consultation to promote engagement of workplaces in TB care and control, 12 October 2009, Geneva Business Coalitions refers to Business Coalitions

More information

Guidelines for Performance based Payment for ASHA under National Leprosy Eradication Programme

Guidelines for Performance based Payment for ASHA under National Leprosy Eradication Programme Guidelines for Performance based Payment for ASHA under National Leprosy Eradication Programme Introduction: Under Health System, Multi-purpose Workers (MPW- Male & Female) at the sub- centre act as the

More information

Contextualising the End TB Strategy for a Push toward TB Elimination in Kerala. Sunil Kumar

Contextualising the End TB Strategy for a Push toward TB Elimination in Kerala. Sunil Kumar End TB Strategy Contextualising the End TB Strategy for a Push toward TB Elimination in Kerala Sunil Kumar The END TB strategy challenges the world to envision the End of the Tuberculosis pandemic and

More information

International J. of Healthcare and Biomedical Research, Volume: 03, Issue: 02, January 2015, Pages 50-59

International J. of Healthcare and Biomedical Research, Volume: 03, Issue: 02, January 2015, Pages 50-59 Original article An Epidemiological Study of Tuberculosis Patient with Special Reference to Cost Incurred By Patient for the Treatment in an Urban Slum of Mumbai, Maharashtra Dnyaneshwar M. Gajbhare 1,

More information

Performance of RNTCP NTI Bulletin 2003, 39 / 3&4, 19-23

Performance of RNTCP NTI Bulletin 2003, 39 / 3&4, 19-23 Performance of RNTCP NTI Bulletin 2003, 39 / 3&4, 19-23 PERFORMANCE OF RNTCP IN HIMACHAL PRADESH AND KERALA - A PERSPECTIVE COMPARISON SG Radhakrishna* & G Sumathi* SUMMARY Monitoring is a continuous assessment

More information

CHAPTER 30 HEALTH AND FAMILY WELFARE

CHAPTER 30 HEALTH AND FAMILY WELFARE CHAPTER 30 HEALTH AND FAMILY WELFARE The health of the population is a matter of serious national concern. It is highly correlated with the overall development of the country. An efficient Health Information

More information

Changing the paradigm of Programmatic Management of Drug-resistant TB

Changing the paradigm of Programmatic Management of Drug-resistant TB Republic of Moldova Changing the paradigm of Programmatic Management of Drug-resistant TB Liliana Domente, Elena Romancenco GLI / GDI Partners Forum WHO Global TB Programme Geneva 27-30 April 2015 Republic

More information

Dyah Erti Mustikawati

Dyah Erti Mustikawati SCALING UP PPM IN INDONESIA Seventh Meeting of the Subgroup on Public-Private Mix for TB Care and Control 23-24 October 2011, Lille, France Dyah Erti Mustikawati NTP Manager MOH Indonesia Content Background

More information

Momentum on Child TB: South East Asia (SEA)

Momentum on Child TB: South East Asia (SEA) Momentum on Child TB: South East Asia (SEA) Dr. Shakil Ahmed MBBS, FCPS, MD Associate Professor of Pediatrics Shaheed Suhrawardy Medical College Bangladesh shakildr@gmail.com Child Mortality from TB: 2015

More information

INTEGRATED SAFEGUARDS DATA SHEET APPRAISAL STAGE

INTEGRATED SAFEGUARDS DATA SHEET APPRAISAL STAGE Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Copy Public Disclosure Copy Date ISDS Prepared/Updated: 02-Jan-2014

More information

Financial impact of TB illness

Financial impact of TB illness Summary report Costs faced by (multidrug resistant) tuberculosis patients during diagnosis and treatment: report from a pilot study in Ethiopia, Indonesia and Kazakhstan Edine W. Tiemersma 1, David Collins

More information

MEETING THE NEONATAL CHALLENGE. Dr.B.Kishore Assistant Commissioner (CH), GoI New Delhi November 14, 2009

MEETING THE NEONATAL CHALLENGE. Dr.B.Kishore Assistant Commissioner (CH), GoI New Delhi November 14, 2009 MEETING THE NEONATAL CHALLENGE Dr.B.Kishore Assistant Commissioner (CH), GoI New Delhi November 14, 2009 Presentation Outline 1. Background 2. Key Initiatives of GoI 3. Progress 4. Major challenges & way

More information

Grant Aid Projects/Standard Indicator Reference (Health)

