Report & Recording of Programmatic Efficiency: Private Sector Engagement in TB Care

Amidst growing concerns about global funding constraints, the TBPPM webinar on programmatic efficiencies served as a vital platform to showcase country-driven innovations and lessons learned. The expert panel discussion drew from the experiences of Kenya, Pakistan, the Philippines, and Nigeria, while setting the global context through insights from the Global Fund.

Key Takeaways

1. Funding Gaps: A $1.35B shortfall in TB funding demands greater efficiency and smarter use of resources. Countries are exploring domestic funding like insurance schemes and national budgets to sustain TB programs.

2. Private Sector Engagement: Private providers contribute up to 45% of TB notifications but receive only ~11% of funding. PSE is seen as cost-effective and essential in reprioritization strategies.

3. Digital Tools Boost Results: Kenya’s TibuLite system improved treatment success to 89% and reduced loss to follow-up to 4.3%. Dashboards in Kenya and Nigeria help track provider performance and guide support.

4. Innovative Delivery Models: Pakistan and Nigeria use mobile vans, AI mapping, and hub-spoke models to expand TB services. Motorbike-based delivery networks are cutting costs and speeding up diagnosis.

5. Mandatory Notification Works: The Philippines increased private sector TB reporting to 26% using Rx Pass and strong enforcement.

6. Sustainability Requires Integration: Long-term success depends on innovation aligned with public systems and policies.

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