$550,000 Grant to Scale up a TB testing incentive scheme in Indian slums

In October, Mario Macis, PhD, and his colleagues began scaling up their intervention in India centered on the hypothesis that individuals who are sick might be better at finding other ill individuals within their community. In 2014, Macis, from the Johns Hopkins Carey Business school, along with his colleagues Jason Farley, PhD, MPH, CRNP, FAAN, at the Johns Hopkins School of Nursing, Jessica Goldberg, PhD, MPA, at the University of Maryland, and Pradeep Chintagunta, PhD, at the University of Chicago, married the principles of business and global health in the context of tuberculosis testing in urban Indian slums. The Center for Global Health awarded Macis $50,000 to pilot this patient incentive scheme aimed at increasing referrals for tuberculosis outreach and detection. The success of the pilot program served as proof of concept as they now scale up their project to 16 cities across 6 different states in India through a $550,000 World Bank grant.

Within the intervention, TB-positive patients receive referral cards to distribute. Based on their random assignment, some patients receive 100 rupees when one of their referrals attends a clinic for a TB test, and a small subset receive an addition sum if the person they refer is TB-positive. The control group will not receive monetary compensation for the individuals they refer to the clinics. Macis and his team will evaluate the effectiveness of patients finding and recognizing potential TB candidates in a population, as compared to community-health workers.

In addition to better understanding the how new patients are prompted to receive testing, this intervention endeavors to challenge stigma against a positive-TB status. The TB-patients provide their referral and individuals considering testing with a preview of what testing and treatment entails.

The preliminary results from the first wave of the scale up are expected in January 2016. The team's project relies on strong collaborations with the Indian government and the Abdul Latif Jameel Poverty Action Lab (J-Pal).  

The Center for Global Health’s Faculty Pilot Grants have a strong record of catalyzing faculty research: awardees have brought back over $22 million in external funding to Johns Hopkins in order to further expand their research projects and have published over 50 journal articles, and 20 more that are currently pending submission. Learn more about other Faculty Pilot Grant Awardees here

- Emily Combs 

People

Stefan Baral, MD MPH,MBA,MSc

Director, Key Populations Program

Joanne Katz, ScD MS,BSc

Associate Chair, Director of Academic Programs

Caitlin Kennedy, PhD MPH,BA

Co-Director, MPH concentration in Social and Behavioral Sciences in Public Health; Associate Director, Center for Qualitative...

Noreen Hynes, MD MPH

Director, Geographic Medicine Center of the Division of Infectious Diseases

Robert Bollinger Jr., MD MPH

Director, Johns Hopkins Center for Clinical Global Health Education (CCGHE); Associate Director, Johns Hopkins Center for Global...

Yukari C. Manabe, MD

Associate Director of Global Health Research and Innovation
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November 2019

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