Tuberculosis and health sector reform

experience of integrating tuberculosis services into the district health system in rural South Africa

D. Wilkinson*

*Corresponding author for this work

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Setting: Hlabisa health district, South Africa. Objective: To describe the integration of a 'vertical' tuberculosis control programme into an emerging 'horizontal' district health system, within the context of health sector reform. Design: Descriptive account of the process of integration of the programme into the health system. Results: A highly 'vertical' system of delivering tuberculosis treatment (with poor programme outcomes) was converted into a 'horizontal' team, integrated within the district health system, that used available resources such as village clinics and community health workers, with improved programme outcomes. Conclusions: In some settings at least, integration of tuberculosis 'programmes' into the district health system as tuberculosis 'teams' is feasible, and may produce highly cost-effective outcomes.

Original languageEnglish
Pages (from-to)938-943
Number of pages6
JournalInternational Journal of Tuberculosis and Lung Disease
Volume3
Issue number10
Publication statusPublished - 1999
Externally publishedYes

Keywords

  • Community
  • District health system
  • Health sector reform
  • Tuberculosis

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