Making PPM TB Work: The PSI Experience

1
Making PPM TB WorkThe PSI Experience

• Population Services International
• PPM TB Consultants Training
• Sandalo, Italy
• April 15-19, 2008

2
PSI and PPM

• Who is PSI?
• PSIs approach to public health
• What is social franchising?
• Successful PSI programs
• Next steps

3
Who is PSI?

• International non-profit
• Incorporated in 1970
• Over 65 country offices
• Based in Washington
• World leader in social marketing and behavior
  change communication

4
Key Health Areas

• HIV/STI prevention
• HIV Counseling and Testing (CT)
• Family Planning
• Malaria
• Diarrheal Disease
• Maternal and Child Health
• Tuberculosis

5
PSI and TB
6
What is social franchising?

• Options Full, partial, PPM, hybrid,
  accreditation only

• Franchise Responsibility
• Training
• Quality Assurance
• Monitoring and Evaluation
• Drugs,Supplies and Consumables (as appropriate)
• Communication, Branding and Demand Creation

• Franchisee Responsibility
• Quality Service Provision (according to standards
  and protocols)
• Implement Recommendations
• Recording and Reporting
• Participate in Network Activities

Once established, a successful social franchise
can be rapidly scaled-up with limited cost and
expanded to include other health services.
7
Social Franchising in Myanmar

• Launched in 2004
• 99 townships in 10 states
• 415 providers, 86 labs
• 60,600 clients tested for TB
• 28,690 registered TB cases
• 12,899 ss (21)
• 83 TSR
• 4 default
• 10 contribution to natl CDR
• gt65 of patients represent the lowest SES

8
(No Transcript)
9
Pakistan GreenStar and TB

• Launched in 2005
• 1,236 providers trained
• 25,624 community outreach workers trained
• 945 providers, 51 labs
• 1,178,500 people reached
• 25, 624 registered TB cases
• 14,894 ss (58)
• 91 TSR
• 31 contribution to natl CDR

10
TB Communications

• Where?
• India, Laos, Myanmar, Kenya, Romania
• What?
• TB
• TB/HIV
• Stigma

11
PPM TB/HIV

• Non-medical TB screening of all VCT clients and
  referrals
• Provider Initiated Testing and Counseling
  (PITC) at public sector TB sites

New Start VCT center in Namibia.
12
Challenges!

• Lack of trust between the public and private
  sectors
• Tracking referral outcomes outside the network
• Developing appropriate and effective
  communications
• More external evaluations of successful programs
  needed to convince partners and donors

13
Next Steps

• Scale-up TB service delivery through new and
  existing franchises
• Launch new PPM TB social franchise networks
• Support NTPs in communications for TB and TB/HIV
• Strengthen TB screening among PLWHA and through
  VCT
• Increase support to NTPs to provide PITC to all
  TB suspects and patients

14
Thank you!

• For more information on PSI,
• please contact
• Megan Elliott
• melliott_at_psi.org