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Perceived Health System Barriers to Tuberculosis Control Among Health Workers in South Africa Cover

Perceived Health System Barriers to Tuberculosis Control Among Health Workers in South Africa

Open Access
|Feb 2020

Figures & Tables

Table 1

Application of the WHO health system building blocks.

Building blocksAs applied to providing systems to support the health of
General populationHealth Workers
Leadership & Governance… across professions, institutions… within health system and across disciplines to ensure prevention and control of TB risk
      Existence of policy frameworks & oversight, design, accountability
Financing… for all health system components… for occupational health & safety and/including infection prevention and control (IPC)
      Adequate funds for needed resources, good and services
Health Workforce… for health professionals & support… for occupational health and IPC professionals and support staff
      Human resources management, skills & policies
Service Delivery… diagnostic, curative & general health services… for prevention, measurement and mitigation of TB risk and effects of the disease in health workers
      Encompassing quality, access, safety and coverage of provided services
Access to Medicines and Technology… for drugs, devices and other supplies… for environmental control, personal protective equipment, and access to diagnosis and effective medicines for health workers
      Ensuring access to needed equipment and materials
Information System… for population health status & service use; trends and associations… for health worker TB status and workplace risk; trends and associations
      Production, analysis, dissemination and use of timely & reliable information
Table 2

Location of key informants.

ReferenceKI CategoryDesignationMode of Interview
G1Provincial and national government authoritiesSenior level manager in charge of occupational hygiene in a provincial health departmentIn person
G2Mid-level manager in charge of occupational hygiene in a provincial health departmentIn person
G3Mid-level manager in charge of occupational hygiene in a provincial health departmentIn person
G4Mid-level manager in charge of occupational hygiene in a provincial health departmentIn person
G5Senior level manager in charge of wellness programme in a provincial health departmentIn person
G6Senior manager in charge of TB, national Department of HealthIn person
G7Senior manager in charge of hygiene and health, national Department of LabourIn person
G8Senior manager, national Department of Public ServiceIn person
G9Senior manager, National Institute of Occupational HealthIn person
G10Occupational medicine specialist, National Institute Occupational HealthIn person
A1Academic experts (university based)Professor Emeritus in occupational medicineSkype
A2Professor in occupational healthIn person
A3Professor in public health medicineIn person
A4Professor in occupational healthIn person
N1Occupational TB advocacy groupSurvivor of MDR TB and TB advocate/former health workerTelephone
N2Survivor of MDR TB and TB advocate/health workerTelephone
H1Hospital headsHead of a large TB referral hospitalIn person
L1Health legislator/politicianMember of national parliamentTelephone
DOI: https://doi.org/10.5334/aogh.2692 | Journal eISSN: 2214-9996
Language: English
Published on: Feb 12, 2020
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2020 Prince A. Adu, Annalee Yassi, Rodney Ehrlich, Jerry M. Spiegel, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.