Fighting Tuberculosis through Community Based Counselors in Northern Indian slums

$75,103 | Stage 1: Proof of Concept | Global Health

Institute for Financial Management and Research | India

The problem: The persistent spread of a curable disease

While tuberculosis (TB) can be cured in nearly all cases, it remains the leading infectious cause of death among adults in India; it develops in nearly 2 million Indians each year and kills about 1,000 every day. Containing the spread of the disease and preventing the development of Multiple Drug Resistant (MDR) forms depends on detecting the disease in a timely manner and ensuring that patients complete the entire course of simple but stringent treatment.

The solution: Testing incentives to improve detection and treatment

Counselors often play a critical role in improving the access of TB treatment in remote communities, but several studies have shown that attendance and commitment of health workers are often very low in the government health and education system in remote places. This project will study the impact of providing health workers with performance based incentives on the case detection of TB and the treatment outcomes of patients in remote areas. IFMR has designed a compensation scheme that would increase counselors’ motivation to complete their important tasks properly and more efficiently.

The potential: Cost-effectiveness, impacts, and implications

This new program has the potential to increase TB detection rates and positively affect the treatment outcome of patients in rural areas. The evaluation will provide rigorous evidence on the effectiveness of community-level delivery systems and the responsiveness of community workers to monetary incentives, thus informing the health community in India and around the world about the efficiency and cost-effectiveness of providing incentives to social and health workers. This cost-effectiveness analysis will determine how to best allocate the resources devoted to the eradication of TB.

Last updated: September 09, 2014

Share This Page