Sustainable Tuberculosis Control

Planning for programme sustainability is a key contributor to health and development, especially in low-income and middle-income countries. A consensus evidence-based operational framework would facilitate policy and research advances in understanding, measuring, and improving programme sustainability. We did a systematic review of both conceptual frameworks and empirical studies about health-programme sustainability. On the basis of the review, we propose that sustainable health programmes are regarded as complex systems that encompass programmes, health problems targeted by programmes, and programmes' drivers or key stakeholders, all of which interact dynamically within any given context. We show the usefulness of this approach with case studies drawn from the authors' experience.

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Sustainability science: an integrated approach for health-programme planning

Gruen

Elliott

Nolan³

et al. 2008

The Lancet

330

341

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Tuberculosis Control in Ecuador: Unforeseen Problems, Unanticipated Strengths

Houston¹

2004

Canadian Respiratory Journal

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Ecuador is among the eight countries with the highest tuberculosis (TB) prevalences in the Americas (the World Health Organization estimates 141 new cases/100,000 population in 2002) and has had a poorly functioning TB control program. As described in an earlier editorial (1), the Canadian Lung Association, with funding from the Canadian International Development Agency, has been involved for four years in supporting Ecuador?s National TB Program. The initial phase of the project has just been completed, but the experience has already provided many valuable lessons, some quite unexpected.

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Sustainable Tuberculosis Control

Cited by 2 publications

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Sustainability science: an integrated approach for health-programme planning

Sustainability science: an integrated approach for health-programme planning

Tuberculosis Control in Ecuador: Unforeseen Problems, Unanticipated Strengths

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