Results4TB, a new 48-month research project carried out by teams from the Institute of Tropical Medicine Antwerp (Belgium), the Curatio International Foundation (Georgia), Queen Margaret University (UK) and the London School of Hygiene and Tropical Medicine (UK) will assist the government of Georgia in developing a provider incentive payment scheme for tuberculosis. It will generate evidence on its effects on adherence and treatment success rates and costs, and the conditions of success of the scheme.
“Tracing the introduction of a new policy presents a number of challenges in itself”, said professor Bruno Marchal, head of the research team at ITM, “but even more so when we need to find out how it works while it is being implemented. After all, this policy to motivate providers seems simple, but it intervenes in a complex health system. To assess whether it works and in which conditions,
Ariadna Nebot and professor Marchal from the Unit of Health Systems Organisation at ITM’s Department of Public Health will contribute to designing the theory-informed intervention and will guide its realist evaluation component.
In the framework of the project, policymakers, TB programme managers, providers, representatives of the Global Fund and other actors met with researchers in Telavi, Georgia in May to analyse the country’s approach to TB care. This initial engagement with key stakeholders will be followed by a second workshop in July to inform the design of the intervention, which will be piloted at the end of this year.
The Results4TB project (“Designing and evaluating provider results-based financing for tuberculosis care in Georgia: understanding costs, mechanisms of effect and impact”) is funded by the Department of International Development (DFID), the Economic and Social Research Council (ESRC), the Medical Research Council (MRC) and the Wellcome Trust.