Tuberculosis professionals from Victoria and New South Wales have studied the two states’ approaches to TB clinical care in light of the WHO’s strategy for low-burden countries to eliminate TB by 2035. They conclude that differences between the two states’ programs create different obstacles: the NSW approach is to let change happen when justified against other priorities, while Victoria has a more agile and vertical organisational structure which allows a “make it happen” approach. The results indicate the ways in which local system structure and funding can impede global health agendas.
Degeling C, Carroll J, Denholm J, Marais B, Dawson A. Ending TB in Australia: Organizational challenges for regional tuberculosis programs. Health Policy 2020;124:106-112. doi: 10.1016/j.healthpol.2019.11.009. Epub 2019 Nov 28.