Please use this identifier to cite or link to this item:
http://hdl.handle.net/20.500.12188/9977
DC Field | Value | Language |
---|---|---|
dc.contributor.author | R. Gregory Thomas-Reilly | en_US |
dc.contributor.author | Fimka Tozija | en_US |
dc.contributor.author | Viorel Soltan | en_US |
dc.contributor.author | Dance G Nikovska | en_US |
dc.contributor.author | Valeriu Crudu | en_US |
dc.contributor.author | Rifat Atun | en_US |
dc.contributor.author | Martin McKee | en_US |
dc.date.accessioned | 2021-01-28T14:40:26Z | - |
dc.date.available | 2021-01-28T14:40:26Z | - |
dc.date.issued | 2016-04-19 | - |
dc.identifier.uri | http://hdl.handle.net/20.500.12188/9977 | - |
dc.description.abstract | Aim: Multidrug-resistant tuberculosis (MDR-TB) arises where treatment is interrupted or inadequate, when patients are treated inappropriately, or when an individual has impaired immune function, which can lead to a rapid progression from infection with an MDR-strain to disease. This study examines the role of health systems in amplifying or preventing the development of MDR-TB. Methods: We present two comparative studies, which were undertaken in The Former Yugoslav Republic of Macedonia (TFYR Macedonia) and Moldova. Results: The findings reveal several health systems-level factors that contribute to the different rates of MDR-TB observed in these two countries, including: pre-existing burden of disease; organization of the health system, with the existence of parallel systems; power dynamics among policy makers and disease programmes; and the accountability & effectiveness of programme oversight. Conclusions: The findings do not offer a universal template for health system reform but do identify specific factors that may be contributing to the epidemic and are worthy of further attention in the two countries. | en_US |
dc.language.iso | en | en_US |
dc.publisher | Jacobs Verlag | en_US |
dc.relation | Multidrug-Resistant Tuberculosis and Health System Failures Project. London School of Hygiene and Tropical Medicine. London. 2011-2012 | en_US |
dc.relation.ispartof | South Eastern Journal of Public Health (SEEJPH) | en_US |
dc.subject | Drug-resistance | en_US |
dc.subject | Europe | en_US |
dc.subject | health systems | en_US |
dc.subject | MDR-TB | en_US |
dc.subject | Moldova | en_US |
dc.subject | The Former Yugoslav Republic of Macedonia | en_US |
dc.subject | Тuberculosis. | en_US |
dc.title | Multidrug-resistant tuberculosis in Moldova and the Former Yugoslav Republic of Macedonia: The importance of health system governance | en_US |
dc.type | Article | en_US |
dc.identifier.doi | https://doi.org/10.4119/seejph-1820 | - |
item.fulltext | With Fulltext | - |
item.grantfulltext | open | - |
crisitem.author.dept | Faculty of Medicine | - |
Appears in Collections: | Faculty of Medicine: Journal Articles |
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Multidrug-resistant tuberculosis in Moldova and the Former Yugoslav Republic of Macedonia_ The importance of health system governance.html | 25.68 kB | HTML | View/Open |
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