Grant Aid Projects/Standard Indicator Reference (Health) Examples of Setting Indicators for Each Development Strategic Objective Grant Aid Projects/Standard Indicator Reference (Health) Sector Development strategic objectives (*) Mid-term objectives Sub-targets

More information

State Health Resource Centre, Chhattisgarh

State Health Resource Centre, Chhattisgarh Annual Report State Health Resource Centre, Chhattisgarh (April 2015 - March 2016) State Health Resource Centre, Chhattisgarh 1. Health Systems Strengthening I. SUPPORT FOR IMPROVEMENTS IN SERVICE DELIVERY

More information

Engagement of Workplace in TB Care and Control in Bangladesh. Dr. Md. Nazrul Islam Program Manager NTP Bangladesh

Engagement of Workplace in TB Care and Control in Bangladesh. Dr. Md. Nazrul Islam Program Manager NTP Bangladesh Engagement of Workplace in TB Care and Control in Bangladesh 1 Dr. Md. Nazrul Islam Program Manager NTP Bangladesh Basic Facts about Bangladesh Area: 147570 sq. km Population: 145 million Administrative

More information

Effective NRI Banking... 4 Follow these simple steps for effective NRI Banking.

Effective NRI Banking... 4 Follow these simple steps for effective NRI Banking. In focus Index In focus: Discover the joy of giving... 2 Read about the efforts made by ICICI Foundation to support inclusive growth & how you can make a difference by donating. ICICI Foundation for inclusive

More information

Terms of Reference Kazakhstan Health Review of TB Control Program

Terms of Reference Kazakhstan Health Review of TB Control Program 1 Terms of Reference Kazakhstan Health Review of TB Control Program Objectives 1. In the context of the ongoing policy dialogue and collaboration between the World Bank and the Government of Kazakhstan

More information

Use of ecompliance, an Innovative Biometric System for Monitoring of Tuberculosis Treatment in Rural Uganda

Use of ecompliance, an Innovative Biometric System for Monitoring of Tuberculosis Treatment in Rural Uganda Accepted for Publication, Published online April 6, 2015; doi:10.4269/ajtmh.14-0413. The latest version is at http://ajtmh.org/cgi/doi/10.4269/ajtmh.14-0413 In order to provide our readers with timely

More information

Priority programmes and rural retention the example of TB. Karin Bergstrom Stop TB Department WHO, Geneva

Priority programmes and rural retention the example of TB. Karin Bergstrom Stop TB Department WHO, Geneva Priority programmes and rural retention the example of TB Karin Bergstrom Stop TB Department WHO, Geneva In this presentation I will briefly: review the TB situation in the world discuss "evidence" on

More information

Development of Policy Conference Nay Pi Taw 15 th February

Development of Policy Conference Nay Pi Taw 15 th February Development of Policy Conference Nay Pi Taw 15 th February To outline some Country Examples of the Role of Community Volunteers in Health from the region To indicate success factors in improvements to

More information

Epidemiological review of TB disease in Sierra Leone

Epidemiological review of TB disease in Sierra Leone Epidemiological review of TB disease in Sierra Leone October 2015 Laura Anderson WHO (Switzerland) Esther Hamblion WHO (Liberia) Contents 1. INTRODUCTION 4 2. PURPOSE 5 2.1 OBJECTIVES 5 2.2 PROPOSED OUTCOMES

More information

TUBERCULOSIS CONTROL RESEARCH MATRIX

TUBERCULOSIS CONTROL RESEARCH MATRIX TUBERCULOSIS CONTROL MATRIX 2014-2016 STRA- S1 S1 S1 S2 1.1. 80% of provinces and highly urbanized cities (HUC) include TB based on a set criteria within PIPH/ AIPH/ CIPH 1.3. Ninety percent (90%) of provinces

More information

Social Action Plan (Including the Tribal Action Plan)

Social Action Plan (Including the Tribal Action Plan) Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Revised National Tuberculosis Control Programme Social Action Plan (Including the Tribal

More information

HealthRise India Program Launch

HealthRise India Program Launch HealthRise India Program Launch MAMTA Health institute for Mother and Child Grantee & CAC Kick-Off Meetings November 19-20, 2015 New Delhi, India Outline About MAMTA HealthRise Objectives & Target Beneficiaries

More information

Strategy of TB laboratories for TB Control Program in Developing Countries

Strategy of TB laboratories for TB Control Program in Developing Countries Strategy of TB laboratories for TB Control Program in Developing Countries Borann SAR, MD, PhD, Institut Pasteur du Cambodge Phnom Penh, Cambodia TB Control Program Structure of TB Control Establish the

