Related Experiment Video
Updated: Jun 30, 2025
A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients
Published on: October 25, 2024
Operational priorities for engaging with India's private healthcare sector for the control of tuberculosis: a
Saskia Ricks1, Ananya Singh2, Ridhima Sodhi2
1Imperial College London School of Public Health, London, UK saskia.ricks12@imperial.ac.uk.
Objectives:
To estimate the potential impact of expanding services offered by the Joint Effort for Elimination of Tuberculosis (JEET), the largest private sector engagement initiative for tuberculosis (TB) in India.
Design:
We developed a mathematical model of TB transmission dynamics, coupled with a cost model.
Setting:
Ahmedabad and New Delhi, two cities with contrasting levels of JEET coverage.
Participants:
Estimated patients with TB in Ahmedabad and New Delhi.
Interventions:
We investigated the epidemiological impact of expanding three different public-private support agency (PPSA) services: provider recruitment, uptake of cartridge-based nucleic acid amplification tests and uptake of adherence support mechanisms (specifically government supplied fixed-dose combination drugs), all compared with a continuation of current TB services.
Results:
Our results suggest that in Delhi, increasing the use of adherence support mechanisms among private providers should be prioritised, having the lowest incremental cost-per-case-averted between 2020 and 2035 of US$170 000 (US$110 000-US$310 000). Likewise in Ahmedabad, increasing provider recruitment should be prioritised, having the lowest incremental cost-per-case averted of US$18 000 (US$12 000-US$29 000).
Conclusion:
Results illustrate how intervention priorities may vary in different settings across India, depending on local conditions, and the existing degree of uptake of PPSA services. Modelling can be a useful tool for identifying these priorities for any given setting.
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