DOTS expansion under the umbrella of IMA: success story continues along with early teething difficulties.

The private-public mix (PPM) model of IMA RNTCP GFATM PPM got wide applaud in the World Health Assembly meet. The PPM model was adopted after studying various models and undertaking pilot studies. PPM DOTS reduces the financial burden of the patients. IMA's strategy for PPM DOTS can be summarised as: Profession based approach, non-financial incentives, one to one peer sensitisation and International Standards for TB care. There are teething difficulties in implementing IMA GFATM RNTCP PPM programme. The success of the programme lies in imparting district trained programme to most IMA members and then maximum healthcare providers who have been trained under the programme to be converted into active DOT centres. Operational research about level of sensitisation among young medicos at various teaching hospitals is need of the hour.