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The Political Economy Analysis (PEA) and desk review offer an understanding of how the participation of the private healthcare sector in TB care could be enhanced. It suggests strategies to improve cross-sector partnerships. It also recommends tools to improve patient detection, support rational testing, and reinforce the use of standardized TB treatment protocols. This document is useful for the Central TB Division, MoHFW, implementing partners, and private healthcare providers to invest in and build on their partnerships.