The study aimed at understanding the cost of delivering PPSA (Private Provider Support Agency) services for TB care, defined as per NTWG scope of work and further developed a costing tool for its usage. A framework was built to perform activity-based costing for the current PPSA project targeted at the eradication of TB.


Methodology includes semi-structured interviews of the involved stakeholders, including NGO staff and program managers, to understand the roles and activities in the service delivery model. The interviews will allow an assessment of the workload associated with the scope (frequency, duration, quality) of the activities. The workload assessment along with an understanding of the activities undertaken will be utilised for the costing exercise.
The scope of this study includes building scientific frameworks for understanding:

1. Resource needs (costing and workload assessment) for implementing the TB-HIV linkage under an RNTCP-funded district with a fully functional TB PPM scheme.
2 Effect of change in financing model for patient screening and linkage from private to public sector.


The project developed a costing tool to help government bodies and NGOs to determine the cost of running a PPSA agency in a district. Nuances of the study can be taken up by the Revised National TB Control Programme (RNTCP) to invite implementation agencies in various districts of India.

Project Team

Professor Sarang Deo

Principal Investigator

Harsh Parekh


Hemanshu Das





PATH Foundation




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