The Kenya Association for the Prevention of Tuberculosis of Tuberculosis and Lung Diseases (KAPTLD) works in close collaboration with the National Tuberculosis, Leprosy and Lung Disease Program (NTLD-P) to implement a Lung health Programs in the urban settings in Kenya. One of the organization’s flagship programs is the Public Private Mix (PPM) program for Tuberculosis care and control. This program's goal is to enhance the quality of tuberculosis care in the private health sector to conform to national and international standards. This initiative focuses on private self-financing or private-for-profit health entities because  the non-state health sector  that is not-for-profit, such as the faith based health sector has been linked to the National TB control program since the inception of  the program. The KAPTLD-led PPM Initiative has evolved and is now fully integrated into the activities of the National TB control program in urban areas of fourteen counties in Kenya including Nairobi, Mombasa, Nakuru, Eldoret, Kisumu, Kisii, Migori, Kakamega, Kericho, Machakos, Kajiado, Kiambu, Bungoma and Kilifi.

In 2012 a total of 10,000 TB patients comprising 10% of the national total of TB cases, were notified  to the National TB Control Program by over 250 “DOTS centers” in private health institutions in Kenya.

KAPTLD has recently restructured the PPM program and rebranded it the ‘Enhancing Quality of Tuberculosis Care In the Private Sector'(EQUAL-TIPS)Initiative. The objectives of the EQUAL-TIPS initiative are 1) to improve and standardize TB case management by all providers in Kenya, 2) to promote early and full TB case finding and improve treatment outcomes by linking patients to high quality and affordable TB services and 3) to enhance the implementation of essential public health actions including case recording and reporting, TB infection transmission prevention and control and contact investigation by all providers.

The components of the EQUALTIPs are;

  1. Development of nurse led TB clinics in private health care institutions (PPM DOTS Centres) in urban areas through identification and engagement of health institutions and individual providers patronizing these institutions, recruitment and training of healthcare workers and provision of regular technical support to the nurse led TB clinics
  2. Provision to private healthcare institutions with high quality and affordable fixed dose combinations of anti-TB medicines and ensuring that supply of these medicines is uninterrupted. KAPTLD partners with reputable pharmaceutical companies to provide high quality and affordable first line anti TB drugs to the private health sector through an Access to medicines program.
  3. Regular collection of TB case finding and treatment outcome data from participating health institutions to feed into the national TB data base

Who gets involved?

  • Every private health institution where significant numbers of patients with respiratory illnesses are seen
  • Health Institutions willing to establish nurse-led TB clinics and keep records of all TB patients managed in the institution and their treatment outcomes

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