More information

PRESENTATION ON UNIVERSAL HEALTH COVERAGE

PRESENTATION ON UNIVERSAL HEALTH COVERAGE PRESENTATION ON UNIVERSAL HEALTH COVERAGE MEGHALAYA Date:09/01/2014 Introduction General Background Indicator Meghalaya India Demographic Profile* State Population Total (in lakhs) 29.64 12101. 02 State

More information

RSBY Studies in Chhattisgarh. Presented to the Planning Commission 07 th August 2012

RSBY Studies in Chhattisgarh. Presented to the Planning Commission 07 th August 2012 RSBY Studies in Chhattisgarh Presented to the Planning Commission 07 th August 2012 Layout of the presentation 1. Implementation issues: Beneficiary perspectives, Durg District [2010] 2. Design issues:

More information

Vodafone Group Plc June Our contribution to the UN SDGs

Vodafone Group Plc June Our contribution to the UN SDGs Vodafone Group Plc June 2018 Our contribution to the UN SDGs The UN Sustainable Development Goals In 2015, the United Nations launched 17 goals to end poverty, fight inequality and injustice and tackle

More information

Linking Social Support with Pillar 2/ Universal Health Coverage component of the End TB strategy

Linking Social Support with Pillar 2/ Universal Health Coverage component of the End TB strategy Linking Social Support with Pillar 2/ Universal Health Coverage component of the End TB strategy October 26, 2016 Samson Haumba www.urc-chs.com Presentation outline Goal of TB care and Control Introduction

More information

Use of ecompliance, an Innovative Biometric System for Monitoring of Tuberculosis Treatment in Rural Uganda

Use of ecompliance, an Innovative Biometric System for Monitoring of Tuberculosis Treatment in Rural Uganda Am. J. Trop. Med. Hyg., 92(6), 2015, pp. 1271 1279 doi:10.4269/ajtmh.14-0413 Copyright 2015 by The American Society of Tropical Medicine and Hygiene Use of ecompliance, an Innovative Biometric System for

More information

Eradicate Childhood Malnutrition, Madhya Pradesh, India

Eradicate Childhood Malnutrition, Madhya Pradesh, India Eradicate Childhood Malnutrition, Madhya Pradesh, India Date: May 6, 2017 I. Demographic Information 1. Districts and State: Barwani district in Madhya Pradesh, India 2. Organization: Real Medicine Foundation

More information

Health Reforms Initiatives in India A Brief Review. Abstract

Health Reforms Initiatives in India A Brief Review. Abstract Health Reforms Initiatives in India A Brief Review By Ms. Savita Punjabi, Head, Dept. of Commerce, Badlapur (W) Abstract Globalisation has converted the world in a small town integrating its all activities

More information

Public Private Mix sub group meeting 23 October, 2011 Scale up PPM in Myanmar

Public Private Mix sub group meeting 23 October, 2011 Scale up PPM in Myanmar Public Private Mix sub group meeting 23 October, 2011 Scale up PPM in Myanmar Dr. Thandar Lwin Programme Manager National TB Programme, Myanmar Myanmar INDIA KACHIN BANGLA DESH CHIN RAKHINE SAGAING MAGWE

More information

PhilHealth TB DOTS Out-patient Benefit Package

PhilHealth TB DOTS Out-patient Benefit Package PhilHealth TB DOTS Out-patient Benefit Package WHO Consultation Eliminating the Catastrophic Economic Burden of TB: Universal Health Coverage and Social Protection Opportunities April 29, 2013 Sao Paulo,

More information

FEDERAL MINISTRY OF HEALTH

FEDERAL MINISTRY OF HEALTH FEDERAL MINISTRY OF HEALTH DEPARTMENT OF PUBLIC HEALTH NATIONAL TUBERCULOSIS, LEPROSY AND BURULI ULCER CONTROL PROGRAME. THE NEW ANTI-TB DRUG FORMULATIONS FOR CHILDREN: STRATEGIES FOR ROLL-OUT IN NIGERIA

More information

WHO in the Philippines

WHO in the Philippines WHO in the Philippines The Philippines astounding economic and social development means people are living longer and healthier lives. Our job is to help the country reach every Filipino and Filipina with

