Author:
- INTRODUCTION
- METHODS
- RESULTS
- Factors that influence health seeking behavior of patients and private–public engagement.
- Private physicians have a loyal patient population despite the costs.
- Patients return to the private sector, even after referral to government health-care facilities.
- Private physicians see themselves as significantly different from public providers.
- Private physicians report being out of touch with initiatives and protocols of the government.
- Private physicians find case notifications and access to diagnostics and drugs to be complicated.
- Private physicians find certification processes of the government to be cumbersome.
- Private physicians blame lack of communication with the public sector.
- Private physicians worry about the non-sustainability of these initiatives.
- Private physicians underline the importance of private–public engagement.
- Private physicians believe public–private partnerships should enhance the quality of both parties.
- Ideas that may enhance private–public engagement.
- Factors that influence health seeking behavior of patients and private–public engagement.
- DISCUSSION
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
WHO, 2017. WHO Global Tuberculosis Report 2017 [Internet]. Geneva, Switzerland: World Health Organization Press. Available at: http://www.who.int/tb/publications/global_report/en/. Accessed March 15, 2017.
-
2.
Garfin C, Mantala M, Yadav R, Hanson CL, Osberg M, Hymoff A, Makayova J, 2017. Using patient pathway analysis to design patient-centered referral networks for diagnosis and treatment of tuberculosis: the case of the Philippines. J Infect Dis 216 (Suppl 7): S740–S747.
-
3.
Wells WA, Ge CF, Patel N, Oh T, Gardiner E, Kimerling ME, 2011. Size and usage patterns of private TB drug markets in the high burden countries. PLoS One 6: e18964.
-
4.
Tupasi TE et al. 2000. Bacillary disease and health seeking behavior among Filipinos with symptoms of tuberculosis: implications for control. Int J Tuberc Lung Dis 4: 1126–1132.
-
5.
Mantala MJ, 2003. Public–private mix DOTS in the Philippines. Tuberculosis (Edinb) 83: 173–176.
-
6.
Auer C, Lagahid JY, Tanner M, Weiss MG, 2006. Diagnosis and management of tuberculosis by private practitioners in Manila, Philippines. Health Policy 77: 172–181.
-
7.
Lei X, Liu Q, Escobar E, Philogene J, Zhu H, Wang Y, Tang S, 2015. Public–private mix for tuberculosis care and control: a systematic review. Int J Infect Dis 34: 20–32.
-
8.
Wells WA, Uplekar M, Pai M, 2015. Achieving systemic and scalable private sector engagement in tuberculosis care and prevention in Asia. PLoS Med 12: e1001842.
-
9.
Wells WA, Uplekar M, Dias HM, 2017. Guide to Develop a National Action Plan on Public-Private Mix for Tuberculosis Prevention and Care. Geneva, Switzerland: World Health Organization. Available at: chrome-extension://oemmndcbldboiebfnladdacbdfmadadm/https://www.who.int/tb/publications/2017/Final_Tool_PPM_action_plan.pdf?ua=1.
-
10.
Uplekar M, 2003. Involving private health care providers in delivery of TB care: global strategy. Tuberculosis (Edinb) 83: 156–164.
-
11.
Montagu D, Goodman C, 2016. Prohibit, constrain, encourage, or purchase: how should we engage with the private health-care sector? Lancet 388: 613–621.
-
12.
Surya A et al. 2017. Quality tuberculosis care in Indonesia: using patient pathway analysis to optimize public-private collaboration. J Infect Dis 216 (Suppl 7): S724–S732.
-
13.
Uplekar M, Atre S, Wells WA, Weil D, Lopez R, Migliori GB, Raviglione M, 2016. Mandatory tuberculosis case notification in high tuberculosis-incidence countries: policy and practice. Eur Respir J 48: 1571–1581.
-
14.
Lal SS, Sahu S, Wares F, Lönnroth K, Chauhan LS, Uplekar M, 2011. Intensified scale-up of public-private mix: a systems approach to tuberculosis care and control in India. Int J Tuberc Lung Dis 15: 97–104.
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Perceptions of the Private Sector for Creating Effective Public–Private Partnerships against Tuberculosis in Metro Manila, Philippines
James Sherpa
James Sherpa
World Health Organization, Metro Manila, Philippines;
University of Washington, Seattle, Washington
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University of Washington, Seattle, Washington
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Rajendra-Prasad Yadav
Rajendra-Prasad Yadav
World Health Organization, Metro Manila, Philippines;
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This article’s goal is to assess the perspectives of private providers on current and future public–private engagement in Metro Manila, a city of 13 million using semistructured interviews with a convenience sample of 18 private physicians. Our study found that private providers perceived their clientele as loyal and their services as distinct from public services, with unique attractions of convenience and quality of service. They saw value in engaging with the public sector for knowledge exchange, access to public-sector commodities, and access to public sector assistance with public health tasks related to tuberculosis (TB). However, their proposed ways of engaging were more centered on the private sector role, in ways that are not currently being pursued by the public sector. It is of the utmost importance to recognize that private provider perspectives are essential to build effective engagement models and, thus, to reach all clients with quality TB care.
