Research Article

Engaging Informal Private Health Care Providers for TB Case Detection: Experiences from RIPEND Project in India

Table 3

Key challenges encountered by the RIPENED project staff.

During sensitization
(i) Availability of informal providers in a timely manner for group sensitization programs
(ii) Incompatible smart phones of informal providers to support the project mobile application

During referral activities
(i) Inefficient usage of mobile application for referral activities
(ii) Frequently deleting the mobile application from their phones
(iii) Referring the symptomatic to private hospitals
(iv) Referring of symptomatic with less than one-week cough to sputum smear microscopy
(v) Inadequate emphasis of chest x-ray on patients when smear results are negative and symptoms are present

Financial incentives
(i) The providers perceived the incentive provided as low
(ii) Delays in disbursement of funds to the providers bank accounts