The politics of tuberculosis and HIV service integration in Ghana
Identifieur interne : 000542 ( Main/Curation ); précédent : 000541; suivant : 000543The politics of tuberculosis and HIV service integration in Ghana
Auteurs : Joshua Amo-Adjei [Ghana] ; Akwasi Kumi-Kyereme [Ghana] ; HANNAH FOSUAH AMO [Ghana] ; Kofi Awusabo-Asare [Ghana]Source :
- Social science & medicine : (1982) [ 0277-9536 ] ; 2014.
Descripteurs français
- Pascal (Inist)
- Wicri :
- geographic : Ghana.
- topic : Médecine sociale, Homme.
English descriptors
- KwdEn :
Abstract
The need to integrate TB/HIV control programmes has become critical due to the comorbidity regarding these diseases and the need to optimise the use of resources. In developing countries such as Ghana, where public health interventions depend on donor funds, the integration of the two programmes has become more urgent. This paper explores stakeholders' views on the integration of TB/HIV control programmes in Ghana within the remits of contingency theory. With 31 purposively selected informants from four regions, semi-structured interviews and observations were conducted between March and May 2012, and the data collected were analysed using the inductive approach. The results showed both support for and opposition to integration, as well as some of the avoidable challenges inherent in combining TB/HIV control. While those who supported integration based their arguments on clinical synergies and the need to promote the efficient use of resources, those who opposed integration cited the potential increase in workload, the clinical complications associated with joint management, the potential for a leadership crisis, and the "smaller the better" propositions to support their stance. Although a policy on TB/HIV integration exists, inadequate 'political will' from the top management of both programmes has trickled down to lower levels, which has stifled progress towards the comprehensive management of TB/HIV and particularly leading to weak data collection and management structures and unsatisfactory administration of co-trimoxazole for co-infected patients. It is our view that the leadership of both programmes show an increased commitment to protocols involving the integration of TB/HIV, followed by a commitment to addressing the 'fears' of frontline service providers to encourage confidence in the process of service integration.
Links toward previous steps (curation, corpus...)
- to stream PascalFrancis, to step Corpus: Pour aller vers cette notice dans l'étape Curation :000004
- to stream PascalFrancis, to step Curation: Pour aller vers cette notice dans l'étape Curation :000124
- to stream PascalFrancis, to step Checkpoint: Pour aller vers cette notice dans l'étape Curation :000001
- to stream Main, to step Merge: Pour aller vers cette notice dans l'étape Curation :000543
Links to Exploration step
Pascal:14-0212296Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">The politics of tuberculosis and HIV service integration in Ghana</title>
<author><name sortKey="Amo Adjei, Joshua" sort="Amo Adjei, Joshua" uniqKey="Amo Adjei J" first="Joshua" last="Amo-Adjei">Joshua Amo-Adjei</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Population and Health, Faculty of Social Sciences, University of Cape Coast</s1>
<s2>Cape Coast</s2>
<s3>GHA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
</inist:fA14>
<country>Ghana</country>
<wicri:noRegion>Cape Coast</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Kumi Kyereme, Akwasi" sort="Kumi Kyereme, Akwasi" uniqKey="Kumi Kyereme A" first="Akwasi" last="Kumi-Kyereme">Akwasi Kumi-Kyereme</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Population and Health, Faculty of Social Sciences, University of Cape Coast</s1>
<s2>Cape Coast</s2>
<s3>GHA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
</inist:fA14>
<country>Ghana</country>
<wicri:noRegion>Cape Coast</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Hannah Fosuah Amo" sort="Hannah Fosuah Amo" uniqKey="Hannah Fosuah Amo" last="Hannah Fosuah Amo">HANNAH FOSUAH AMO</name>
<affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Department of Business Administration, Valley View University</s1>
<s2>Oyibi, Accra</s2>
<s3>GHA</s3>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>Ghana</country>
<placeName><settlement type="city">Accra</settlement>
<region nuts="2">Région du Grand Accra</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Awusabo Asare, Kofi" sort="Awusabo Asare, Kofi" uniqKey="Awusabo Asare K" first="Kofi" last="Awusabo-Asare">Kofi Awusabo-Asare</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Population and Health, Faculty of Social Sciences, University of Cape Coast</s1>
<s2>Cape Coast</s2>
<s3>GHA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
</inist:fA14>
<country>Ghana</country>
<wicri:noRegion>Cape Coast</wicri:noRegion>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">INIST</idno>
<idno type="inist">14-0212296</idno>
<date when="2014">2014</date>
<idno type="stanalyst">PASCAL 14-0212296 INIST</idno>
<idno type="RBID">Pascal:14-0212296</idno>
<idno type="wicri:Area/PascalFrancis/Corpus">000004</idno>
<idno type="wicri:Area/PascalFrancis/Curation">000124</idno>
<idno type="wicri:Area/PascalFrancis/Checkpoint">000001</idno>
<idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000001</idno>
<idno type="wicri:doubleKey">0277-9536:2014:Amo Adjei J:the:politics:of</idno>
<idno type="wicri:Area/Main/Merge">000543</idno>
