Keeping health facilities safe: one way of strengthening the interaction between disease-specific programmes and health systems.
AuthorsHarries, Anthony D
Schouten, Erik J
Van Damme, Wim
El-Sadr, Wafaa M
AffiliationInternational Union Against Tuberculosis and Lung Disease, Paris, France. email@example.com
MetadataShow full item record
AbstractThe debate on the interaction between disease-specific programmes and health system strengthening in the last few years has intensified as experts seek to tease out common ground and find solutions and synergies to bridge the divide. Unfortunately, the debate continues to be largely academic and devoid of specificity, resulting in the issues being irrelevant to health care workers on the ground. Taking the theme 'What would entice HIV- and tuberculosis (TB)-programme managers to sit around the table on a Monday morning with health system experts', this viewpoint focuses on infection control and health facility safety as an important and highly relevant practical topic for both disease-specific programmes and health system strengthening. Our attentions, and the examples and lessons we draw on, are largely aimed at sub-Saharan Africa where the great burden of TB and HIV ⁄ AIDS resides, although the principles we outline would apply to other parts of the world as well. Health care infections, caused for example by poor hand hygiene, inadequate testing of donated blood, unsafe disposal of needles and syringes, poorly sterilized medical and surgical equipment and lack of adequate airborne infection control procedures, are responsible for a considerable burden of illness amongst patients and health care personnel, especially in resource-poor countries. Effective infection control in a district hospital requires that all the components of a health system function well: governance and stewardship, financing,infrastructure, procurement and supply chain management, human resources, health information systems, service delivery and finally supervision. We argue in this article that proper attention to infection control and an emphasis on safe health facilities is a concrete first step towards strengthening the interaction between disease-specific programmes and health systems where it really matters – for patients who are sick and for the health care workforce who provide the care and treatment.
- Practical and affordable measures for the protection of health care workers from tuberculosis in low-income countries.
- Authors: Harries AD, Maher D, Nunn P
- Issue date: 1997
- The status of tuberculosis infection control measures in health care facilities rendering joint TB/HIV services in "German Leprosy and Tuberculosis Relief Association" supported states in Nigeria.
- Authors: Ogbonnaya LU, Chukwu JN, Uwakwe KA, Oyibo PG, Ndukwe CD
- Issue date: 2011 Jul-Sep
- How health systems in sub-Saharan Africa can benefit from tuberculosis and other infectious disease programmes.
- Authors: Harries AD, Jensen PM, Zachariah R, Rusen ID, Enarson DA
- Issue date: 2009 Oct
- Implementation of tuberculosis infection control measures at HIV care and treatment sites in sub-Saharan Africa.
- Authors: Reid MJ, Saito S, Nash D, Scardigli A, Casalini C, Howard AA
- Issue date: 2012 Dec
- Lowbury Lecture 2007: infection prevention and control strategies for tuberculosis in developing countries - lessons learnt from Africa.
- Authors: Mehtar S
- Issue date: 2008 Aug