Progress

Significant efforts on part of the PPM Subgroup as well as the growing realization of the need, feasibility and effectiveness of PPM based on evidence from successful initiatives has pushed PPM to the forefront of many national agendas for TB control. Data compiled from 15 countries (including nine high-TB burden countries) in 2010, demonstrated the major contribution that PPM can make to case notifications (table1 [.pdf]). In these 15 countries, the contribution of PPM initiatives typically ranges from between about one fifth to one third of total notifications, in the geographical areas in which PPM has been implemented. This has been accompanied by maintenance of high rates of treatment success. As also illustrated in the table, NTPs have used a variety of approaches to engage non-NTP care providers, according to the local context. These include incentive-based schemes for individual and institutional providers in India and Myanmar; a web-based system for mandatory reporting of TB cases by all providers in China.