Decentralising DR-TB care: the trade-off between quality of care and service coverage in the early phase of implementation
Attempts to decentralise DR-TB treatment in the context of complex treatment algorithms and limited health system capacity resulted in trade-offs of care quality. We argue that quality of care should be an essential consideration in early implementation of health programmes.
Authors
- Hans G. Schneider (ORCID: https://orcid.org/0000-0002-6048-8744)
- Mosa Moshabela (ORCID: https://orcid.org/0000-0002-9438-7095)
- Karina Kielmann (ORCID: https://orcid.org/0000-0001-5519-1658)
- Koleka Mlisana (ORCID: https://orcid.org/0000-0002-8436-3268)
- Waasila Jassat (ORCID: https://orcid.org/0000-0003-4279-3056)
- John Black (ORCID: https://orcid.org/0000-0002-7845-4972)
- Helen Cox (ORCID: https://orcid.org/0000-0002-6538-7192)
- Laurie Dickson
- Marian Loveday (ORCID: https://orcid.org/0000-0001-9205-9314)
- Alison D. Grant (ORCID: https://orcid.org/0000-0002-2437-5195)
- Mark Patrick Nicol (ORCID: https://orcid.org/0000-0002-1366-4805)
Institutions
- National Health Laboratory Service (ZA)
- South African Medical Research Council (ZA)
- Burnet Institute (AU)
- University of Cape Town (ZA)
- The University of Western Australia (AU)
- Queen Margaret University (GB)
- University of the Witwatersrand (ZA)
- Centre for the AIDS Programme of Research in South Africa (ZA)
- London School of Hygiene & Tropical Medicine (GB)
- Africa Health Research Institute (ZA)
- University of the Western Cape (ZA)
- University of KwaZulu-Natal (ZA)
Publication Details
- Journal
- Public Health Action
- Published
- 2025-09-01
- DOI
- https://doi.org/10.5588/pha.25.0004
- Primary Topic
- Global Maternal and Child Health
- Type
- article
- Field-Weighted Citation Impact
- 0.00