Responding to Health System Failure on Tuberculosis in Southern Africa
The 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.
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Format: | Journal Article biblioteca |
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Taylor and Francis
2018-02-10
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Subjects: | HEALTH SYSTEM REFORM, MINING, MULTISECTOR, TUBERCULOSIS, |
Online Access: | http://hdl.handle.net/10986/29800 |
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dig-okr-10986298002021-05-25T10:54:37Z Responding to Health System Failure on Tuberculosis in Southern Africa Hartel, Lauren Yazbeck, Abdo Osewe, Patrick L. HEALTH SYSTEM REFORM MINING MULTISECTOR TUBERCULOSIS The 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. 2018-05-09T20:26:46Z 2018-05-09T20:26:46Z 2018-02-10 Journal Article Health Systems & Reform 2328-8604 http://hdl.handle.net/10986/29800 CC BY-NC-ND 3.0 IGO http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank Taylor and Francis Publications & Research :: Journal Article Publications & Research Africa Southern Africa |
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HEALTH SYSTEM REFORM MINING MULTISECTOR TUBERCULOSIS HEALTH SYSTEM REFORM MINING MULTISECTOR TUBERCULOSIS |
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HEALTH SYSTEM REFORM MINING MULTISECTOR TUBERCULOSIS HEALTH SYSTEM REFORM MINING MULTISECTOR TUBERCULOSIS Hartel, Lauren Yazbeck, Abdo Osewe, Patrick L. Responding to Health System Failure on Tuberculosis in Southern Africa |
description |
The 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. |
format |
Journal Article |
topic_facet |
HEALTH SYSTEM REFORM MINING MULTISECTOR TUBERCULOSIS |
author |
Hartel, Lauren Yazbeck, Abdo Osewe, Patrick L. |
author_facet |
Hartel, Lauren Yazbeck, Abdo Osewe, Patrick L. |
author_sort |
Hartel, Lauren |
title |
Responding to Health System Failure on Tuberculosis in Southern Africa |
title_short |
Responding to Health System Failure on Tuberculosis in Southern Africa |
title_full |
Responding to Health System Failure on Tuberculosis in Southern Africa |
title_fullStr |
Responding to Health System Failure on Tuberculosis in Southern Africa |
title_full_unstemmed |
Responding to Health System Failure on Tuberculosis in Southern Africa |
title_sort |
responding to health system failure on tuberculosis in southern africa |
publisher |
Taylor and Francis |
publishDate |
2018-02-10 |
url |
http://hdl.handle.net/10986/29800 |
work_keys_str_mv |
AT hartellauren respondingtohealthsystemfailureontuberculosisinsouthernafrica AT yazbeckabdo respondingtohealthsystemfailureontuberculosisinsouthernafrica AT osewepatrickl respondingtohealthsystemfailureontuberculosisinsouthernafrica |
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1756575109947064320 |