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 language | English |
|---|---|
| Pages (from-to) | 938-943 |
| Number of pages | 6 |
| Journal | International Journal of Tuberculosis and Lung Disease |
| Volume | 3 |
| Issue number | 10 |
| Publication status | Published - 1999 |
| Externally published | Yes |
Keywords
- Community
- District health system
- Health sector reform
- Tuberculosis