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Building Models for the Future

  • Building Models for the Future

    Improved TB/HIV Prevention and Care

    Aim

    The ‘Improved TB/HIV prevention and care: building models for the future (BMF)’ project aims to bridge the gap in quality and availability of integrated Tuberculosis and HIV health services between the public and private health care sectors.

    Where

    The Philippines

    Why

    The Philippines continues to have elevated levels of TB infection and a growing incidence of HIV in recent years. High population density and complex, unequal urbanization characterize many areas, drastically increasing the chances of TB and HIV infection and co-morbidity, particularly for those most vulnerable or key populations: people living in poor urban neighborhoods, people living with HIV, LGBTI+ people, sex workers, and people who use drugs. While the public sector has ramped up efforts to reach key populations for TB and HIV, the non-public sector remains an untapped resource to widen the scope and breadth of interventions.

    How

    BMF uses innovative approaches to create effective partnerships and sustainable solutions. The project multiplies the contributions of the public and non–public sectors by triangulating their roles, which enables even more alliances to increase TB and HIV care. BMF partners with public and non-public facilities that provide TB and HIV services and helps them become one-stop-shops for TB and HIV care. Performance-based incentives, which mirror those of the National Health Insurance Program, give health facilities access to funds to develop their capacity for integrated care. BMF also taps local community-based organizations working with key populations to further mobilize communities, raise their awareness about these diseases and promote participation in public decision-making.

    Results so far

    Partner engagement began in January 2017. As of April 2018, BMF had contracted eight clinic partners for integrated TB/HIV health services representing five prototypes: SRHR clinics, public-private mix DOTS clinics, hospital DOTS, mall-based clinics, and single practice physician clinics. In the last 14 months, clinics have screened a total of 94,000 individuals for TB. Six percent were found to have symptoms of TB – 21 percent of whom were later diagnosed with TB and started on treatment – and 25 percent of patients on TB treatment were counselled and tested for HIV.

    Period & budget

    January 2015 to 30 September 2019; €864.375

    Partners

    Hivos and KNCV TB Foundation