Stage 1 : Ideation
This project sets up to study the impact of using effective community counseling and providing performance based incentives to community health workers in enhancing case detection of TB in remote areas, and improving treatment outcomes of patients enrolled in the RNTCP DOTS (Directly Observed Treatment - Short course) program. It will more broadly inform the health community in India and around the world about the efficiency and cost-effectiveness of providing incentives to social and health workers.
Health, Infectious & Vector Diseases, Social and Behavior Change and 1 MoreSEE ALL
Health, Infectious & Vector Diseases, Social and Behavior Change and Monitoring & EvaluationSEE LESS
Funds Raised to Date
To determine the impact of using effective community conunseling and providing performance based incentives to community health workers in enhancing TB detection in remote areas.
How does your innovation work?
IFMR has designed a compensation scheme that would increase counselors’ motivation to complete their important tasks properly and, thereby, their efficiency. IFMR will collaborate with CARE India, which is another prominent national NGO engaged in TB control in the states of Madhya Pradesh, Chattisgarh and Jharkhand. CARE's TB program focuses on villages across 17 districts in these three states, targeting areas where TB prevalence is high.
Planned Goals and Milestones
The evaluation will also provide rigorous evidence on the effectiveness of community-level delivery systems and the responsiveness of community workers to monetary incentives. Therefore, the study will also raise interest from all the circles realizing the need for scientific results on how to make health programs work for the urban poor.
A cost-effectiveness analysis will inform policymakers about this enhanced model and how to best allocate the resources devoted to the eradication of TB in the objective of improving detection and compliance with the treatment. By providing strong evidence on the impact of providing incentives to community counselors and its effect on the treatment of TB in urban slums, the experiment will bring evidence to close an important knowledge gap.