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An examination of the implementation of the World Health Organisation's anti-tuberculosis treatment, the Directly Observed Treatment Short Course (DOTS), in poor South African communities
This dissertation examines the implementation of the anti-tuberculosis treatment, the Directly Observed Treatment Short Course, of the World Health Organisation (WHO) in poor South African communities. Research for this dissertation was carried out over a two-year period in one poor community, a tub...
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| Format: | Thesis |
| Language: | English |
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Social Anthropology
2023
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| _version_ | 1867613155628154880 |
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| access_status_str | Open Access |
| author | Jacobs, Nasolo Monifa |
| author2 | Levine, Susan |
| author_browse | Jacobs, Nasolo Monifa Levine, Susan |
| author_facet | Levine, Susan Jacobs, Nasolo Monifa |
| author_sort | Jacobs, Nasolo Monifa |
| collection | Thesis |
| description | This dissertation examines the implementation of the anti-tuberculosis treatment, the Directly Observed Treatment Short Course, of the World Health Organisation (WHO) in poor South African communities. Research for this dissertation was carried out over a two-year period in one poor community, a tuberculosis (TB) quarantine hospital and several primary care clinics. This dissertation argues that the DOTS programme is culturally inappropriate and consequently unsuccessful in meeting the WHO's TB treatment targets. It will show that the design of the DOTS programme assumes access to basic resources such as food and shelter and focuses its attE11tion on ensuring regular access to anti-TB medication. However, TB patients in many poor South African communities do not have access to basic resources and thus experience the DOTS programme and the treatment protocol as a burden. Although TB patients face these challenges to meeting their treatment goals, many of them view the DOTS programme in their communities as a source of resources from which they can access jobs, food, money and general social services. The thesis will demonstrate that there is a wide gap between what the DOTS programme offers and what the TB patients and community members expect. It will also show that this gap limits the ability of TB patients to adhere to the treatment and thus renders the DOTS programme culturally inappropriate and unsuccessful in these South African communities. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/38348 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:31:38.662Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2023 |
| publishDateRange | 2023 |
| publishDateSort | 2023 |
| publisher | Social Anthropology |
| publisherStr | Social Anthropology |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/38348 An examination of the implementation of the World Health Organisation's anti-tuberculosis treatment, the Directly Observed Treatment Short Course (DOTS), in poor South African communities Jacobs, Nasolo Monifa Levine, Susan Social Anthropology This dissertation examines the implementation of the anti-tuberculosis treatment, the Directly Observed Treatment Short Course, of the World Health Organisation (WHO) in poor South African communities. Research for this dissertation was carried out over a two-year period in one poor community, a tuberculosis (TB) quarantine hospital and several primary care clinics. This dissertation argues that the DOTS programme is culturally inappropriate and consequently unsuccessful in meeting the WHO's TB treatment targets. It will show that the design of the DOTS programme assumes access to basic resources such as food and shelter and focuses its attE11tion on ensuring regular access to anti-TB medication. However, TB patients in many poor South African communities do not have access to basic resources and thus experience the DOTS programme and the treatment protocol as a burden. Although TB patients face these challenges to meeting their treatment goals, many of them view the DOTS programme in their communities as a source of resources from which they can access jobs, food, money and general social services. The thesis will demonstrate that there is a wide gap between what the DOTS programme offers and what the TB patients and community members expect. It will also show that this gap limits the ability of TB patients to adhere to the treatment and thus renders the DOTS programme culturally inappropriate and unsuccessful in these South African communities. 2023-09-02T13:37:17Z 2023-09-02T13:37:17Z 2004 2023-09-02T13:36:43Z Master Thesis Masters MA http://hdl.handle.net/11427/38348 eng application/pdf Social Anthropology Faculty of Humanities |
| spellingShingle | Social Anthropology Jacobs, Nasolo Monifa An examination of the implementation of the World Health Organisation's anti-tuberculosis treatment, the Directly Observed Treatment Short Course (DOTS), in poor South African communities |
| thesis_degree_str | Master's |
| title | An examination of the implementation of the World Health Organisation's anti-tuberculosis treatment, the Directly Observed Treatment Short Course (DOTS), in poor South African communities |
| title_full | An examination of the implementation of the World Health Organisation's anti-tuberculosis treatment, the Directly Observed Treatment Short Course (DOTS), in poor South African communities |
| title_fullStr | An examination of the implementation of the World Health Organisation's anti-tuberculosis treatment, the Directly Observed Treatment Short Course (DOTS), in poor South African communities |
| title_full_unstemmed | An examination of the implementation of the World Health Organisation's anti-tuberculosis treatment, the Directly Observed Treatment Short Course (DOTS), in poor South African communities |
| title_short | An examination of the implementation of the World Health Organisation's anti-tuberculosis treatment, the Directly Observed Treatment Short Course (DOTS), in poor South African communities |
| title_sort | examination of the implementation of the world health organisation s anti tuberculosis treatment the directly observed treatment short course dots in poor south african communities |
| topic | Social Anthropology |
| url | http://hdl.handle.net/11427/38348 |
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