Policy analysis: Key milestones in MDR-TB management over the past decade in South Africa
Background: Significant strides have been made globally and in South Africa (SA) in the policy and biomedical management of multidrug-resistant tuberculosis (MDR-TB). However, MDR-TB remains a significant public health threat. Aim: This policy content analysis aims to explore the key milestones in...
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| Format: | Article |
| Language: | English |
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AOSIS
2024-12-01
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| Series: | Journal of Public Health in Africa |
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| Online Access: | https://publichealthinafrica.org/index.php/jphia/article/view/703 |
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| author | Lee-Ann C. Davids Talitha Crowley |
| author_facet | Lee-Ann C. Davids Talitha Crowley |
| author_sort | Lee-Ann C. Davids |
| collection | DOAJ |
| description | Background: Significant strides have been made globally and in South Africa (SA) in the policy and biomedical management of multidrug-resistant tuberculosis (MDR-TB). However, MDR-TB remains a significant public health threat.
Aim: This policy content analysis aims to explore the key milestones in MDR-TB management in SA and globally over the last decade, 2013–2023, to identify gaps and opportunities for improvement.
Setting: This review focussed on global and South African national MDR-TB policies since SA is on all three World Health Organization (WHO) watch lists for TB, TB/HIV and MDR-TB, despite its significant contributions to policy.
Method: A policy review and content analysis were conducted of all publicly available SA and WHO drug-resistant TB policies developed between 2013 and 2023.
Results: Key changes identified were in the areas of new drug development and regimens, care delivery settings, task shifting and, terminology used in the field of drug-resistant TB. Changes in the biomedical sphere predominated in both SA and WHO policies.
Conclusion: Important biomedical interventions have offered renewed hope for the SA MDR-TB programme. This review highlights that policy translation and implementation in non-biomedical interventions have been slow, sometimes lagging up to 10 years behind an intervention being recommended. This article recommends equal weight be placed on non-biomedical interventions and that these policy translations occur at a more rapid speed to positively impact the dire public health consequences of MDR-TB.
Contribution: Insights offered through this policy review may contribute to policy development, translation and implementation towards improving MDR-TB outcomes in SA. |
| format | Article |
| id | doaj-art-2ae37ca5758d4435ae82fc8ca8c89343 |
| institution | DOAJ |
| issn | 2038-9922 2038-9930 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | AOSIS |
| record_format | Article |
| series | Journal of Public Health in Africa |
| spelling | doaj-art-2ae37ca5758d4435ae82fc8ca8c893432025-08-20T02:56:15ZengAOSISJournal of Public Health in Africa2038-99222038-99302024-12-01151e1e1110.4102/jphia.v15i1.703775Policy analysis: Key milestones in MDR-TB management over the past decade in South AfricaLee-Ann C. Davids0Talitha Crowley1Office of AIDS and TB Research, South African Medical Research Council, Cape TownSchool of Nursing, Faculty of Community and Health Sciences, University of the Western Cape, Cape TownBackground: Significant strides have been made globally and in South Africa (SA) in the policy and biomedical management of multidrug-resistant tuberculosis (MDR-TB). However, MDR-TB remains a significant public health threat. Aim: This policy content analysis aims to explore the key milestones in MDR-TB management in SA and globally over the last decade, 2013–2023, to identify gaps and opportunities for improvement. Setting: This review focussed on global and South African national MDR-TB policies since SA is on all three World Health Organization (WHO) watch lists for TB, TB/HIV and MDR-TB, despite its significant contributions to policy. Method: A policy review and content analysis were conducted of all publicly available SA and WHO drug-resistant TB policies developed between 2013 and 2023. Results: Key changes identified were in the areas of new drug development and regimens, care delivery settings, task shifting and, terminology used in the field of drug-resistant TB. Changes in the biomedical sphere predominated in both SA and WHO policies. Conclusion: Important biomedical interventions have offered renewed hope for the SA MDR-TB programme. This review highlights that policy translation and implementation in non-biomedical interventions have been slow, sometimes lagging up to 10 years behind an intervention being recommended. This article recommends equal weight be placed on non-biomedical interventions and that these policy translations occur at a more rapid speed to positively impact the dire public health consequences of MDR-TB. Contribution: Insights offered through this policy review may contribute to policy development, translation and implementation towards improving MDR-TB outcomes in SA.https://publichealthinafrica.org/index.php/jphia/article/view/703drug-resistant tuberculosismanagementmilestonesmultidrug-resistant tuberculosispolicy content analysispolicy reviewrifampicin-resistant tuberculosissouth african national department of healthtuberculosisworld health organization |
| spellingShingle | Lee-Ann C. Davids Talitha Crowley Policy analysis: Key milestones in MDR-TB management over the past decade in South Africa Journal of Public Health in Africa drug-resistant tuberculosis management milestones multidrug-resistant tuberculosis policy content analysis policy review rifampicin-resistant tuberculosis south african national department of health tuberculosis world health organization |
| title | Policy analysis: Key milestones in MDR-TB management over the past decade in South Africa |
| title_full | Policy analysis: Key milestones in MDR-TB management over the past decade in South Africa |
| title_fullStr | Policy analysis: Key milestones in MDR-TB management over the past decade in South Africa |
| title_full_unstemmed | Policy analysis: Key milestones in MDR-TB management over the past decade in South Africa |
| title_short | Policy analysis: Key milestones in MDR-TB management over the past decade in South Africa |
| title_sort | policy analysis key milestones in mdr tb management over the past decade in south africa |
| topic | drug-resistant tuberculosis management milestones multidrug-resistant tuberculosis policy content analysis policy review rifampicin-resistant tuberculosis south african national department of health tuberculosis world health organization |
| url | https://publichealthinafrica.org/index.php/jphia/article/view/703 |
| work_keys_str_mv | AT leeanncdavids policyanalysiskeymilestonesinmdrtbmanagementoverthepastdecadeinsouthafrica AT talithacrowley policyanalysiskeymilestonesinmdrtbmanagementoverthepastdecadeinsouthafrica |