A pilot of a new intervention in TB service provision launched from July 1 st , 2019 in Georgia. The intervention aims at improving adherence to TB treatment and its outcomes through introduction of a package of interventions, including an integrated TB care at primary health care level and a Results Based Financing (RBF) scheme of healthcare providers.
The pilot is approved by the government resolution as part of the state TB program and will be implemented by the Ministry of Internally Displaced People from Occupied Territories, Labour, Health Social Affairs. Incentive payments to healthcare providers are supported by The Global Fund TB grant to Georgia. The pilot will last for 24 months and will take place in 10 facilities countrywide which differ by location and ownership. The Social Service Agency (the public purchaser) will
administer incentives payments to the facilities based of their performance on quarterly basis.
Curatio International Foundation (Georgia) in partnership with Queen Margaret University (UK), the London School of Hygiene and Tropical Medicine (UK) and the Antwerp Institute of Tropical Medicine (Belgium) will study the impact, the cost-effectiveness and the feasibility of the intervention during a four-year research funded through the Joint Health Systems Research Initiative, which is jointly funded by the Department of International Development (DFID), the Economic and Social Research Council (ESRC), the Medical Research Council (MRC) and the Wellcome Trust (WT).
The research findings will inform policy makers in Georgia and contribute to the debate about RBF in TB care and health in general in low- and middle-income countries. Keep tracking the web site for recent updates.