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. 2024 Jun 1;1(6):250-257.
doi: 10.5588/ijtldopen.24.0162. eCollection 2024 Jun.

Leveraging Global Fund's investments to expand innovative public-private provider engagement in TB

M A Yassin  1 , L Kimbo  1 , E Wandwalo  1 , A Rashid  1 , A Dzokoto  1 , U Weber  1 , G Stallworthy  2
Affiliations

Leveraging Global Fund's investments to expand innovative public-private provider engagement in TB

M A Yassin et al. IJTLD Open. .

Abstract
in English, French

Background: TB remains a significant global health threat, claiming 1.3 million lives annually. The COVID-19 pandemic disrupted progress in the global TB response. Most patients with TB initially seek care from private providers, whereas only a small proportion are engaged by national programmes. The Global Fund is the major international source of funding for TB responses and supports the scale-up of innovative private-public mix (PPM) models in TB.

Methods: We collected programmatic and financial data on TB from 11 priority countries implementing PPM activities. Country examples and trends in the budget of Global Fund grants were analysed.

Results: These countries account for 60% of the global TB burden and Global Fund TB portfolio. PPM contributed 29% of national TB notifications in 2022 (range: 8% to 49%). During 2021-2023, US$1.4 billion was allocated for TB and US$155 million (11%) for PPM, while PPM contributed to 35% of national TB notification targets. PPM budgets increased over time from US$43 million (2002 to 2014) to US$129 million (2024 to 2026).

Conclusion: The Global Fund's investments facilitated the expansion of innovative PPM models, improved access, and enhanced TB responses. Our indicative analysis underscores the need for evidence-based planning, collaboration, and increased domestic investment to accelerate the end of TB.

Contexte: La TB reste une menace importante pour la santé mondiale, faisant 1,3 million de morts chaque année. La pandémie de COVID-19 a perturbé les progrès de la riposte mondiale à la TB. La plupart des patients atteints de TB recherchent d'abord des soins auprès de prestataires privés, tandis que seule une petite proportion est engagée par des programmes nationaux. Le Fonds mondial est la principale source internationale de financement de la lutte contre la TB et soutient l'extension de modèles innovants de partenariats public-privé (PPM, pour l’anglais « public-private mix ») dans le domaine de la TB.

Méthodes: Nous avons recueilli des données programmatiques et financières sur la TB dans 11 pays prioritaires mettant en œuvre des activités de PPM. Des exemples de pays et les tendances du budget des subventions du Fonds mondial ont été analysés.

Résultats: Ces pays représentent 60% de la charge mondiale de morbidité de la TB et du portefeuille du Fonds mondial de lutte contre la TB. La PPM a contribué à 29% des notifications nationales de TB en 2022 (fourchette : 8–49%). Au cours de la période 2021–2023, 1,4 milliard de dollars US ont été alloués à la TB et 155 millions de dollars US (11%) à la PPM, tandis que la PPM a contribué à 35% des cibles nationales de notification de la TB. Les budgets PPM ont augmenté au fil du temps, passant de 43 millions de dollars US (2002 à 2014) à 129 millions de dollars américains (2024 à 2026).

Conclusion: Les investissements du Fonds mondial ont facilité l'expansion de modèles PPM innovants, l'amélioration de l'accès et le renforcement des ripostes à la TB. Notre analyse indicative souligne la nécessité d'une planification fondée sur des données probantes, d'une collaboration et d'une augmentation des investissements nationaux pour accélérer l'éradication de la TB.

Keywords: Global Fund; innovation; notification; public-private mix; tuberculosis.

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Figures

Figure 1.
Figure 1.
Trends in total TB and PPM budget in Global Fund grants in select countries (Bangladesh, India, Indonesia, Myanmar, Nigeria, Pakistan, The Philippines), 2002–2026. PPM = private-public mix; PSE = private sector engagement.
Figure 2.
Figure 2.
Trends in PPM budget. PPM = private-public mix.
See this image and copyright information in PMC

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