The decentralised drug-resistant TB programme in South Africa: From policy to implementation
| dc.contributor.advisor | Schneider, Helen | |
| dc.contributor.author | Jassat, Waasila | |
| dc.date.accessioned | 2023-01-25T06:54:55Z | |
| dc.date.accessioned | 2024-11-07T09:36:54Z | |
| dc.date.available | 2023-01-25T06:54:55Z | |
| dc.date.available | 2024-11-07T09:36:54Z | |
| dc.date.issued | 2022 | |
| dc.description | Philosophiae Doctor - PhD | en_US |
| dc.description.abstract | South Africa is one of the high burden countries for drug-resistant tuberculosis (DR-TB) globally. A policy supporting decentralised DR-TB treatment provision was introduced in 2011 but to date implementation has been suboptimal with variable coverage and quality. This thesis opens the ‘black box’ explaining sub-national policy implementation of DR-TB decentralisation in two provinces of South Africa, Western Cape and KwaZulu-Natal. The thesis is grounded in the field of policy analysis and adopts the methodological approach of a qualitative multiple case study, comparing 15 embedded district and subdistrict cases in the two provinces, through data collected in 94 in-depth interviews, document reviews, and observations. Applying Walt and Gilson’s Policy Analysis Triangle framework, the case studies of DR-TB in the two provinces revealed how aspects of actors’ engagement with the policy instrument, influenced by organisational dynamics and the wider context, resulted in varying effectiveness of policy implementation. | en_US |
| dc.identifier.uri | https://hdl.handle.net/10566/19200 | |
| dc.language.iso | en | en_US |
| dc.publisher | University of the Western Cape | en_US |
| dc.rights.holder | University of the Western Cape | en_US |
| dc.subject | Tuberculosis | en_US |
| dc.subject | Public health | en_US |
| dc.subject | Health system | en_US |
| dc.subject | South Africa | en_US |
| dc.title | The decentralised drug-resistant TB programme in South Africa: From policy to implementation | en_US |