The Subgroup on
Public-Private Mix for TB
Care and Control (PPM Subgroup) was
established by the
global Stop TB Partnership's DOTS Expansion Working Group to
help promote and facilitate active engagement of all relevant
public and private health care providers in TB control. The
members of the Subgroup include representatives from the private
sector, academia, country programme managers, policy makers,
field experts working on the issue, international technical
partners and donor agencies.
At the first meeting
of the Subgroup in November 2002, generic regional and national
PPM strategies were developed and endorsed.
The second Subgroup
meeting, which was held in the WHO Regional Office for
South-East Asia in February 2004,
reviewed the growing
evidence base emerging from numerous PPM initiatives. The second
meeting also broadened the scope of PPM to include the
involvement of public sector providers not yet linked to NTPs.
The third Subgroup meeting, held in Manila April 2005,
identified barriers and enablers for scaling up and sustaining
PPM and also endorsed the global PPM guidance document prepared
by the Subgroup secretariat. The Fourth Subgroup meeting had PPM
for TB care and control in Africa as the main focus. It
examined how successful PPM approaches within Africa can be
scaled up and how approaches in other regions can be adapted to
the African settings.
The fifth meeting to
be hosted by the WHO regional office of the Eastern
Mediterranean (EMRO) will concentrate on mechanisms and tools to
building capacities of institutions supporting and/or
undertaking TB care provision such as, for example, national
professional organizations, large hospitals, and corporate
sector health establishments. Ways for effective use of
International Standards for TB Care as the basis and a tool to
achieve institutional strengthening for TB control will also be
examined. Donor and community perspectives on PPM will be
discussed and new initiatives such as PPM for TB/HIV and PPM MDR
TB will be introduced.