More information

Country experience on engaging large hospitals - INDIA

Country experience on engaging large hospitals - INDIA Ninth Meeting of the Sub- group on PPM for TB Care and Control and Global Workshop on Engaging Large Hospitals, 28-30 August 2013 Country experience on engaging large hospitals - INDIA Sreenivas A Nair

More information

KNOWLEDGE, ATTITUDE AND PRACTICE OF DOTS PROVIDERS UNDER RNTCP IN UJJAIN, MADHYA PRADESH

KNOWLEDGE, ATTITUDE AND PRACTICE OF DOTS PROVIDERS UNDER RNTCP IN UJJAIN, MADHYA PRADESH Original Article KNOWLEDGE, ATTITUDE AND PRACTICE OF DOTS PROVIDERS UNDER RNTCP IN UJJAIN, MADHYA PRADESH Mayank Jain 1, Swarupa V Chakole 2, Amit S Pawaiya 1, Satish C Mehta 3 Financial Support: Non declared

More information

National Rural Health Mission (NRHM) State Institute of Health & Family Welfare, Jaipur

National Rural Health Mission (NRHM) State Institute of Health & Family Welfare, Jaipur National Rural Health Mission (NRHM) State Institute of Health & Family Welfare, Jaipur NRHM N Newer Initiatives. R Rural Poor Population H Holistic Holistic Health Package. M Monitoring mechanisms To

More information

Strengthening and Aligning Diagnosis and Treatment of Drug Resistant TB in India

Strengthening and Aligning Diagnosis and Treatment of Drug Resistant TB in India Strengthening and Aligning Diagnosis and Treatment of Drug Resistant TB in India Dr K S Sachdeva Additional Deputy Director General Central TB Division Ministry of Health & Family Welfare Government of

More information

Universal Access to MD TB Program in Cambodia. ITM, Antwerp 08 December Sam Sophan Cambodian Health Committee (CHC)

Universal Access to MD TB Program in Cambodia. ITM, Antwerp 08 December Sam Sophan Cambodian Health Committee (CHC) Universal Access to MD TB Program in Cambodia ITM, Antwerp 08 December 2012 Sam Sophan Cambodian Health Committee (CHC) 1 Cambodia 2 Basic Info About Cambodia Location: South East Asia Border countries:

More information

Chhattisgarh, ninth largest state of India -24 million population

Chhattisgarh, ninth largest state of India -24 million population Chhattisgarh, ninth largest state of India -24 million population Lush green Forests-44% of land area- is our asset and liability with Mines Tin,Coal,Iron 80% of people living in villages/hamlets 32% of

More information

Patient Safety Course Descriptions

Patient Safety Course Descriptions Adverse Events Antibiotic Resistance This course will teach you how to deal with adverse events at your facility. You will learn: What incidents are, and how to respond to them. What sentinel events are,

More information

Management of patients with TB/HIV Gunta Kirvelaite

Management of patients with TB/HIV Gunta Kirvelaite Management of patients with TB/HIV Gunta Kirvelaite Riga East Clinical hospital, Centre for tuberculosis and lung diseases. Head of outpatient department. MDR TB physician. WHO Collaborating Centre for

More information

PPM Subgroup Meeting: Lille

PPM Subgroup Meeting: Lille PPM Subgroup Meeting: Lille Increasing the effectiveness of the Stop TB Partnership in engaging all care providers A White Paper of the PPM Subgroup Requests of the Subgroup Read the document Endorse the

More information

Health System Strengthening for Developing Countries

Health System Strengthening for Developing Countries Health System Strengthening for Developing Countries Bob Emrey Health Systems Division USAID Bureau for Global Health 2009 Humanitarian Logistics Conference Georgia Tech Atlanta, Georgia February 19, 2009

More information

SESSION #6: DESIGNING HEALTH MARKET INTERVENTIONS Part 1

SESSION #6: DESIGNING HEALTH MARKET INTERVENTIONS Part 1 SESSION #6: DESIGNING HEALTH MARKET INTERVENTIONS Part 1 Stewardship vs. market forces in RMNCAH-N markets Markets organized along continuum of stewardship vs market forces LAPM: Long Acting Permanent

More information

WHO Task Force Framework on assessment of surveillance data - Revisiting the "Onion model" Ana Bierrenbach WHO / STB /TME June 2010

WHO Task Force Framework on assessment of surveillance data - Revisiting the Onion model Ana Bierrenbach WHO / STB /TME June 2010 WHO Task Force Framework on assessment of surveillance data - Revisiting the "Onion model" Ana Bierrenbach WHO / STB /TME June 2010 Task Force on TB Impact Measurement Mandate To produce a robust, rigorous

