Organisation of care for people receiving drug-resistant tuberculosis treatment in South Africa: a mixed methods study.

ABSTRACT:

Objectives

Treatment for multidrug-resistant/rifampicin-resistant tuberculosis (MDR/RR-TB) is increasingly transitioning from hospital-centred to community-based care. A national policy for decentralised programmatic MDR/RR-TB care was adopted in South Africa in 2011. We explored variations in the implementation of care models in response to this change in policy, and the implications of these variations for people affected by MDR/RR-TB.

Design

A mixed methods study was done of patient movements between healthcare facilities, reconstructed from laboratory records. Facility visits and staff interviews were used to determine reasons for movements.

Participants and setting

People identified with MDR/RR-TB from 13 high-burden districts within South Africa.

Outcome meas

SUBMITTER: Dickson L 

PROVIDER: S-EPMC10660906 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature