Responding to Health System Failure on Tuberculosis in Southern Africa

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dc.creatorHartel, Lauren
dc.creatorYazbeck, Abdo
dc.creatorOsewe, Patrick L.
dc.date2018-05-09T20:26:46Z
dc.date2018-05-09T20:26:46Z
dc.date2018-02-10
dc.date.accessioned2026-07-01T00:44:06Z
dc.descriptionThe characteristics of tuberculosis (TB)—such as links to poverty, importance of patient actions, and prevalence of multisectoral drivers—require more from health systems than traditional medically oriented interventions. To combat TB successfully, health systems must also address social risk factors and behavior change in a multisector response. In this, many health systems are failing. To explore why, and how they can do better, we apply the Flagship Framework and its five “control knobs” (financing, payment, organization, regulation, and behavior) to the literature on TB control programs, focusing on the mining population of Southern Africa, among whom the incidence of TB is highest in the world. We conclude by recommending a patient-centered approach that broadens a system's engagement to a whole-of–health sector, whole-of-government response.
dc.formatapplication/pdf
dc.identifierHealth Systems & Reform
dc.identifier2328-8604
dc.identifierhttps://hdl.handle.net/10986/29800
dc.identifier10.1596/29800
dc.identifier.urihttp://hdl.handle.net/123456789/410118
dc.publisherTaylor and Francis
dc.rightsCC BY-NC-ND 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by-nc-nd/3.0/igo
dc.rightsWorld Bank
dc.subjectHEALTH SYSTEM REFORM
dc.subjectMINING
dc.subjectMULTISECTOR
dc.subjectTUBERCULOSIS
dc.titleResponding to Health System Failure on Tuberculosis in Southern Africa
dc.typeJournal Article
dc.typeArticle de journal
dc.typeArtículo de revista

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