More information

Sathya Priya Kittusami. Gayathri Gurumurthy. Suma Prashant. Ashok Jhunjhunwala. CPR South 8/ CPR Africa September 5-7, 2013

Sathya Priya Kittusami. Gayathri Gurumurthy. Suma Prashant. Ashok Jhunjhunwala. CPR South 8/ CPR Africa September 5-7, 2013 ICT- Enabled Treatment Adherence and Follow-up System Towards Successful Implementation of Revised National Tuberculosis Control Programme (RNTCP), India Sathya Priya Kittusami Gayathri Gurumurthy Suma

More information

Revised National Tuberculosis Control Programme ENVIRONMENT ASSESSMENT AND BIOMEDICAL WASTE MANAGEMENT REPORT

Revised National Tuberculosis Control Programme ENVIRONMENT ASSESSMENT AND BIOMEDICAL WASTE MANAGEMENT REPORT Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Revised National Tuberculosis Control Programme ENVIRONMENT ASSESSMENT AND BIOMEDICAL

More information

Comprehensive Evaluation of the Community Health Program in Rwanda. Concern Worldwide. Theory of Change

Comprehensive Evaluation of the Community Health Program in Rwanda. Concern Worldwide. Theory of Change Comprehensive Evaluation of the Community Health Program in Rwanda Concern Worldwide Theory of Change Concern Worldwide 1. Program Theory of Change Impact Sexual and Reproductive Health Maternal health

More information

Improving Health Outcomes Incentives for Immunization and Reliable Services

Improving Health Outcomes Incentives for Immunization and Reliable Services Session 1, Part A: 9:30am 10:15am Improving Health Outcomes Incentives for Immunization and Reliable Services Rachel Glennerster & Neelima Khetan The poor in rural Rajasthan spend a lot on health care

More information

PROJECT INFORMATION DOCUMENT (PID) APPRAISAL STAGE Report No.: PIDA2678. Project Name. Region. Country

PROJECT INFORMATION DOCUMENT (PID) APPRAISAL STAGE Report No.: PIDA2678. Project Name. Region. Country Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized PROJECT INFORMATION DOCUMENT (PID) APPRAISAL STAGE Report No.: PIDA2678 Project Name

More information

Insight Driven Health. Top 10. Healthcare Game Changers Canada s Emerging Health Innovations and Trends

Insight Driven Health. Top 10. Healthcare Game Changers Canada s Emerging Health Innovations and Trends Insight Driven Health Top 10 Healthcare Game Changers Canada s Emerging Health Innovations and Trends Copyright 2011 Accenture All All Rights Reserved. Accenture, its its logo, and High Performance Delivered

More information

Support, Capacity building and sustainability. Group (2)

Support, Capacity building and sustainability. Group (2) Support, Capacity building and sustainability Group (2) Cadres summary Many different cadres Support by both Government and NGOs Within & outside country, different model, different scope of work, different

More information

Corporate Social Responsibility Policy

Corporate Social Responsibility Policy Corporate Social Responsibility Policy DECEMBER 2014 MICROSOFT INDIA (R&D) PRIVATE LIMITED TABLE OF CONTENTS 1. Introduction and Background page 2 Page 1 2. Objectives of the CSR Policy page 5 3. Scope

More information

A people-centred model of TB care

A people-centred model of TB care A people-centred model of TB care 7th TB Symposium Ministry of Health of the Kyrgyz Republic and Médecins Sans Frontières, March 1, 2018 Dr Martin van den Boom, MD, MSc PH, Technical Officer, Joint TB,

More information

Cisco Sub-Saharan Africa Initiative

Cisco Sub-Saharan Africa Initiative Cisco Sub-Saharan Africa Initiative Partners Cisco Foundation Habitat for Humanity Inveneo Teachers Without Borders One Global Economy 1 Cisco Sub-Saharan Africa Initiative Mission To address issues of

More information

To evaluate the impact of NRHM interventions, by Agencies outside the Government, and make recommendations on:

To evaluate the impact of NRHM interventions, by Agencies outside the Government, and make recommendations on: TOT OF ZONAL AGENCIES To evaluate the impact of NRHM interventions, by Agencies outside the Government, and make recommendations on: The institutional mechanisms and monitoring systems that have been put

