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Table 4 Existing strategies and recommendations made during the Working group deliberations

From: Addressing poverty through disease control programmes: examples from Tuberculosis control in India

Current strategies Proposed recommendations
ACSM strategy for TB control available; Funds available for District level programme managers to implement ACSM activities Ensure optimal implementation of ACSM strategy; messages to reach identified poor and vulnerable populations; bottom-up planning to allow contextual pro-poor ACSM solutions in place
Decentralisation of DOT Consider strengthening decentralisation; Innovations such as incentives for carrying drugs to health care workers/DOT providers where necessary to minimise drug shortages
Coverage: Population norms for designated microscopy centres (DMCs) Consider optimising information relating to geography, physical distances, urban-rural differences, and access to transportation facilities. Allow flexibility to district programme managers where possible to ensure coverage approaches for TB control are pro-poor
Incentives for tribal areas available Consider incentives for below-poverty line TB patients living in non-tribal areas in line with available incentives for poor in tribal areas. Also consider incentives for unemployed and poor living in urban slums
Honorarium to private provides to ensure DOT available Ensure incentives through RNTCP schemes for sputum collection, transportation schemes etc. involving civil society partners and private sector
RNTCP schemes for NGOs and Private sector in urban slums Consider implementing existing schemes optimally and modify incentives schemes where applicable based on experiences