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Enablers and barriers to the effective use of public-private mix in tuberculosis control within Cape Town: the private sector perspective
Includes bibliographical references.
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| Main Author: | |
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| Other Authors: | |
| Format: | Thesis |
| Language: | English |
| Published: |
Health Economics Unit
2014
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| _version_ | 1867613274158137344 |
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| access_status_str | Open Access |
| author | Jacobs, Lee-Ann Juliana |
| author2 | Sinanovic, Edina |
| author_browse | Jacobs, Lee-Ann Juliana Sinanovic, Edina |
| author_facet | Sinanovic, Edina Jacobs, Lee-Ann Juliana |
| author_sort | Jacobs, Lee-Ann Juliana |
| collection | Thesis |
| description | Includes bibliographical references. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/9394 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:33:31.121Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2014 |
| publishDateRange | 2014 |
| publishDateSort | 2014 |
| publisher | Health Economics Unit |
| publisherStr | Health Economics Unit |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/9394 Enablers and barriers to the effective use of public-private mix in tuberculosis control within Cape Town: the private sector perspective Jacobs, Lee-Ann Juliana Sinanovic, Edina Public Health Includes bibliographical references. Tuberculosis (TB) remains a significant contributor to global morbidity and mortality, and South Africa has one of the highest burdens of TB in the world. Current WHO recommendations include the need for private practitioners to be engaged in national TB strategies. Within Cape Town South Africa, specific strategies are required to effectively involve private practitioners in TB control. This study aimed to investigate private practitioners' perceptions of the enablers and barriers to the effective use of public-private mix (PPM) in TB control in Cape Town. It also explored private provider perspectives on the main components of PPM in TB. Private practitioners included medically trained doctors in private practices, non allopathic medical practitioners, private pharmacists, laboratory technicians and microbiologists. The study employed the convenience sampling method. A total of 50 interviews were conducted with the use of self-administered semi-structured questionnaires. The study found that certain enablers (i.e. direct and indirect incentives), facilitated increased willingness of private providers to participate in PPM initiatives in TB control. The main incentive was financial remuneration. Other incentives included training, the free supply of drugs, private providers improved reputation and the provision of quality assured subsidized microscopy and radiological services. Private providers also identified barriers in both sectors that currently limit their participation in PPM initiatives. The deficiencies of the current system included the need for the development of more effective health promotion campaigns, improving diagnostic services, promoting interaction between the private and public sectors and training. The main recommendations included the facilitation of increased collaboration/communication between the staff in both sectors and strong government stewardship. Further recommendations included the development of a strategy for phased implementation of PPM TB control initiatives, pilot studies with context-specific PPM of TB care in diverse settings and their evaluation in terms of health outcomes, cost-effectiveness, equity and quality of care. 2014-11-08T14:30:39Z 2014-11-08T14:30:39Z 2009 Master Thesis Masters MPH http://hdl.handle.net/11427/9394 eng application/pdf Health Economics Unit Faculty of Health Sciences University of Cape Town |
| spellingShingle | Public Health Jacobs, Lee-Ann Juliana Enablers and barriers to the effective use of public-private mix in tuberculosis control within Cape Town: the private sector perspective |
| thesis_degree_str | Master's |
| title | Enablers and barriers to the effective use of public-private mix in tuberculosis control within Cape Town: the private sector perspective |
| title_full | Enablers and barriers to the effective use of public-private mix in tuberculosis control within Cape Town: the private sector perspective |
| title_fullStr | Enablers and barriers to the effective use of public-private mix in tuberculosis control within Cape Town: the private sector perspective |
| title_full_unstemmed | Enablers and barriers to the effective use of public-private mix in tuberculosis control within Cape Town: the private sector perspective |
| title_short | Enablers and barriers to the effective use of public-private mix in tuberculosis control within Cape Town: the private sector perspective |
| title_sort | enablers and barriers to the effective use of public private mix in tuberculosis control within cape town the private sector perspective |
| topic | Public Health |
| url | http://hdl.handle.net/11427/9394 |
| work_keys_str_mv | AT jacobsleeannjuliana enablersandbarrierstotheeffectiveuseofpublicprivatemixintuberculosiscontrolwithincapetowntheprivatesectorperspective |