Category Archive for "Tuberculosis"

Designing and evaluating provider results-based financing for tuberculosis care in Georgia (RBF4TB)

Introduction and Overview

CIF in partnership with Queen Margaret University (UK), London School of Hygiene and Tropical Medicine (UK) and Antwerp Institute of Tropical Medicine (Belgium) is implementing a study “Designing and evaluating provider results-based financing for tuberculosis care in Georgia: understanding costs, mechanisms of effect and impact”. The 48-month research project will assist the Government of Georgia in developing a provider incentive payment scheme for Tuberculosis. It will generate evidence on its effects on adherence and treatment success rates and costs.

The research will seek to answer the following research questions:

(1) What is the impact of provider-focused Results-Based Financing (RBF) on patients, adherence to tuberculosis treatment and treatment outcomes of both Drug-Susceptible (DS) and Multi Drug Resistant (MDR) patients in Georgia?

(2) Is the RBF intervention cost-effective?

(3) How does it work, for whom and in which conditions?

(4) How should RBF be modified to optimize national roll-out for this and possibly other health services?

Project has launched in March 2017 and will run till March 2021.

Organizations involved in the research

The project is funded through the Joint Health Systems Research Initiative, which is jointly funded by the Department of International Development (DFID), the Economic and Social Research Council (ESRC), the Medical Research Council (MRC) and the Wellcome Trust (WT).

The study will be implemented by CIF (Georgia), Queen Margaret University (UK), London School of Hygiene and Tropical Medicine (UK) and Antwerp Institute of Tropical Medicine (Belgium).

Expected Results and Their Application

The beneficiaries of this research will be TB patients, nurses and physicians involved in TB care, health facility managers, policy-makers, community members and the scientific community in Georgia, in the region and globally.

The research will narrow the knowledge gap existing around RBF interventions, such as their application in public/private settings and their cost-effectiveness, the conditions of success and the wider (negative and positive) consequences of the scheme.

The research will also produce methodological innovation regarding the use of realist evaluation alongside cost effectiveness analysis.

National policy-makers will use the evidence produced through this research to reform the financing of primary health schemes in a way that improves efficiency, quality and sustainability of services. Additionally, findings will be beneficial for other LMICs, particularly for those with a similar vertical organization of TB services (most of the former Socialist countries of Eastern and Central Europe and Central Asia) and for countries where private providers play an important role in the provision of TB services.

 

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Barriers and Facilitators to Adherence to Treatment Among Drug Resistant TB Patients in Georgia

Tuberculosis is a global challenge to public health throughout the world. Poor adherence to treatment remains a significant problem that prevents countries from obtaining high treatment success rates that is essential for health systems to control the epidemic and decrease spread of the disease.

In 2016 Curatio International Foundation conducted a qualitative study to investigate factors that enhance or hinder treatment adherence among Drug Resistant TB patients (DR-TB) in Georgia. The study revealed different types of factors affecting treatment adherence among DR-TB patients and grouped them into structural, social, personal and health system factors according to the study conceptual framework. The study made it clear that all factors are closely interlinked and mutually influence each other.

The study provides evidence that may help policy-makers develop effective strategies for improving treatment outcomes among DR-TB patients. The study findings might be helpful for other countries in the region where TB burden is also high.

The study report and policy brief is downloadable below:

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New Study Findings About Tuberculosis

Curatio International Foundation together with the Partnership for Research and Action for Health organized a meeting at the National Center for Disease Control and Public Health on 26th of December, where two different study findings were represented. Studies aimed to reveal Referral Delay from Primary Care facilities to specialized TB centers and Health System Factors Affecting Adherence to Tuberculosis (TB) Treatment in Georgia. The project was implemented by financial support of the TDR,  the Special Programme for Research and Training in Tropical Diseases, hosted at the World Health Organization (WHO).

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CIF prezented qualitative research findings about adherence to Drug Resistant TB treatment and led discussion around the findings – what can be done to improve treatment adherence among TB patients, looking through health system lens. The study report will be available by the end of January, 2017.

CIF inventorised all civil society organizations (CSO) working on Tuberculosis issues in Georgia, with the financial support of Stop TB Partnership through the CFCS round 7.  In the frame of this project TB CSO informational directory has been developed which is available here.

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TB Community Systems Strengthening in Georgia

strengtheningWe are glad to announce that Curatio International Foundation has been selected to be Round 7 Challenge Facility for Civil Society (CFCS) grantee under the Stop TB partnership financial support.

TB Community Systems Strengthening (TBCSS) project in Georgia aims – to build up integrated and comprehensive response to TB that is patient-centered and includes strong partnership with communities and civil society.

The project will have 3 main objectives:

  1. Assess legal and social environment and civil society capacity, gaps and needs for engaging civil society in TB community response;
  2. Organizational strengthening for sustainable development of civil society in the TB field and
  3. Improve linkages, coordination and networking of TB constituencies, civil society organizations, state and other actors and those objectives will be achieved in two phases.

Updated information about activities and achievements will be provided and share through social media during the project lifecycle.

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