Through a new model of Public-Private-Partnership, the goal of this project is to introduce a new way to receive treatment for TB patients in Vietnam. We aim to provide high-quality, TB treatment free of charge to at least 1,000 underserved patients in an urban district in Vietnam. Particularly, we strive to find those patients who are ineligible, unwilling or unable to afford treatment through the public and private systems and who would continue to infect others if left untreated.
Each year over 29,000 Vietnamese die of TB resulting from 180,000 new infections. This proliferation is due to the disease's contagious nature and associated stigma causing low detection rates - only 54% of new infections are found and properly treated. The remainder is treated in the private sector, if at all, where rampant treatment default (>40%) drives drug resistance. Hence, with undetected infections spreading increasingly virulent strains, Vietnam's TB problem is spiraling out of control.
By raising detections and reducing defaults among patients treated in the private sector! We will accomplish the former by hiring community members as counselors to seek out new patients. To accomplish the latter micro-entrepreneurs will be retained to build a convenient treatment network, while biometric monitoring will help counselors also track down non-compliant patients. Lastly, we will offer incentives to counselors and community members for successful detections and treatment completions.
Each tuberculosis patient infects 10-15 new people per year. By increasing new case detection and providing free TB treatment, this project will prevent over 10,000-15,000 new cases of TB. Unlike many private providers, OpASHA will ensure that patients complete the entire treatment. It is estimated that this project will prevent at least 370 cases of drug-resistant TB from developing in the community.