Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Aug 21:17:100118.
doi: 10.1016/j.jctube.2019.100118. eCollection 2019 Dec.

The high-quality health system 'revolution': Re-imagining tuberculosis infection prevention and control

Helene-Mari van der Westhuizen  1   2 , Ruvandhi R Nathavitharana  2   3 , Clio Pillay  2   4 , Ingrid Schoeman  2 , Rodney Ehrlich  5
Affiliations

The high-quality health system 'revolution': Re-imagining tuberculosis infection prevention and control

Helene-Mari van der Westhuizen et al. J Clin Tuberc Other Mycobact Dis. .

Erratum in

  • Erratum regarding previously published articles.
    [No authors listed] [No authors listed] J Clin Tuberc Other Mycobact Dis. 2020 Sep 9;21:100177. doi: 10.1016/j.jctube.2020.100177. eCollection 2020 Dec. J Clin Tuberc Other Mycobact Dis. 2020. PMID: 32964144 Free PMC article.

Abstract

The Lancet Commission on High-Quality Health Systems called for a 'revolution' in the quality of care provided in low- and middle-income countries. We argue that this provides a helpful framework to demonstrate how effective tuberculosis infection prevention and control (TB IPC) implementation should be linked with health system strengthening, moving it from the silo of the national TB programmes. Using this framework, we identify and discuss links between TB IPC implementation and patient safety, human resources for health, prioritising person-centred care, building trust in health systems and refining the tools used to measure TB IPC implementation. Prioritising patient experience has been a recent addition to the definition of high-quality care. In high TB burden settings, the encounter with TB IPC measures may be a TB patient's initial contact with the healthcare system and may cause feelings of stigmatisation. We advocate for re-imagining the way we implement TB IPC, by drawing on the principles of person-centred care through incorporating the experiences of people using healthcare services. Health workers who developed occupational TB also offer a unique perspective: they have both experienced TB IPC and have played a role in implementing it in their workplace. They can be powerful advocates for person-centred TB IPC implementation. Through framing TB IPC as part of health system strengthening and consciously including person-centred perspectives in TB IPC design, measurement and guidelines, we hope to influence future TB IPC research and practice.

Keywords: Health system strengthening; Person-centred care; Tuberculosis infection prevention and control.

PubMed Disclaimer

Figures

Fig 1
Fig. 1
Embedding TB IPC within broader health system initiatives that link with components of a high-quality health system.
Fig 2
Fig. 2
Incorporating person-centred principles in TB IPC implementation.
See this image and copyright information in PMC

References

    1. Kruk M.E., Gage A.D., Arsenault C., Jordan K., Leslie H.H., Roder-DeWan S. High-quality health systems in the sustainable development goals era: time for a revolution. Lancet Glob Heal. 2018;6(November):1196–1252. doi: 10.1016/S2214-109X(18)30386-3. - DOI - PMC - PubMed
    1. Reid M.J.A., Arinaminpathy N., Bloom A., Bloom B.R., Boehme C., Chaisson R. Building a tuberculosis-free world: the Lancet commission on tuberculosis. Lancet. 2019;393(10178):1331–1384. doi: 10.1016/S0140-6736(19)30024-8. - DOI - PubMed
    1. Pai M., Temesgen Z. Quality: the missing ingredient in TB care and control. J Clin Tuberc Other Mycobact Dis. 2019;14(December 2018):12–13. doi: 10.1016/j.jctube.2018.12.001. - DOI - PMC - PubMed
    1. Lönnroth K., Jaramillo E., Williams B.G., Dye C., Raviglione M. Drivers of tuberculosis epidemics: the role of risk factors and social determinants. Soc Sci Med. 2009;68(12):2240–2246. doi: 10.1016/j.socscimed.2009.03.041. - DOI - PubMed
    1. Harries A.D., Zachariah R., Tayler-smith K., Schouten E.J., Chimbwandira F., Van Damme W. Keeping health facilities safe: one way of strengthening the interaction between disease-specific programmes and health systems. Trop. Med. Int. Health. 2010;15(12):1407–1412. doi: 10.1111/j.1365-3156.2010.02662.x. - DOI - PubMed

LinkOut - more resources