Costs of a successful public-private partnership for TB control in an urban setting in Nepal

Karki, Deepak K.; Mirzoev, Tolib N.; Green, Andrew T.; Newell, James N.; Baral, Sushil C.
January 2007
BMC Public Health;2007, Vol. 7, p84
Academic Journal
Background: In South Asia a large number of patients seek treatment for TB from private practitioners (PPs), and there is increasing international interest in involving PPs in TB control. To evaluate the feasibility, effectiveness and costs of public-private partnerships (PPPs) for TB control, a PPP was developed in Lalitpur municipality, Nepal, where it is estimated that 50% of patients with TB are managed in the private sector. From the clinical perspective the PPP was shown to be effective. The aim of this paper is to assess and report on the costs involved in the PPP scheme. Methods: The approach to costing took a comprehensive view, with inclusion of costs not only incurred by health facilities but also social costs borne by patients and their escorts. Semi-structured questionnaires and guided interviews were used to collect start-up and recurrent costs for the scheme. Results: Overall costs for treating a TB patient under the PPP scheme averaged US$89.60. Startup costs per patient represented 12% of the total budget. Half of recurrent costs were incurred by patients and their escorts, with institutional costs representing most of the rest. Female patients tended to spend more and patients referred from the private sector had the highest reported costs. Conclusion: Treating TB patients in the PPP scheme had a low additional cost, while doubling the case notification rate and maintaining a high success rate. Costs incurred by patients and their escorts were the largest contributors to the overall total. This suggests a focus for follow-up studies and for cost-minimisation strategies.


Related Articles

  • Erratum to: A rapid evidence review on the effectiveness of institutional health partnerships. Kelly, E; Doyle, V; Weakliam, D; Schönemann, Y // Globalization & Health;1/21/2016, Vol. 12, p1 

    A correction to the article "A rapid evidence review on the effectiveness of institutional health partnerships" is presented.

  • Implementation of tuberculosis infection control in health facilities in Mukono and Wakiso districts, Uganda. Buregyeya, Esther; Nuwaha, Fred; Verver, Suzanne; Criel, Bart; Colebunders, Robert; Wanyenze, Rhoda; Kalyango, Joan N.; Katamba, Achilles; Mitchell, Ellen M. H. // BMC Infectious Diseases;2013, Vol. 13 Issue 1, p1 

    Background: Tuberculosis infection control (TBIC) is rarely implemented in the health facilities in resource limited settings. Understanding the reasons for low level of implementation is critical. The study aim was to assess TBIC practices and barriers to implementation in two districts in...

  • Senior living facility teams up with rehabilitation network. Occhipinti, Christina // Westchester County Business Journal;3/26/2007, Vol. 46 Issue 14, p6 

    The article reports on the partnership between the United Hebrew Geriatric Center and the Burke Rehabilitation Network in a move to enhance rehabilitation services for its residents and clients. According to Rita Mabli, chief executive of United Hebrew, Burke was impressed with the quality of...

  • Physician-recommended guidelines validate in-store clinics' role. Alexander, Antoinette // Drug Store News;9/25/2006, Vol. 28 Issue 12, p14 

    The article reports on the collaboration among food, drug and mass outlets and retail-clinic providers to test the health care concept in the U.S. The providers include MinuteClinic, Take Care Health, MedXpress, and SmartCare Family Medical Centers. Under the concept, patients are staffed with...

  • St. Luke's Cornwall partners with Mt. Sinai. Miller, Chris // Hudson Valley Business Journal;1/29/2007, Vol. 18 Issue 5, p26 

    The article reports on the announcement made by St. Luke's Cornwall Hospital regarding its clinical affiliation with Mount Sinai Hospital. Its objective is to maintain its commitment to provide progressive and extensive health care services to the region. Information about this partnership that...

  • Healthy choice. Browning, Skylar // Missoula Independent;3/13/2014, Vol. 25 Issue 11, p8 

    The article discusses the partnering initiative from Community Medical Center to St. Patrick Hospital, Missoula in order to improve health care quality. Topics discussed include Community Medical Center total patient revenue at 237 million U.S. dollars, its facility across country struggling to...

  • Collaborate, Don't Crush. VAUGHAN, CARRIE // HealthLeaders Magazine;Mar2009, Vol. 12 Issue 3, p41 

    The article focuses on the benefits that accrue to hospitals for collaborating with their competitors. According to the author, hospital executives are discovering that competing other healthcare institutions may not be the best way to be the best healthcare provider in the region their...

  • Hospital Spas: A Prosperous Partnership. Towery, Chris // Massage Magazine;Jul2008, Issue 146, p32 

    The article focuses on the productive partnership between medical care and spa industries, and the emergence of hospital spas in the U.S. According to the International Spa Association, medical spas are the fastest growing sector in the spa industry. It states that most of the spas' are based on...

  • Transdisciplinary Research Partnerships: Making Research Happen! Fauchald, Sally K.; Smith, Dave // Nursing Economic$;May/Jun2005, Vol. 23 Issue 3, p131 

    This article focuses on the transdisciplinary research partnerships in nursing. Health care and educational institutions have grown in size and geographic diversity due to consolidations and the continued need to do more with less. Many of these institutions value leaders who have the ability to...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics