Tuberculosis (TB)

Public-Private Mix (PPM) for TB prevention and care

A pharmacy.

Engaging all relevant health care providers in TB care and control through public-private mix approaches is an essential component of WHO's End TB Strategy. Public-Private Mix (PPM) for TB Care and Control represents a comprehensive approach for systematic involvement of all relevant health care providers in TB control to promote the use of International Standards for TB Care and achieve national and global TB control targets. PPM encompasses diverse collaborative strategies such as public-private (between NTP and the private sector), public-public (between NTP and other public sector care providers such as general hospitals, prison or military health services and social security organizations), and private-private (between an NGO or a private hospital and the neighborhood private providers) collaboration.

Key activities

Country experiences

Mainstreaming public-private mix in India, a public-private coalition against TB in the Philippines and engaging private chest specialists in Kenya.

PPM meetings overview and reports

The PPM Subgroup was established by the Stop TB Partnership's DOTS Expansion Working Group in 2002. Its members include representatives from the private sector, academia, national TB programmes, policy makers, field experts, international technical partners and donor agencies.

Frequently asked questions

What is PPM? PPM is the involvement of all health care providers – public and private as well as formal and informal – in the provision of TB care, in line with International Standards for TB Care for patients who have or are suspected of having tuberculosis.

The International Standards for Tuberculosis Care (ISTC)

The International Standards for Tuberculosis Care (ISTC) have been based on a wide global consensus of appropriate practices in TB diagnosis and treatment. They are complementary to the PPM approaches and should be actively promoted and used to help engage all care providers in implementation of the Stop TB Strategy.

News and events

  • 16 - 18 July 2019

    14th Global PPM Working Group Meeting to be held in Jakarta Indonesia from 16- 18 July 2019

    The PPM Working Group Meeting being organized in Jakarta in July 2019, is the fourteenth to be organized since the setting up of the PPM Working Group in 2002. The meeting will focus on country progress towards adoption and roll out of the PPM Roadmap, to close gaps in care and reach all the missing people with TB especially in high burden countries. Global progress, challenges and opportunities to expanding PPM in light of high-level commitments to end TB and linked developments towards Universal Health Coverage and health financing will be discussed at the meeting. Strategies to harness digital technologies and also strengthen the engagement of civil society for better governance and accountability will also be deliberated upon.

  • 19-20 October 2018

    13th Global Meeting on Public-Private Mix for TB Care and Prevention

    The 13th Global Meeting on Public-Private Mix (PPM) for TB Care and Prevention was held in The Hague from 19-20 October 2018. The meeting discussed global progress and challenges to expanding PPM in the context of reaching the UN High Level Meeting targets. A roadmap and landscape analysis on scaling up private sector engagement was also launched at the meeting. More information is available here.

  • 14 February - 16 February 2017

    12th Global Meeting on Public-Private Mix for TB Care and Prevention

    The 12th Global Meeting on Public-Private Mix (PPM) for TB Care and Prevention was held in Dar es Salaam, Tanzania from 14-16 February 2017. The meeting discussed global progress and challenges to expanding PPM with a view to address the persistent global problem of missed TB cases. Strategies to bring about behaviour change among private providers and those for better governance and sustainable financing of PPM interventions were also deliberated upon.

  • 29 February - 2 March 2016

    Eleventh Global Meeting on Public-Private Mix for TB care and prevention

    Working with frontline private providers: innovations in scaling up collaboration and regulation
    The meeting of the full PPM working group was organized in Mumbai on 29 February to 2 March 2016 with the theme “Working with frontline private providers: innovations in scaling up collaboration and regulation”. Over 140 representatives from 15 countries, partners, civil society and other agencies participated in the meeting. Field visits were organized to PATH PPIA model sites in Mumbai. The meeting reviewed global progress on and challenges to PPM expansion as well as innovations in scaling up collaboration with and regulation of private providers including laboratories and pharmacies. An overview was presented and discussed on approaches to costing and sustainable financing to scale up PPM innovations in the context of the new End TB Strategy. Participants also had a first-hand experience of the various components of the model and operations at the field level.