More information

Digital Disruption meets Indian Healthcare-the role of IT in the transformation of the Indian healthcare system

Digital Disruption meets Indian Healthcare-the role of IT in the transformation of the Indian healthcare system Digital Disruption meets Indian Healthcare-the role of IT in the transformation of the Indian healthcare system Introduction While the Indian healthcare system has made important progress over the last

More information

UHC. Moving toward. Sudan NATIONAL INITIATIVES, KEY CHALLENGES, AND THE ROLE OF COLLABORATIVE ACTIVITIES. Public Disclosure Authorized

UHC. Moving toward. Sudan NATIONAL INITIATIVES, KEY CHALLENGES, AND THE ROLE OF COLLABORATIVE ACTIVITIES. Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Moving toward UHC Sudan NATIONAL INITIATIVES, KEY CHALLENGES, AND THE ROLE OF COLLABORATIVE ACTIVITIES re Authorized Public Disclosure Authorized

More information

EXIT STRATEGIES STUDY: INDIA BEATRICE LORGE ROGERS, CARISA KLEMEYER, AMEYA BRONDRE

EXIT STRATEGIES STUDY: INDIA BEATRICE LORGE ROGERS, CARISA KLEMEYER, AMEYA BRONDRE EXIT STRATEGIES STUDY: INDIA 1 BEATRICE LORGE ROGERS, CARISA KLEMEYER, AMEYA BRONDRE Overview of India Study 2 One program (CARE); one sector (health) Four states: AP, Orissa, Chhattisgarh, UP India contrasts

More information

RIT/ JATA Philippines, Inc. Activities and Accomplishments. STOP TB Partnership Forum Asia March 14-15, 2016

RIT/ JATA Philippines, Inc. Activities and Accomplishments. STOP TB Partnership Forum Asia March 14-15, 2016 RIT/ JATA Philippines, Inc. Activities and Accomplishments STOP TB Partnership Forum Asia March 14-15, 2016 About us. Research Institute of Tuberculosis / Japan Anti-Tuberculosis Association Philippines,

More information

FEDERAL MINISTRY OF HEALTH NATIONAL TUBERCULOSIS AND LEPROSY CONTROL PROGRAMME TERMS OF REFERENCE FOR ZONAL CONSULTANTS MARCH, 2017

FEDERAL MINISTRY OF HEALTH NATIONAL TUBERCULOSIS AND LEPROSY CONTROL PROGRAMME TERMS OF REFERENCE FOR ZONAL CONSULTANTS MARCH, 2017 FEDERAL MINISTRY OF HEALTH NATIONAL TUBERCULOSIS AND LEPROSY CONTROL PROGRAMME EPIDEMIOLOGICAL ANALYSIS OF TUBERCULOSIS BURDEN AT NATIONAL AND SUB NATIONAL LEVEL (EPI ANALYSIS SURVEY) TERMS OF REFERENCE

More information

Republic of Indonesia

Republic of Indonesia Republic of Indonesia National Tuberculosis Program Remarks by the Honorable Ministry of Health on the Recommendation of the Tuberculosis Joint External Monitoring Mission 11-22 February 2013 First I would

More information

RBF in Zimbabwe Results & Lessons from Mid-term Review. Ronald Mutasa, Task Team Leader, World Bank May 7, 2013

RBF in Zimbabwe Results & Lessons from Mid-term Review. Ronald Mutasa, Task Team Leader, World Bank May 7, 2013 RBF in Zimbabwe Results & Lessons from Mid-term Review Ronald Mutasa, Task Team Leader, World Bank May 7, 2013 Outline Country Context Technical Design Implementation Timeline Midterm Review Results Evaluation

More information

Programmatic Management of MDR-TB in China: Progress, Plan and Challenge

Programmatic Management of MDR-TB in China: Progress, Plan and Challenge Programmatic Management of MDR-TB in China: Progress, Plan and Challenge Dr. Mingting Chen Researcher/Vice Director National Centre for Tuberculosis Control and Prevention of China CDC The People s Republic

More information

Scaling Up Public-Private Partnerships to Achieve Family Planning Equity Goals in India

Scaling Up Public-Private Partnerships to Achieve Family Planning Equity Goals in India Scaling Up Public-Private Partnerships to Achieve Family Planning Equity Goals in India Suneeta Sharma, PhD MHA, Managing Director, Futures Group India Tanya Liberham, MA, Knowledge Management Officer,

More information

INTRODUCTION. 76 MCHIP End-of-Project Report. (accessed May 8, 2014).

