Table 1.
Characteristics of selected public-private mix (PPM) pilot projects in India (as of August 2004)
|
Areas with existing government health infrastructure
|
Areas without government health infrastructure
|
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Kerala
|
Maharashtra
|
New Delhi
|
Tamil Nadu
|
|||||||||||
| Project characteristic | Delhi LRS (New Delhi) | Kannur | Kollam | Mumbai | Thane | Thane Rural | Mahavir (Andhra Pradesh) | Tea Estates (Assam and West Bengal) | SHIS (West Bengal) | Falah-e-Am (Uttar Pradesh) | NDTB | RK Mission | Leprosy Rural Relief | St Mary's Leprosy |
| Population | 0.1 | 2.4 | 2.6 | 4.0 | 1.2 | 1.6 | 0.5 | 4.6 | 1.2 | 0.5* | 0.2* | 0.6* | 0.5 | 0.5 |
| Primarily urban or rural area served by project | Urban | Mixed | Mixed | Urban | Urban | Rural | Mixed | Rural | Rural | Urban | Urban | Urban | Rural | Urban |
| Supplemental funding | GOI | No | No | WHO | No | No | No | No | No | No | No | No | No | No |
| Third party coordinating organisation | DMA | None | IMA | NGO | None | None | None | ITA | None | None | None | None | None | None |
| No of collaborating private providers: | ||||||||||||||
| Referring private providers | Unknown | Unknown | Unknown | 1018 | 95 | 94 | 334 | 226 | 35 | Unknown | Unknown | Unknown | 15 | 21 |
| Microscopy centres | 3 | 31 | 25 | 0 | 2 | 1 | 6 | 3 | 5 | 1 | 1 | 1 | 1 | 1 |
| DOTS treatment providers | 3 | 33 | Unknown | 192 | 98 | 138 | 36 | 222 | 625 | 2 | Unknown | Unknown | 400 | 493 |
| Medical colleges | 0 | 1 | 0 | 4 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Service charges to patients by private providers: | ||||||||||||||
| Sputum acid fast bacilli microscopy | Free | Charge | Charge | Free | Charge | Charge | Free | Free | Free | Free | Free | Free | Free | Free |
| Drugs for DOTS treatment | Free | Free | Free | Free | Free | Free | Free | Free | Free | Free | Free | Free | Free | Free |
| Primary supervision of private providers: | ||||||||||||||
| Private microscopy centres
|
RNTCP and DMA
|
RNTCP
|
RNTCP
|
RNTCP
|
RNTCPRNTCP
|
NGO and private providers
|
RNTCP
|
NGO
|
NGO
|
NGO
|
NGO
|
NGO
|
NGO
|
|
| PPM DOTS treatment providers | RNTCP and DMA | RNTCP | RNTCP | RNTCP and NGO | RNTCPRNTCP | NGO and private providers | Corporate and private providers | NGO | NGO | RNTCP and NGO | NGO | RNTCP and NGO | RNTCP and NGO | |
Population in millions according to 2000 census.
LRS=Lala Ram Sarup Institute of Tuberculosis and Respiratory Diseases; SHIS=Southern Health Improvement Samity; NDTB=New Delhi Tuberculosis Centre; RK=Ramakrishanan; RNTCP=Revised National Tuberculosis Control Programme; NGO=non-governmental organisation; DMA=Delhi Medical Association; IMA=Indian Medical Association; ITA=Indian Tea Association; GOI=Government of India.
*
Estimated.