2017
DOI: 10.1186/s12961-017-0203-y
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Towards understanding the drivers of policy change: a case study of infection control policies for multi-drug resistant tuberculosis in South Africa

Abstract: Background: Explaining policy change is one of the central tasks of contemporary policy analysis. In this article, we examine the changes in infection control policies for multi-drug resistant tuberculosis (MDR-TB) in South Africa from the time the country made the transition to democracy in 1994, until 2015. We focus on MDR-TB infection control and refer to decentralised management as a form of infection control. Using Kingdon's theoretical framework of policy streams, we explore the temporal ordering of poli… Show more

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Cited by 16 publications
(7 citation statements)
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“…Item 31 identified the practice of TB patients of hiding their diagnosis, as it had been observed they do so in their places of work and study for fear of being rejected, which can reduce adherence to treatment 27 . The item 37 evaluated whether TB patients currently used the surgical masks, aiming at crossing this information with a question of the section of programmatic data of the TB that described the phase and the number of doses of the treatment, given that the use of surgical mask by infectious TB patients is regarded as a strategy to avoid the transmission of the disease to other people 28 .…”
Section: Discussionmentioning
confidence: 99%
“…Item 31 identified the practice of TB patients of hiding their diagnosis, as it had been observed they do so in their places of work and study for fear of being rejected, which can reduce adherence to treatment 27 . The item 37 evaluated whether TB patients currently used the surgical masks, aiming at crossing this information with a question of the section of programmatic data of the TB that described the phase and the number of doses of the treatment, given that the use of surgical mask by infectious TB patients is regarded as a strategy to avoid the transmission of the disease to other people 28 .…”
Section: Discussionmentioning
confidence: 99%
“…Huang et al, 2018a;Noyons, 2001;Wang et al, 2018). Bibliometric analysis can be utilized to capture the historical dynamics of policy themes as well as the evolving collaborative relationships of policymaking organizations (Huang et al, 2015;Provan & Kenis, 2007;Saidi et al, 2017;Yao & Zhang, 2018;Zhang et al, 2018a). In addition, the method in this study was conducted within a highly structured research framework with publicly available policy documents (Huang et al, 2018a), which means the study results are reproducible and verifiable.…”
Section: Methodsmentioning
confidence: 99%
“…South Africa has the highest incidence of TB worldwide: in 2005, extremely drug‐resistant TB was first detected in Tugela Ferry and since then there has been a countrywide surge in the number of cases of drug‐resistant TB, exacerbated by the HIV burden (Saidi, Salie, & Douglas, ; Shah et al, ; Singh, Upshur, & Padayatchi, ). In addition, limited resources and infrastructure as well as social and economic difficulties have made the identification, treatment, and cure of TB a challenging task in this context.…”
Section: Introductionmentioning
confidence: 99%