INTRODUCTION. 76 MCHIP End-of-Project Report. (accessed May 8, 2014). Redacted INTRODUCTION Between 1990 and 2012, India s mortality rate in children less than five years of age declined by more than half (from 126 to 56/1,000 live births). The infant mortality rate also

More information

Round 6 Solicitation Document

Round 6 Solicitation Document Round 6 Solicitation Document September 24, 2018 About Millennium Alliance Millennium Alliance (MA) was initiated by the US Agency for International Development (USAID); the Technology Development Board

More information

Speaking Books Innovative Health Education Tool

Speaking Books Innovative Health Education Tool Speaking Books Innovative Health Education Tool The South African Depression & Anxiety Group Elizabeth Matare Chief Executive The Context in South Africa Literacy Levels: Threatens 785 million adults worldwide

More information

Strengthening institutional capacity for nursing training on HIV/AIDS & Tuberculosis (GFATM R7) KNOWLEDGE, ATTITUDE & PRACTICES OF NURSES TOWARDS TB

Strengthening institutional capacity for nursing training on HIV/AIDS & Tuberculosis (GFATM R7) KNOWLEDGE, ATTITUDE & PRACTICES OF NURSES TOWARDS TB KNOWLEDGE, ATTITUDE & PRACTICES OF NURSES TOWARDS TB BASALINE SURVEY 2014 KNOWLEDGE, ATTITUDE & PRACTICES OF NURSES TOWARDS TB BASALINE SURVEY 2014 1 Table of contents Content Page Abbreviations 3 List

More information

Union Budget 2018 Proposals and impact on IT/ITeS sector

Union Budget 2018 Proposals and impact on IT/ITeS sector Union Budget 2018 Proposals and impact on IT/ITeS sector The Union Budget 2018 was presented today reiterating the Government s commitment to leverage technology and digitalization as a key for India s

More information

Session 7 : Improving frontline services : maintaining the momentum on health workforce strengthening Kerala s Experience

Session 7 : Improving frontline services : maintaining the momentum on health workforce strengthening Kerala s Experience Health, the sustainable development goals (SDG) and the role of UHC Session 7 : Improving frontline services : maintaining the momentum on health workforce strengthening Kerala s Experience Dr. K. Ellangovan

More information

Global Fund Data Quality Tools

Global Fund Data Quality Tools Global Fund Data Quality Tools Nibretie Gobezie and Suman Jain, GF M&E Team WHO Task Force on TB Impact Measurement 23-25 Sept 2008 Geneva, Switzerland Background Outline GF M&E Data Quality Framework

More information

TERMS OF REFERENCE: PRIMARY HEALTH CARE

TERMS OF REFERENCE: PRIMARY HEALTH CARE TERMS OF REFERENCE: PRIMARY HEALTH CARE A. BACKGROUND Health Status. The health status of the approximately 21 million Citizens of Country Y is among the worst in the world. The infant mortality rate is

More information

District Hospitals and Primary Care Clinics in Northern Cape Province

District Hospitals and Primary Care Clinics in Northern Cape Province VHC: Scope of Work Country: Placement site: Assignment Title: Assignment Code: Length of assignment: South Africa District Hospitals and Primary Care Clinics in Northern Cape Province Clinical Preceptor

More information

Gramalaya Tiruchirappalli Annual Report for

Gramalaya Tiruchirappalli Annual Report for Gramalaya Tiruchirappalli Annual Report for 2007 2008 Gramalaya was established in 1987 with a group of committed youths in the field of rural development. Gramalaya got its legal entity by registering

More information

Assessment of the performance of TB surveillance in Indonesia main findings, key recommendations and associated investment plan

Assessment of the performance of TB surveillance in Indonesia main findings, key recommendations and associated investment plan Assessment of the performance of TB surveillance in Indonesia main findings, key recommendations and associated investment plan Accra, Ghana April 30 th 2013 Babis Sismanidis on behalf of the country team

More information

Minister. Secretaries of State. Department of Planning and Health Information. Department of Human Resources Development

Minister. Secretaries of State. Department of Planning and Health Information. Department of Human Resources Development KINGDOM OF CAMBODIA NATION RELIGION KING 1 Minister Secretaries of State Cabinet Under Secretaries of State Directorate General for Admin. & Finance Directorate General for Health Directorate General for

