A framework and toolkit for capturing the communicable disease programmes within health systems: tuberculosis control as an illustrative example

European Journal of Public Health
Rifat AtunRichard Coker

Abstract

The frameworks and methods used for analysis, monitoring and evaluation of communicable disease control vary greatly. Although a number of manuals exist instruments for a detailed analysis of wider health system context are lacking. This is surprising given that the success of vertical programmes is often determined by the constraints of health systems. The importance of the context and the health system in determining the successful implementation of national tuberculosis programmes is well recognized by the WHO, which recommends analysis of national tuberculosis programmes within the context of health care system, health reform and the economic status of the country. However, current approaches inadequately capture intelligence on the health systems variables impacting on programme efficacy, limiting the ability of policy makers to draw lessons for wider use. A recent WHO report highlights the major systemic constraints to DOTS implementation and recommends a comprehensive and multi-sectoral approach to tuberculosis control. This obviates the need for tools that take into account health systems issues as well as focusing on a particular vertical programme but no such comprehensive tool exists. This paper outlines the conceptu...Continue Reading

Citations

Apr 4, 2007·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·S AfifiF Mahoney
Feb 11, 2010·Health Policy and Planning·Elena Tkatchenko-SchmidtAdrian Renton
Jun 17, 2011·The Journal of Infectious Diseases·P HanvoravongchaiU K Griffiths
Mar 1, 2008·American Journal of Public Health·Dominique P Béhague, Katerini T Storeng
Jun 16, 2009·Journal of Evaluation in Clinical Practice·Carmel M Martin, Joachim P Sturmberg
Sep 13, 2005·Health Policy·Rifat A AtunRichard J Coker
Apr 25, 2006·Lancet·Martin McKee, Rifat Atun
Feb 25, 2014·Health Policy and Planning·Altynay Shigayeva, Richard J Coker
Jul 7, 2009·Lancet·R Chad SwansonMalcolm Bryant
Nov 27, 2007·Bulletin of the World Health Organization·Rachel JenkinsRifat Atun
Nov 20, 2020·Health Policy and Planning·Fatim LakhaRichard Coker

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