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Innovative approaches to end TB in Pakistan: a review of TB REACH projects from 2010 to 2020

Malik, Farihah; Creswell, Jacob; (2021) Innovative approaches to end TB in Pakistan: a review of TB REACH projects from 2010 to 2020. Pakistan Journal of Public Health , 11 (2) pp. 62-73. 10.32413/pjph.v11i2.695. Green open access

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Abstract

BACKGROUND: TB REACH is a grant-making initiative launched by the Stop TB Partnership in January 2010 to support innovative approaches and technologies to find and treat people with active TB disease, drug-resistant TB, or TB infection. Since then, TB REACH has launched eight Waves of funding to pilot untested, but promising technologies, tools, and approaches. The objective of this paper was to review the grants implemented in Pakistan in the decade since TB REACH’s inception and to summarize the approaches used, document the results, and assess the impact of these projects on local and international policy. METHODS: We searched the TB REACH’s Grant Management System (GMS), which is a database for information on all grants awarded through the initiative, for recipient organisations in Pakistan from 2010 until June 2020. Data was abstracted for the following topic areas: type of grant, focus of work, case finding strategies, risk groups screened and impact on case finding. RESULTS: Through eight waves of funding, TB REACH has supported 28 grants for 21 different interventions in Pakistan worth a total of USD 13.4 million. Overall, 19 of these projects aimed to improve detection, linkage to treatment and reporting of TB and two were product innovation grants for developing resources and materials to aide TB service delivery. CONCLUSION: TB REACH support has facilitated the introduction of new technologies, establishment of innovative processes in both public and private sector and approaches for addressing TB in key populations. The TB response in Pakistan and globally will continue to require innovation and disruption of ‘business as usual' approaches if we are to End TB.

Type: Article
Title: Innovative approaches to end TB in Pakistan: a review of TB REACH projects from 2010 to 2020
Open access status: An open access version is available from UCL Discovery
DOI: 10.32413/pjph.v11i2.695
Publisher version: https://doi.org/10.32413/pjph.v11i2.695
Language: English
Additional information: Copyright (c) 2021 Pakistan Journal of Public Health. This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Keywords: Tuberculosis, innovation, active case finding, public private engagement, technology, key populations
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10142642
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