‘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

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dc.contributor.authorKielmann, Karina
dc.contributor.authorDickson-Hall, Lindy
dc.contributor.authorJassat, Waasila
dc.date.accessioned2022-07-19T12:58:34Z
dc.date.available2022-07-19T12:58:34Z
dc.date.issued2021
dc.description.abstractIn 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.identifier.citationKielmann, 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/czaa147en_US
dc.identifier.issn1460-2237
dc.identifier.uri10.1093/heapol/czaa147
dc.identifier.urihttp://hdl.handle.net/10566/7615
dc.language.isoenen_US
dc.publisherOxford University Pressen_US
dc.subjectPolicy implementationen_US
dc.subjectDecentralizationen_US
dc.subjectTuberculosisen_US
dc.subjectHealth systemsen_US
dc.subjectPublic healthen_US
dc.subjectSouth Africaen_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 Africaen_US
dc.typeArticleen_US

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