Geographical, social, and political contexts of tuberculosis control and intervention, as reported by mid-level health managers in Uganda: ‘The activity around town’

Jason Johnson-Peretz, Gabriel Chamie, Elijah Kakande, Canice Christian, Moses R. Kamya, Cecilia Akatukwasa, Fred Atwine, Diane V. Havlir and Carol S. Camlin

Social Science & Medicine, 2023, vol. 338, issue C

Abstract: Training district-level health officers and other mid-level health system managers revealed multiple contextual factors across political, administrative, and social axes affecting tuberculosis (TB) and TB control in Uganda. Individual relationships between local health, political, and media leaders affect efforts to inform the public and provide services, yet greater administrative coordination between national-level logistics, implementing partner funding, and local needs is required. Social challenges to TB control include high population mobility, local industries, poverty with high-density living and social venues, and misinformation about TB. Capitalizing on implementation knowledge and sharing data can overcome social geographic challenges to TB-prevention planning through strategic healthcare capacity-building at the district level.

Keywords: Uganda; Tuberculosis; IPT; HIV; DHO; Management (search for similar items in EconPapers)
Date: 2023
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DOI: 10.1016/j.socscimed.2023.116363

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