The Clinton Health Access Initiative, Inc. (CHAI) is a global health organization committed to saving lives and reducing the burden of disease in low-and middle-income countries while strengthening the capabilities of governments and the private sector in those countries to create and sustain high-quality health systems that can succeed without our assistance. For more information, please visit: http://www.clintonhealthaccess.org
CHAI, in partnership with its India affiliate, William J. Clinton Foundation's (WJCF), has been working in India since 2004 in close partnership with and under the guidance of the Ministry of Health and Family Welfare (MoHFW) at the central and state levels on an array of high priority initiatives aimed at improving health outcomes. Currently, CHAI/WJCF programs support government initiatives on Tuberculosis, HIV/AIDS, Hepatitis-C, cancer, immunization, and health financing. Additionally, CHAI/WJCF supports many state governments on large-scale programs to arrest childhood and maternal mortality due to malnutrition, anaemia, diarrhoea and pneumonia, and helping increase access to quality family planning services.
About the Project
India has the highest burden of Tuberculosis (TB) in the world, accounting for more than 27% of the global TB incidence. Of the 2.8 million annual estimated incidence, more than half access diagnosis and care in the private sector, where there are significant gaps across the care cascade because of diagnostic delays, irrational and non-standardized regimens and catastrophic health expenditure to patients.
The Joint Effort for Eliminating TB (JEET) project aims to set-up effective and sustainable structures to strengthen existing systems and seamlessly extend quality of TB care to patients seeking care in private sector. To this effect, WJCF has setup Patient Provider Support Agencies (PPSA) across seven states to provide continuous, end-to-end engagement of private sector and extend quality care to all patients. In the past two years, the project has supported over 250,000 patients to access quality care and treatment support.
Background
India continues to bear the world’s highest burden of tuberculosis (TB) in terms of absolute numbers of incident TB cases. An estimated 350M people in India are latently infected with TB and 4M new TB infections occur every year. India has set an ambitious target of eliminating TB by 2025. In order to achieve this target, the National Strategic Plan 2017–2025 has set an ambitious target of 95% LTBI identified/eligible cases to be initiated on TB Preventive Treatment (TPT) by 2025.
The Joint Effort for Eliminating TB (JEET) project aims to address the LTBI burden by establishing innovative mechanisms for contact tracing of pulmonary TB patients, diagnostics and ensure access to quality care. The project is the first of its kind, large scale programmatic intervention on LTBI. The project is being implemented in 11 states and union territories across the country and is expected to impact over 1.3M individuals over three years.
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