A case study on Disease Component and AIDS in Tripura

8/18/2019 A case study on Disease Component and AIDS in Tripura

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PRIVATE SECTORCASE STUDY 2

PUBLIC-PRIVATEPARTNERSHIP FOR HEALTH

INDIA

DISEASE COMPONENT HIV AND AIDS



GRANT DETAILS

ROUND 21

Scaling up of Integrated Counseling and Testing, PPTCT andReferral to Care, Support and Treatment Services for People

Living with HIV in India.

PROGRAM DESCRIPTION

IF&FS Education and Technology Services (ETS) is one ofseveral Principal Recipients implementing this grant, along

with the National AIDS Control Organization (NACO). IL&FS ETSprovides services in support of Objective 2 of the grant, namely

“Expand Access to Prevention from Mother-to-Child Treatment(PMTCT) services to an estimated 80 percent of HIV-positivepregnant women”.

GRANT AMOUNT US$ 11,023,189

BACKGROUND

Infrastructure Leasing & Financial Services Limited (IL&FS)is an Indian financial institution with a strategic focus on

the infrastructure sector. Health was identified as a socialinfrastructure worthy of suitable intervention by the privatesector. As one of the many visions of the company is

“partnering progress”, IL&FS ETS was incorporated as a socialinfrastructure initiative in 1997.

IL&FS ETS helps companies identify and implement corporatesocial responsibility projects while also building their internal

capacity. The company felt it had the capability to partnerwith the government for large, complex, long-term and widelyspread projects/schemes and looked for projects where there

were multiple stakeholders, tough targets and exceptionaloperational challenges. HIV and AIDS and malaria were

identified as focus areas of intervention within the health sector.

INDIADISEASE COMPONENT HIV AND AIDS

LEAD ORGANIZATION INVOLVED:

WORKING WITH THEGLOBAL FUND

In 2008, the Ministry of Health and Family Welfare invited IL&FS

ETS to make a presentation on its work and capability beforethe Country Coordinating Mechanism for India.

The interaction with the Country Coordinating Mechanism waschallenging, as some members of the group seemed to take

exception to the idea of involving a private sector companyin the fight against HIV and AIDS. Medical fraternity andgovernment representatives, however, made a case that merit

should prevail.

With the approval of the Country Coordinating Mechanism,IL&FS ETS first became a sub-recipient of NACO, the PrincipalRecipient of the grant, for a pilot project entitled the Link

Workers Scheme. This project is being piloted in 30 districts andaims to develop a cadre of dedicated health workers who wouldspread knowledge and awareness about HIV and AIDS. The Link

Workers Scheme in Nor th Goa, which is managed by IL&FS ETS,has regularly been achieving the targets set by NACO.

IL&FS ETS was also selected through a competitive bidding

process to work on a “smart card” (computer chip) project onbehalf of NACO. Under this project, treatment data is recordedon the smart card, allowing patients to receive care at any

center which is equipped with the necessary card reader.This enables people living with HIV/AIDS to be mobile and yetstill have access to the same quality of treatment and care

at antiretroviral therapy centers in seven states across thecountry. IL&FS ETS is the program manager for this project.

P2 . PRIVATE SECTOR CASE STUDY 2 . Public-Private Partnership for Health

1. Because of its performance, this grant was extended at the end ofits initial five-year period through a mechanism known as the RollingContinuation Channel.



WHY BECOME A

PRINCIPAL RECIPIENT?

Having served on grant implementation as a sub-recipient,IL&FS ETS felt that the full advantages of a public-privatepartnership model could be displayed only with the extra

flexibility and responsibility that comes with becoming aPrincipal Recipient.

When the PMTCT program implemented by NACO was extendedthrough the Rolling Continuation Channel, IL&FS ETS felt that

this would be the appropriate opportunity to apply in oneproject the lessons learned in several previous experiences,including the Link Workers Scheme and smart card projects.

After rigorous scrutiny, the Country Coordinating Mechanism

accepted IL&FS ETS’ application to become a Principal Recipientalong with NACO for the new period of grant implementation.The proposal was approved by the Global Fund in 2009 and

grant negotiations were successfully concluded in June 2010.

PROPOSAL

DEVELOPMENT PROCESS

IL&FS ETS worked quite closely with NACO from the verybeginning, starting with development of the proposal. This gave

IL&FS ETS an in-depth understanding of the existing PMTCTprogram. Since NACO has the overall responsibility of reducingthe AIDS pandemic in India, it was very important that IL&FS

ETS’ activities align with those of NACO. The proposal wasdeveloped entirely in-house by core health teams within both

IL&FS ETS and NACO, working together.

PRELIMINARY RESULTS(AS OF MARCH 2011)

As a result, the PMTCT program has been able to repor t thefollowing results:

1. A dedicated mobile phone-based technology for “real-time”

reporting by outreach workers has been developed. This isa single window for reporting to the donor and stakeholders.Pilot testing has been done and the Phase 1 rollout beganin July 2011.

2. Over 180 sub-recipients (nongovernmental organizations)

have been appointed across 23 states covering over 220districts, including some districts where the prevalence is nothigh, but where the antenatal care case load is heavy.

3. After nine months of implementation, the program has

increased the enrollment of pregnant women for testing andalso the case management of HIV-positive pregnant womenin the field. A unified reporting system has also been put in

place throughout the countr y.

LESSONS LEARNED

For a public-private partnership model to work, it isessential to negotiate a middle ground between the private

and public partners to ensure the progress of the project.

Putting in place a uniform procedure for different

geographic regions also helps greatly in standardizingadministrative tasks.

PRIVATE SECTOR CASE STUDY 2 . Public-Private Partnership for Health . P3

OTHER BENEFITS

Several departments within the government have starteddiscussing the possibilities for health-related projects that

are IT intensive. IL&FS ETS has also been talking to othermultilateral agencies and donors in order to expand theexisting program and add new dimensions.

In addition, the project has generated a lot of goodwill

from the local communities and the nongovernmentalorganizations due to the development of their managementcapability and the introduction of uniform procedures.

The program uses the Greater Involvement of People Livingwith HIV/AIDS (GIPA) principles and has led to women’s

empowerment and community mobilization.



Please note that the above illustration shows only a partial list of our valuable private sector partners.

The Global Fund to Fight AIDS, Tuberculosis and MalariaChemin de Blandonnet 81214 VernierGeneva, Switzerland

+ 41 58 791 1700 (phone)+ 41 58 791 1701 (fax)

[email protected]

ISBN 978-92-9224-286-2

A case study on Disease Component and AIDS in Tripura

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