<idno type="wicri:Area/Main/Curation">000542</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">The politics of tuberculosis and HIV service integration in Ghana</title>
<author><name sortKey="Amo Adjei, Joshua" sort="Amo Adjei, Joshua" uniqKey="Amo Adjei J" first="Joshua" last="Amo-Adjei">Joshua Amo-Adjei</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Population and Health, Faculty of Social Sciences, University of Cape Coast</s1>
<s2>Cape Coast</s2>
<s3>GHA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
</inist:fA14>
<country>Ghana</country>
<wicri:noRegion>Cape Coast</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Kumi Kyereme, Akwasi" sort="Kumi Kyereme, Akwasi" uniqKey="Kumi Kyereme A" first="Akwasi" last="Kumi-Kyereme">Akwasi Kumi-Kyereme</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Population and Health, Faculty of Social Sciences, University of Cape Coast</s1>
<s2>Cape Coast</s2>
<s3>GHA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
</inist:fA14>
<country>Ghana</country>
<wicri:noRegion>Cape Coast</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Hannah Fosuah Amo" sort="Hannah Fosuah Amo" uniqKey="Hannah Fosuah Amo" last="Hannah Fosuah Amo">HANNAH FOSUAH AMO</name>
<affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Department of Business Administration, Valley View University</s1>
<s2>Oyibi, Accra</s2>
<s3>GHA</s3>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>Ghana</country>
<placeName><settlement type="city">Accra</settlement>
<region nuts="2">Région du Grand Accra</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Awusabo Asare, Kofi" sort="Awusabo Asare, Kofi" uniqKey="Awusabo Asare K" first="Kofi" last="Awusabo-Asare">Kofi Awusabo-Asare</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Population and Health, Faculty of Social Sciences, University of Cape Coast</s1>
<s2>Cape Coast</s2>
<s3>GHA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
</inist:fA14>
<country>Ghana</country>
<wicri:noRegion>Cape Coast</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j" type="main">Social science & medicine : (1982)</title>
<title level="j" type="abbreviated">Soc. sci. med. : (1982)</title>
<idno type="ISSN">0277-9536</idno>
<imprint><date when="2014">2014</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><title level="j" type="main">Social science & medicine : (1982)</title>
<title level="j" type="abbreviated">Soc. sci. med. : (1982)</title>
<idno type="ISSN">0277-9536</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>AIDS</term>
<term>Ghana</term>
<term>Human</term>
<term>Human immunodeficiency virus</term>
<term>Integration</term>
<term>Social aspect</term>
<term>Social medicine</term>
<term>Tuberculosis</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Tuberculose</term>
<term>SIDA</term>
<term>Intégration</term>
<term>Ghana</term>
<term>Aspect social</term>
<term>Virus immunodéficience humaine</term>
<term>Médecine sociale</term>
<term>Homme</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Ghana</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Médecine sociale</term>
<term>Homme</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">The need to integrate TB/HIV control programmes has become critical due to the comorbidity regarding these diseases and the need to optimise the use of resources. In developing countries such as Ghana, where public health interventions depend on donor funds, the integration of the two programmes has become more urgent. This paper explores stakeholders' views on the integration of TB/HIV control programmes in Ghana within the remits of contingency theory. With 31 purposively selected informants from four regions, semi-structured interviews and observations were conducted between March and May 2012, and the data collected were analysed using the inductive approach. The results showed both support for and opposition to integration, as well as some of the avoidable challenges inherent in combining TB/HIV control. While those who supported integration based their arguments on clinical synergies and the need to promote the efficient use of resources, those who opposed integration cited the potential increase in workload, the clinical complications associated with joint management, the potential for a leadership crisis, and the "smaller the better" propositions to support their stance. Although a policy on TB/HIV integration exists, inadequate 'political will' from the top management of both programmes has trickled down to lower levels, which has stifled progress towards the comprehensive management of TB/HIV and particularly leading to weak data collection and management structures and unsatisfactory administration of co-trimoxazole for co-infected patients. It is our view that the leadership of both programmes show an increased commitment to protocols involving the integration of TB/HIV, followed by a commitment to addressing the 'fears' of frontline service providers to encourage confidence in the process of service integration.</div>
</front>
</TEI>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaGhanaV1/Data/Main/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000542 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Curation/biblio.hfd -nk 000542 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Sante |area= SidaGhanaV1 |flux= Main |étape= Curation |type= RBID |clé= Pascal:14-0212296 |texte= The politics of tuberculosis and HIV service integration in Ghana }}
This area was generated with Dilib version V0.6.31. |