Achieving UHC & equitable access to TB care in mixed public and private health systems

Lecture delivered to the Engaging all health providers to End TB: Public-Private Mix (PPM) | May 21 and June 3-7, 2024 cohort at McGill Uniersity, Canada

1. Achieving UHC & equitable access to TB care in mixed public and private health systems Dr. Prashanth NS

2. Universal health coverage as an instrument to realise Right to health(care) 2

3. Universal health coverage Source: WHO, 2010 3 Quality of care

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6. Association between tuberculosis outcomes and Family health strategy (PHC) in Brazil 2004-13 PHC-the cornerstone for reduction in morbidity and mortality of TB Quasi experimental study conducted in Brazil demonstrates that PHC is effective way for achieving better TB outcomes Source: Jesus et al, 2022 published in Lancet Global Health 6

7. TB care in mixed health system is a challenge See for e.g ., Patient navigation in the TB diagnostic ecosystem in India Source: Yellapa et al, 2017 7

8. Social protection as a right of people affected by TB Source: Ferreira et al, 2023 8

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10. Points to ponder UHC pathways for TB prevention and care Focus on individuals  services governance arrangements & systems society UHC is as much about equity & quality, processes of care as it is about financing (but reduced to latter) Ultimately, strong social care & primary healthcare systems need to support TB care & not TB-specific schemes & programs (stop-gap) 10

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12. Acknowlegdements Dr. Petra Heitkamp, TBPPM LN, McGill International TB Centre Dr. Meena Putturaj , TBPPM LN India Chapter 12