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Essential Tuberculosis pp 367–373Cite as

Health Systems and Tuberculosis Control

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Abstract

This chapter discusses the relationship between health systems and organization of tuberculosis (TB) control, which is generally a part and parcel of a health system. It juxtaposes the six building blocks of a health system identified by the World Health Organization (WHO) on WHO’s End TB Strategy to show that Ending TB will require sustained attention to both the specific actions that are essential to controlling TB and strengthening of the general health system on which most TB-specific actions are dependent. Health systems in many countries comprise a large private health sector. The chapter also discusses the significance of and ways to engage private healthcare providers in TB control.

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References

  1. World Health Organization. The end TB strategy. Geneva: World Health Organization; 2015. https://www.who.int/tb/strategy/End_TB_Strategy.pdf. Accessed 24 Apr 2020

    Google Scholar 

  2. World Health Organization. Everybody’s business -- strengthening health systems to improve health outcomes: WHO’s framework for action. Geneva: World Health Organization; 2007. https://apps.who.int/iris/handle/10665/43918. Accessed 23 Apr 2020

    Google Scholar 

  3. International Conference on Primary Health Care (1978, Alma-Ata, USSR), World Health Organization & United Nations Children’s Fund (UNICEF). Primary health care: report of the International Conference on Primary Health Care, Alma-Ata, USSR, 6–12 September 1978/jointly sponsored by the World Health Organization and the United Nations Children’s Fund. World Health Organization; 1978. https://apps.who.int/iris/handle/10665/39228. Accessed 24 Apr 2020.

  4. Uplekar M, Raviglione MC. The “vertical-horizontal” debates: time for the pendulum to rest (in peace)? Bull World Health Organ. 2007;85:413–7.

    Article  Google Scholar 

  5. Reich MR, Takemi K, Roberts MJ, Hsiao WC. Global action on health systems: a proposal for the Toyako G8 summit. Lancet. 2008;371(9615):865–9.

    Article  Google Scholar 

  6. Warren AE, Wyss K, Shakarishvili G, Atun R, de Savigny D. Global health initiative investments and health systems strengthening: a content analysis of global fund investments. Glob Health. 2013;9(1):30.

    Article  Google Scholar 

  7. Tsai F-J, Lee H, Fan VY. Perspective and investments in health system strengthening of Gavi, the vaccine alliance: a content analysis of health system strengthening-specific funding. Int Health. 2016;8:246–52.

    Article  Google Scholar 

  8. World Health Organization. Monitoring the building blocks of health systems: a handbook of indicators and their measurement strategies. Geneva: World Health Organization; 2010. https://www.who.int/healthinfo/systems/WHO_MBHSS_2010_full_web.pdf. Accessed on 15 Apr 2020

    Google Scholar 

  9. Kim J, Keshavjee S, Atun R. Health systems performance in managing tuberculosis: analysis of tuberculosis care cascades among high-burden and non-high-burden countries. J Glob Health. 2019;9(1):010423.

    Article  Google Scholar 

  10. World Health Organization. Global tuberculosis report 2019. WHO/CDS/TB/2019.15. Geneva: World Health Organization; 2019. https://apps.who.int/iris/bitstream/handle/10665/329368/9789241565714-eng.pdf. Accessed 22 Apr 2020

    Google Scholar 

  11. Uplekar M. Public-private mix for tuberculosis care and prevention. What progress? What prospects? Int J Tuberc Lung Dis. 2016;20(11):1424–9.

    Article  CAS  Google Scholar 

  12. Uplekar M, Pathania V, Raviglione M. Private practitioners and public health: weak links in tuberculosis control. Lancet. 2001;358(9285):912–6.

    Article  CAS  Google Scholar 

  13. World Health Organization. Public–private mix for TB prevention and care: a roadmap. Geneva: World Health Organization; 2018. https://www.who.int/tb/publications/2018/PPMRoadmap.pdf. Accessed 26 Apr 2020

    Google Scholar 

  14. Lei X, Liu Q, Escobar E, Philogene J, Zhu H, Wang Y, Tang S. Public–private mix for tuberculosis care and control: a systematic review. Int J Infect Dis. 2015;34:20–32.

    Article  Google Scholar 

  15. Uplekar M, Atre A, Wells W, Weil D, Lopez R, Migliori G, et al. Mandatory tuberculosis case notification in high tuberculosis-incidence countries: policy and practice. Eur Resp J. 2016;48:1571–81.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Savitribai Phule Pune University, Pune, Maharashtra, India

    Mukund Uplekar

  2. Dr D Y Patil Medical College, Pune, Maharashtra, India

    Sachin Atre

Authors
  1. Mukund Uplekar
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  2. Sachin Atre
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Editor information

Editors and Affiliations

  1. Servizio di Epidemiologia Clinica delle Malattie Respiratorie, Istituti Clinici Scientifici Maugeri IRCCS, Tradate, Italy

    Giovanni Battista Migliori

  2. Centre for Multidisciplinary Research in Health Science (MACH), University of Milan, Milan, Italy

    Mario C. Raviglione

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Uplekar, M., Atre, S. (2021). Health Systems and Tuberculosis Control. In: Migliori, G.B., Raviglione, M.C. (eds) Essential Tuberculosis. Springer, Cham. https://doi.org/10.1007/978-3-030-66703-0_40

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  • DOI: https://doi.org/10.1007/978-3-030-66703-0_40

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-66705-4

  • Online ISBN: 978-3-030-66703-0

  • eBook Packages: MedicineMedicine (R0)

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