The politics of tuberculosis : a policy analysis of the tuberculosis control programme

M.A. (Political Science) / Although an effective cure for tuberculosis exists, the incidence and mortality rate for TB in South Africa remain exceptionally high. The reason for this is both medical as well as sociopolitical. The purpose of this dissertation is to examine the inter-action of various differential variables which influence the control of TB in this country. TB whilst caused by a germ, is adversely affected by socioeconomic deprivation, which in turn has distinct political connotations in South Africa. The dissertation therefore examines the inter-play of the historical and present influences of sociopolitical factors on the TB situation at present. Another important aspect of TB control is the State's efforts to control TB through the TB Control Programme (TBCP). This dissertation discusses the objectives of the TBCP and meaSures its effectivity against the socio-political context in which it functions. This is followed by a series of suggestions including an examination of the financial implications of these. A non-governmental organisation (NGO), SANTA ( The South African National TB Association) is a further actor in the control of TB. As specified delegates of the State for TB health education, it is essential that their role be examined both in terms of the TBCP as well as in terms of their own stated objectives for TB control. This includes an examination of the role of NGOs in complimenting the activities of the State and their believability in the community they claim to serve. Further proposals are put forward with regard to ways in which SANTA can improve their believability, relevance and effectivity within TB control in South Africa. Further influencing factors are the impact of AIDS and political violence on TB and the ability of the various actors to control TB. These two aspects are discussed briefly and constitute areas for further research. In addition it would be relevant for some form of cost-benefit analysis to be conducted, in order to extend the scope of the policy analysis conducted here.

Identiferoai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:uj/uj:4422
Date18 March 2014
CreatorsLeresche, Antoinette
Source SetsSouth African National ETD Portal
Detected LanguageEnglish
TypeThesis
RightsUniversity of Johannesburg

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