A social enterprise model for TB detection and treatment through the private sector in Pakistan
Rattachement africain : gb, se, pk. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND: Existing models to increase TB case notifications from the private sector in Pakistan are financially unsustainable and have achieved modest success due to limited coverage. OBJECTIVE: To evaluate the impact of a social enterprise model (SEM) intervention on TB case detection in Karachi, Pakistan, and to assess its financial sustainability. METHODS: Purpose-built centres were established within the private sector that integrated TB screening, diagnostics and treatment and operated 12 hours per day with convenient locations to improve access. TB services were offered free of cost, and revenue generation took place through user fees from other diagnostics. Private providers with a focus on the informal sector were engaged through community workers to generate screening referrals. RESULTS: Overall 171,488 people were screened and 18,683 cases were notified, including 197 individuals with drug-resistant TB. Annual TB notifications in Karachi increased from 18,105 in 2014 to a maximum of 25,840 (40% increase). The proportion of cases in Karachi notified by the centres grew to 27% in 2020. Commercial revenue reached USD288,065 and enabled operating cost recovery of 15%. Average cost per TB case notified was USD203. CONCLUSION: The SEM intervention contributed a large proportion of notifications in Karachi and achieved modest cost recovery.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- A social enterprise model for TB detection and treatment through the private sector in Pakistan
- Date Crossref
- 01/02/2024
- Éditeur
- International Union Against Tuberculosis and Lung Disease
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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National Institute for Health and Care Research pays non établi dans la noticeOrganisme public
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Health Solutions (Sweden) pays non établi dans la noticeEntreprise
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University College London Institute for Global Health pays non établi dans la noticeUniversité ou école supérieure
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Remedial Centre Hospital pays non établi dans la noticeÉtablissement de santé
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Interactive Research and Development pays non établi dans la noticeOrganisation à but non lucratif
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Community Health Solutions pays non établi dans la noticeInstitution
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Careem pays non établi dans la noticeInstitution
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Interactive Research & Development pays non établi dans la noticeInstitution
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Stop TB Partnership pays non établi dans la noticeInstitution
National Institute for Health and Care Research, Health Solutions (Sweden) et Institute for Global Health — University College London, avec 6 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.