ArticleBMC public health2025
Engaging private providers to enhance tuberculosis detection and notification: evidence from TB REACH-Supported projects.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Review: missed tuberculosis cases in India: a systematic analysis of diagnostic, treatment, and reporting gaps.BMC health services research · 2025Pooled it
- Evaluation of the tuberculosis notification impact from an intermediary-facilitated public-private mix intervention in Viet Nam: A population-level quasi-experimental study.PLoS medicine · 2026Article
- Public-Private Partnerships in tuberculosis service delivery in Somalia: a qualitative analysis.BMC research notes · 2026Article
- Increasing detection of individuals with tuberculosis through engagement of informal health care providers in Northeastern Nigeria.BMC public health · 2026Article
- The Impact of Public Health Interventions on the Frequency and Duration of Hospitalisations Among Seniors in Poland-An Analysis Covering the Years 2017-2018.Journal of clinical medicine · 2025Article
- Building community networks and engagement for effective TB case management.Frontiers in public health · 2025Review
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Authors and funding
8 authors.
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Abstract
backgroundPrivate providers (PPs), rather than public facilities, are often the first point of contact in the health system for people with tuberculosis (TB). However, PP's potential for enhancing TB detection remains underutilized.
methodsTB REACH is an initiative of Stop TB Partnership focused on improving TB detection and notification. We analyzed the results of interventions using private provider engagement (PPE) to impact TB detection and notification across four TB REACH funding waves from May 2018 through March 2022.
resultsOverall, 35 projects documented screening of 13,038,586 people for TB, referral of 384,364 (3% of those screened) for diagnostic testing, and testing of 332,266 (86%) people. In total, 64,456 all forms of TB were diagnosed, and 62,830 (97% of those diagnosed) were linked to treatment. To diagnose one person with TB, the overall number needed to screen and test was, respectively, 281 (range across projects: 2-8,705) and 7 (range across projects: 1-24). Twenty-five projects mapped 69,187 PPs, both formal and informal, and engaged 21,206 (31%) providers during the intervention period, 12,211 (58%) of whom actively referred at least one person with TB symptoms during the intervention period. During the implementation period, TB notifications in the intervention areas increased by 25% (n = 61,123; from 246,845 to 307,968), with 20% of the total TB notifications attributed to the PPE projects. The mean and median cost per person started on treatment through the PPE projects was USD 221 and USD 481 (range across projects: 23 - 8,689).
conclusionsOur findings suggest that structured and targeted PPE enhances TB case finding and contribute in closing the gap of missing cases. These results emphasize the need for wider implementation and scale-up of PPE in the TB response.
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