ArticleJournal of family medicine and primary care2019
Barriers for involvement of private doctors in RNTCP - Qualitative study from Kerala, India.
Article in Journal of family medicine and primary care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 19 citations in OpenAlex.
- Determinants of adherence towards tuberculosis guidelines among Indonesian private practitioners: a qualitative study.BMJ global health · 2024Article
- Ensuring universal access to quality care for persons with presumed tuberculosis reaching the private sector: lessons from Kerala.International journal for equity in health · 2024Article
- The Role of Trust as a Driver of Private-Provider Participation in Disease Surveillance: Cross-Sectional Survey From Nigeria.JMIR public health and surveillance · 2024Article
- Trends and age-period-cohort effect on the incidence of falls from 1990 to 2019 in BRICS.Heliyon · 2024Article
- Private practitioners' practices for tuberculosis management in a city largely served by the private health sector in Uganda.PloS one · 2024Article
- Participation of private providers in the National TB Programme in South India.Public health action · 2023Article
- Engaging the Private Health Service Delivery Sector for TB Care in India-Miles to Go!Tropical medicine and infectious disease · 2023Review
- Feasibility of implementing public-private mix approach for tuberculosis case management in Pokhara Metropolitan City of western Nepal: a qualitative study.Frontiers in public health · 2023Article
- Time trends in tuberculosis mortality across the BRICS: an age-period-cohort analysis for the GBD 2019.EClinicalMedicine · 2022Article
- STEPS - a patient centric and low-cost solution to ensure standards of TB care to patients reaching private sector in India.BMC health services research · 2022Article
- TB notification rates across parliamentary constituencies in India: a step towards data-driven political engagement.Tropical medicine & international health : TM & IH · 2021Article
- STEPS: A Solution for Ensuring Standards of TB Care for Patients Reaching Private Hospitals in India.Global health, science and practice · 2021Article
- A road-map for addressing antimicrobial resistance in low- and middle-income countries: lessons learnt from the public private participation and co-designed antimicrobial stewardship programme in the State of Kerala, India.Antimicrobial resistance and infection control · 2021Review
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionEngaging the private sector effectively has been considered as the single most important intervention required for Revised National TB Control Program (RNTCP) to achieve the overall goal of universal access and early detection. This study attempts to identify the barriers and facilitators in the involvement of private practioners in signed schemes of RNTCP. MATERIALS AND
methodsSix focus group discussions - four among private sector doctors and two among RNTCP TB key workers and 10 key informant interviews were conducted. Themes were divided into private sector involvement in RNTCP, barriers for private sector involvement, facilitators for private sector involvement and suggestions for better PPP.
resultsGeneral feel was that private sector involvement in RNTCP was increasing. Public sector at ground level has not really understood the need to engage the private sector. Lack of capacity for public sector staff to understand and deal with private sector, power relations and not taking hospital managements to trust emerged as important barriers for engagement while private sector doctors expressed concerns over patient confidentiality and patient choices, apprehension of losing patients, inability of program to keep commitments and timely payments, poor recognition to private sector, bureaucratic hurdles and cumbersome formalities. Building locally customised partnership schemes, behaviour change for PPP, building managerial capacity of Public sector to deal with private sector, presence of an interphase agency and quality control through a participatory body were important suggestions for improvement of PPP.
conclusionStrategies have to be formulated to customise partnership for private sector doctors using the flexibilities of the program. Strengthening PPP will be possible in presence of strong administrative will and the understanding that personal relationships are the best key to Public Private Partnerships.
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