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Political commitment to tuberculosis control in Ghana.

Joshua Amo-Adjei1

  • 1a Department of Population and Health, Faculty of Social Sciences , University of Cape Coast , Cape Coast , Ghana.

Global Public Health
|February 14, 2014
PubMed
Summary

Political commitment is crucial for tuberculosis (TB) control in developing nations. This study in Ghana identified four key dimensions of political commitment, highlighting resource allocation and policy development for effective TB programs.

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Area of Science:

  • Public Health
  • Health Policy
  • Political Economy of Health

Background:

  • The Stop TB Partnership emphasizes political commitment for tuberculosis (TB) control, especially in developing countries.
  • Understanding the political economy of health is vital for assessing political commitment to TB control.

Purpose of the Study:

  • To explore the existing and expected dimensions of political commitment to TB control in Ghana.
  • To analyze the role of political commitment in sustaining and expanding TB control efforts.

Main Methods:

  • Semi-structured in-depth interviews with 29 purposively selected staff from the Ghana Health Service and political officeholders.
  • Analysis of relevant laws, policies, and regulations pertaining to TB control in Ghana.

Main Results:

  • Four dimensions of political commitment were identified: resource provision (financial, human, infrastructural), advocacy by political authorities, promulgation of laws and policies, and social protection interventions.
  • External donors, such as the Global Fund, provide over 60% of the TB program's budget, indicating significant reliance on external funding.
  • Relevant laws, policies, and regulations exist but lack clear linkage to TB control efforts.

Conclusions:

  • Political commitment in Ghana manifests in resource allocation, advocacy, policy development, and social protection, but faces challenges.
  • The significant reliance on donor funding for TB control highlights a potential vulnerability in sustained political commitment.
  • Strengthening the linkage between existing legal and policy frameworks and TB control activities is essential for enhancing political commitment.