Center for Health Market Innovations (CHMI)

Programs

Public-Private Mix DOTS

last updated Sep 27, 2011

Overview

Implementing organization: 
Department of Health, Philippine Coalition Against Tuberculosis (PhilCAT)
Legal Status: 
Public-private partnership
Year Launched: 
2003
Stage: 
Existing/expansion stage
Income Level of Target Population: 
All income levels

Funding

Primary Source of Funding: 
Government
Additional Source(s) of Funding: 
Donor
Summary: 

In 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. It is a systematic engagement exploring possible interaction between the private and public sectors and all other relevant partners in the fight against TB.

Program goals/rationale: 

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.

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