Author Notes
Disclaimer: The World Health Organization retains the copyright to this article and has granted the American Society of Tropical Medicine and Hygiene permission to publish it.
Authors' addresses: James Sherpa, World Health Organization, Metro Manila, Philippines, and University of Washington, Seattle, WA, E-mail: sherpajr@uw.edu. Rajendra-Prasad Yadav, World Health Organization, Metro Manila, Philippines, E-mail: yadavr@who.int.
- INTRODUCTION
- METHODS
- RESULTS
- Factors that influence health seeking behavior of patients and private–public engagement.
- Private physicians have a loyal patient population despite the costs.
- Patients return to the private sector, even after referral to government health-care facilities.
- Private physicians see themselves as significantly different from public providers.
- Private physicians report being out of touch with initiatives and protocols of the government.
- Private physicians find case notifications and access to diagnostics and drugs to be complicated.
- Private physicians find certification processes of the government to be cumbersome.
- Private physicians blame lack of communication with the public sector.
- Private physicians worry about the non-sustainability of these initiatives.
- Private physicians underline the importance of private–public engagement.
- Private physicians believe public–private partnerships should enhance the quality of both parties.
- Ideas that may enhance private–public engagement.
- Factors that influence health seeking behavior of patients and private–public engagement.
- DISCUSSION
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
WHO, 2017. WHO Global Tuberculosis Report 2017 [Internet]. Geneva, Switzerland: World Health Organization Press. Available at: http://www.who.int/tb/publications/global_report/en/. Accessed March 15, 2017.
-
2.
Garfin C, Mantala M, Yadav R, Hanson CL, Osberg M, Hymoff A, Makayova J, 2017. Using patient pathway analysis to design patient-centered referral networks for diagnosis and treatment of tuberculosis: the case of the Philippines. J Infect Dis 216 (Suppl 7): S740–S747.
-
3.
Wells WA, Ge CF, Patel N, Oh T, Gardiner E, Kimerling ME, 2011. Size and usage patterns of private TB drug markets in the high burden countries. PLoS One 6: e18964.
-
4.
Tupasi TE et al. 2000. Bacillary disease and health seeking behavior among Filipinos with symptoms of tuberculosis: implications for control. Int J Tuberc Lung Dis 4: 1126–1132.
-
5.
Mantala MJ, 2003. Public–private mix DOTS in the Philippines. Tuberculosis (Edinb) 83: 173–176.
-
6.
Auer C, Lagahid JY, Tanner M, Weiss MG, 2006. Diagnosis and management of tuberculosis by private practitioners in Manila, Philippines. Health Policy 77: 172–181.
-
7.
Lei X, Liu Q, Escobar E, Philogene J, Zhu H, Wang Y, Tang S, 2015. Public–private mix for tuberculosis care and control: a systematic review. Int J Infect Dis 34: 20–32.
-
8.
Wells WA, Uplekar M, Pai M, 2015. Achieving systemic and scalable private sector engagement in tuberculosis care and prevention in Asia. PLoS Med 12: e1001842.
-
9.
Wells WA, Uplekar M, Dias HM, 2017. Guide to Develop a National Action Plan on Public-Private Mix for Tuberculosis Prevention and Care. Geneva, Switzerland: World Health Organization. Available at: chrome-extension://oemmndcbldboiebfnladdacbdfmadadm/https://www.who.int/tb/publications/2017/Final_Tool_PPM_action_plan.pdf?ua=1.
-
10.
Uplekar M, 2003. Involving private health care providers in delivery of TB care: global strategy. Tuberculosis (Edinb) 83: 156–164.
-
11.
Montagu D, Goodman C, 2016. Prohibit, constrain, encourage, or purchase: how should we engage with the private health-care sector? Lancet 388: 613–621.
-
12.
Surya A et al. 2017. Quality tuberculosis care in Indonesia: using patient pathway analysis to optimize public-private collaboration. J Infect Dis 216 (Suppl 7): S724–S732.
-
13.
Uplekar M, Atre S, Wells WA, Weil D, Lopez R, Migliori GB, Raviglione M, 2016. Mandatory tuberculosis case notification in high tuberculosis-incidence countries: policy and practice. Eur Respir J 48: 1571–1581.
-
14.
Lal SS, Sahu S, Wares F, Lönnroth K, Chauhan LS, Uplekar M, 2011. Intensified scale-up of public-private mix: a systems approach to tuberculosis care and control in India. Int J Tuberc Lung Dis 15: 97–104.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 52 | 52 | 6 |
| Full Text Views | 763 | 155 | 2 |
| PDF Downloads | 294 | 65 | 0 |