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Frontiers | Public–Private Mix Models of Tuberculosis Care in Pakistan: A High-Burden Country Perspective

Introduction: Pakistan ranks fifth in the globally estimated burden of Tuberculosis (TB) case incidence. Annually, a gap of 241,688 TB patients exists between estimated TB incidence and actual TB case notification in Pakistan. These undetected/missed TB cases initiate TB care from providers in the private healthcare system who are less motivated to notify patients to the national database that leads to significant under-detection of actual TB cases in the Pakistani community. To engage these private providers in reaching out to missing TB cases, a national implementation trial of the Public-Private Mix (PPM) model was cohesively launched by NTP Pakistan in 2014. The study aims to assess the implementation, contribution, and relative treatment outcomes of cohesively implemented PPM model in comparison to the non-PPM model. Methods: A retrospective record review of all forms (new and relapse) TB patients notified from July 2015 to June 2016 was conducted both for PPM- and non-PPM models

Malawi making impressive progress in TB fight

Tuberculosis (TB) expert Dr Daniel Nyangulu has said Malawi is making impressive progress in the fight against the disease. Nyangulu, who made the remarks in Salima on the sidelines of a biannual review meeting on TB for Media Professionals, disclosed that Malawi is among the best-rated countries in the struggle against the disease at regional and global level. Dr Wongani Nyangulu “A number of strategies have been outlined to fight, treat and reduce the cases among the people in the country,” he said. Some of the strategies that have earned Malawi good results in TB fight include community sputum collection, mobile van diagnosis, door-to-door campaign, collaboration with other ministries, contact tracing and isonized therapy, among others.

Pakistan fifth highest burdened country for TB

Pakistan fifth highest burdened country for TB June 11, 2021 ISLAMABAD: The Pakistan Economic Survey for 2021, citing the World Health Organisation, says Pakistan ranked fifth highest burdened country for tuberculosis worldwide, with an estimated 510,000 new TB cases emerging every year. The incidence and mortality per 100,000 population per year from TB in Pakistan is 263 and 19 respectively. With the guidance of the WHO, Pakistan has developed the National TB Control Programme (NTP) to prevent population from TB. The programme includes universal access to quality TB care in the country, expanding partnerships and multi-sectoral approaches by engaging all stakeholders. The NTP strives for a TB-free Pakistan by reducing 50 per cent prevalence of TB in general population by 2025 in comparison to 2012, through universal access to quality TB care and achieving zero TB death.

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