More information

Nyaya Health December 6, 2010 Board of Directors Report

Nyaya Health December 6, 2010 Board of Directors Report Nyaya Health December 6, 2010 Board of Directors Report 15.965 Global Health Delivery and Management Molly Bodell, Pompa Debroy, Sophie Cain Miller, & Evvie Nanni Outline 1 Mission Statement 2 Background

More information

National Health Policy 2015 Draft

National Health Policy 2015 Draft 2015 National Health Policy 2015 Draft Placed in Public Domain for Comments, Suggestions, Feedback Ministry of Health & Family Welfare December, 2014 00 Table of Contents 1 Introduction 3 2 Situation Analysis

More information

HOW TO MONITOR LEPROSY ELIMINATION IN YOUR WORKING AREA. World Health Organization

HOW TO MONITOR LEPROSY ELIMINATION IN YOUR WORKING AREA. World Health Organization HOW TO MONITOR LEPROSY ELIMINATION IN YOUR WORKING AREA World Health Organization HOW TO MONITOR LEPROSY ELIMINATION IN YOUR WORKING AREA contents The Final Push to Eliminate Leprosy 2 Why do we monitor?

More information

Aegis Skills Edge Pvt. Ltd.

Aegis Skills Edge Pvt. Ltd. Aegis Skills Edge Pvt. Ltd. Access Aegis Livelihoods Skills Consulting Edge Pvt. India Ltd. Private Limited Agency Access Aegis Livelihoods Skills Consulting Edge Pvt. India Ltd.- Private through Limited

More information

Meeting the Health Workforce Challenges for Universal Health Coverage

Meeting the Health Workforce Challenges for Universal Health Coverage Meeting the Health Workforce Challenges for Universal Health Coverage Akiko Maeda Lead Health Specialist Health, Nutrition and Population Global Practice End Extreme Poverty Goals for 2030 Boost Shared

More information

Situation Analysis Tool

Situation Analysis Tool Situation Analysis Tool Developed by the Programme for Improving Mental Health CarE PRogramme for Improving Mental health care (PRIME) is a Research Programme Consortium (RPC) led by the Centre for Public

More information

RE-ENGINEERING PRIMARY HEALTH CARE FOR SOUTH AFRICA Focus on Ward Based Primary Health Care Outreach Teams. 7June 2012

RE-ENGINEERING PRIMARY HEALTH CARE FOR SOUTH AFRICA Focus on Ward Based Primary Health Care Outreach Teams. 7June 2012 RE-ENGINEERING PRIMARY HEALTH CARE FOR SOUTH AFRICA Focus on Ward Based Primary Health Care Outreach Teams 7June 2012 CONTEXT PHC RE-ENGINEERING Negotiated Service Delivery Agreement (NSDA) Strategic Outputs

More information

Has Janani Suraksha Yojana Stimulated Institutional Delivery? A Study in Una District of Himachal Pradesh

Has Janani Suraksha Yojana Stimulated Institutional Delivery? A Study in Una District of Himachal Pradesh Has Janani Suraksha Yojana Stimulated Institutional Delivery? A Study in Una District of Himachal Pradesh 1 CHAPTER Deepak Kumar,* Manisha* and Archana Dwivedi** INTRODUCTION Himachal Pradesh (HP) is one

More information

Health Cluster Coordination Meeting. Friday December 4, 2015, Kiev

Health Cluster Coordination Meeting. Friday December 4, 2015, Kiev Health Cluster Coordination Meeting Friday December 4, 2015, Kiev Agenda Polio vaccination update Humanitarian Response Plan 2016 Partners updates MHPSS update TB/HIV/AIDs and OST AOB BACKGROUND On 28

More information

A STUDY OF HEALTH CARE SERVICES IN TRIBAL AREA. Dr. Tukaram Vaijanathrao Powale

A STUDY OF HEALTH CARE SERVICES IN TRIBAL AREA. Dr. Tukaram Vaijanathrao Powale A STUDY OF HEALTH CARE SERVICES IN TRIBAL AREA Research Paper : Dr. Tukaram Vaijanathrao Powale Assistant Professor of Economics Late Babasaheb Deshmukh Gorthekar Mahavidyalaya, Umri, Dist. Nanded - 431807

More information

National Multiple Sclerosis Society

National Multiple Sclerosis Society National Multiple Sclerosis Society National 1 Kim, National diagnosed MS in Society 2000 > HEALTH CARE REFORM PRINCIPLES America s health care crisis prevents many people with multiple sclerosis from

More information