The paper presents the iterative process of participatory multistakeholder engagement that informed the development of a new national tuberculosis (TB) policy in Georgia, and the lessons learned.
Georgia has a high overall tuberculosis treatment success rate, but with wide geographical variation, and a high loss to follow up. Treatment success rate of drug-sensitive patients varies from 50% to 100%. Even more worrying has been the relatively low treatment success rates for multi-drug resistant TB patients, at around 56%.
In June 2018 CIF initiated a new project with the financial support of The Global Fund. The overall goal of the CIF assignment is to support the Country Coordination Mechanism of Tajikistan (CCM) in assessing country preparedness for Transition and developing the Transition and Sustainability Plan based on this assessment and key steps identified.
The Curatio International Foundation has fulfilled a Tuberculosis Community Systems Strengthening (TBCSS) Project in Georgia, funded by the Stop TB partnership in the frame of Challenge Facility for Civil Society (CFCS) round 7 program. The goal for the project was to strengthen community response that is integrated and part of a comprehensive response to TB in Georgia.
The assignment will last 10 months and aims to assess positive and negative implications of The Global Fund’s (TGF) Sustainability, Transition and Co-Financing Policy (STCP) that may have on TB commodity procurement practices on a country level in EECA region.
The study outlines different health system factors as long as some social and economic elements influencing the adherence behavior to TB treatment among MDR-TB patients in Georgia. The study concludes that factors are closely interlinked and self-reinforcing.
At the conference research team introduced insights of using Realist Evaluation to not only elicit the Programme Theory of the policy-makers and implementers, but also of the researchers.
Former Soviet countries in the Eastern European and Central Asian (EECA) region are fighting the prevailing perception that their outdated hospital-based tuberculosis (TB) programs are failing to provide patient-centered care.
“Designing and evaluating provider results-based financing for tuberculosis care in Georgia: understanding costs, mechanisms of effect and impact”. The 48-month duration research project will assist the Government of Georgia in developing a provider incentive payment scheme for Tuberculosis (as a pilot intervention) and will generate evidence on its effects on adherence and treatment success rates and costs.
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…