Thursday, September 27, 2007

Public-Private Partnership- a "health Bankruptcy"



From published data & information (Source Pearson M, Impact & Expenditure Review, part II Policy issues, DFID,2002) tabled by working group on Public-Private Partnership for the eleventh five year Plan(2007-2012) , to Planning Commission. One can make an assessment on “where large number of patients undergoing for seeking treatment in India, Pubic or Private sector? The figures provided at official website http://www.tbcindia.org/ on National TB program (RNTCP) are based on ‘fraction of population’ accessing to public health system. These figures should not be misunderstood with ‘actual’ figures. Actual figures will only come up, when the reporting patron includes large number of population undergoing private health sector. In the absent of Diseases Reporting Legislation for private operator in India, figures such as, total number of registered patient, % of smear +ve Tb cases, new smear +ve, case detection rate; don’t give the true picture of the epidemic /pandemic Program performance indicators such new smear +ve pulmonary TB (NSP) case detection rate, treatment success rate, deaths due to TB are sensitive figures, should be published based on ‘total population of the country”. Where the quotes (by government) are calculated based on “controlled population’ / fraction of population.


Present method of RNTCP will bring ‘health Bankruptcy “ for country.

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