Public-Private Mix DOTS
Country of Operation
- Department of HealthGovernment
- Philippine Coalition Against Tuberculosis (PhilCAT)Not-for-profit
Target income level
- Bottom 20%
- Lower-middle income (20-40%)
- Middle-income (40-60%)
- Higher middle-income (60-80%)
- High-income (80-100%)
SummaryIn the Philippines, PPM DOTS was officially adopted in 2003 as a strategy to increase case detection and harmonize TB management among all health care providers.
The Philippines ranks ninth on the list of 22 high-burden tuberculosis (TB) countries in the world. In fact, it is one of the leading causes of morbidity in the country. Though there are existing programs of the government that would facilitate detection and treatment of TB, it is necessary that private sector should be involved in the system given the fact that private providers play an important role in the Philippine health care delivery system.
Key program components
Private- Public Mix DOTS is a general model initiated by WHO that aims to facilitate detection of TB. In many countries where private sector shares a significant role in health service delivery, it is deemed necessary to link all health care entities within the private and public sectors including health providers in other government ministries to national tuberculosis programs for expansion of DOTS activities. Department of Health Order no. 145 states the creation of the National Coordinating Committee (NCC) and Regional Coordinating Committee (RCC) on PPMD. Their main function are the following: (1) formulate policies/operational guidelines; (2) provide technical assistance in improving DOTS; (3) implementation in PPMD units; (4) oversee the quality of implementation of PPMD; (5) strategy through regular monitoring, supervision and evaluation; (6) Ensure availability and adequacy of drug supply. Since the institutionalization of PPM DOTS, there was a significant increase in the detection rate according to Department of Health.