Identifying contextual determinants of problems in tuberculosis care provision in South Africa: a theory-generating case study.

ABSTRACT:

Background

Despite progress towards End TB Strategy targets for reducing tuberculosis (TB) incidence and deaths by 2035, South Africa remains among the top ten high-burden tuberculosis countries globally. A large challenge lies in how policies to improve detection, diagnosis and treatment completion interact with social and structural drivers of TB. Detailed understanding and theoretical development of the contextual determinants of problems in TB care is required for developing effective interventions. This article reports findings from the pre-implementation phase of a study of TB care in South Africa, contributing to HeAlth System StrEngThening in Sub-Saharan Africa (ASSET)-a five-year research programme developing and evaluating health system strengthening interventions in sub-

SUBMITTER: Murdoch J 

PROVIDER: S-EPMC8108019 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature