| dc.contributor.author | Kielmann, Karina | |
| dc.contributor.author | Dickson-Hall, Lindy | |
| dc.contributor.author | Jassat, Waasila | |
| dc.date.accessioned | 2022-07-19T12:58:34Z | |
| dc.date.available | 2022-07-19T12:58:34Z | |
| dc.date.issued | 2021 | |
| dc.identifier.citation | Kielmann, K. et al. (2021). ‘We had to manage what we had on hand, in whatever way we could’: Adaptive responses in policy for decentralized drug-resistant tuberculosis care in South Africa. Health Policy and Planning, 36(3), 249 - 259. 10.1093/heapol/czaa147 | en_US |
| dc.identifier.issn | 1460-2237 | |
| dc.identifier.uri | 10.1093/heapol/czaa147 | |
| dc.identifier.uri | http://hdl.handle.net/10566/7615 | |
| dc.description.abstract | In 2011, the South African National TB Programme launched a policy of decentralized management
of drug-resistant tuberculosis (DR-TB) in order to expand the capacity of facilities to treat patients
with DR-TB, minimize delays to access care and improve patient outcomes. This policy directive
was implemented to varying degrees within a rapidly evolving diagnostic and treatment landscape
for DR-TB, placing new demands on already-stressed health systems. The variable readiness of
district-level systems to implement the policy prompted questions not only about differences in
health systems resources but also front-line actors’ capacity to implement change in resourceconstrained facilities. | en_US |
| dc.language.iso | en | en_US |
| dc.publisher | Oxford University Press | en_US |
| dc.subject | Policy implementation | en_US |
| dc.subject | Decentralization | en_US |
| dc.subject | Tuberculosis | en_US |
| dc.subject | Health systems | en_US |
| dc.subject | Public health | en_US |
| dc.subject | South Africa | en_US |
| dc.title | ‘We had to manage what we had on hand, in whatever way we could’: Adaptive responses in policy for decentralized drug-resistant tuberculosis care in South Africa | en_US |
| dc.type | Article | en_US |
