Mukti is the world’s first Pay-for-Performance Programme designed to improve the nutritional status and treatment outcomes of TB patients. USAID drives this initiative as the outcome funder through PAHAL project. The programme has been done in technical collaboration with the Central TB Division and Government of Madhya Pradesh to address the issue of malnutrition, which is attributed to 55% of the annual TB incident.
USAID as the outcome funder through the PAHAL project, pays INR 12,500 per patient, if a TB patient completes treatment and demonstrates body weight gain as per clinically accepted standards (‘treatment success’ under the programme). Child Fund, as the risk investors and implementer, is investing resources and efforts to achieve the mentioned outcomes, using a combination of four strategies.
Mukti Approach
- Counsel TB Patients on the importance of treatment compliance and nutrition intake
- Ensure supplementary nutrition of TB patients by providing locally procured protein-rich food baskets every months
- Conduct positive deviance sessions — a community-based model to promote peer-to-peer learning
- Connect enrolled TB patients to nutrition support schemes offered by the government, including direct benefit transfer
Key Outcomes
- 10,000 TB patients benefitted from nutritions and treatment outcomes
- 1,000 patients reached in Dhar district of Madhya Pradesh
- 16 districts reached in Madhya Pradesh
