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 factor...

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Bibliographic Details
Main Authors:	Hartel, Lauren, Yazbeck, Abdo, Osewe, Patrick L.
Format:	Journal Article
Published:	Taylor and Francis 2018
Subjects:	HEALTH SYSTEM REFORM MINING MULTISECTOR TUBERCULOSIS
Online Access:	http://hdl.handle.net/10986/29800

id	okr-10986-29800
recordtype	oai_dc
spelling	okr-10986-298002021-05-25T10:54:37Z 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
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
topic	HEALTH SYSTEM REFORM MINING MULTISECTOR TUBERCULOSIS
spellingShingle	HEALTH SYSTEM REFORM MINING MULTISECTOR TUBERCULOSIS Hartel, Lauren Yazbeck, Abdo Osewe, Patrick L. Responding to Health System Failure on Tuberculosis in Southern Africa
geographic_facet	Africa 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
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
url	http://hdl.handle.net/10986/29800
_version_	1764470402616131584

Responding to Health System Failure on Tuberculosis in Southern Africa

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