a Department of Population and Health, Faculty of Social Sciences , University of Cape Coast , Cape Coast , Ghana.
Glob Public Health. 2014;9(3):299-311. doi: 10.1080/17441692.2014.880500. Epub 2014 Feb 13.
As part of expanding and sustaining tuberculosis (TB) control, the Stop TB Partnership of the World Health Organization initiative has called for strong political commitment to TB control, particularly in developing countries. Framing political commitment within the theoretical imperatives of the political economy of health, this study explores the existing and the expected dimensions of political commitment to TB control in Ghana. Semi-structured in-depth interviews were conducted with 29 purposively selected staff members of the Ghana Health Service and some political officeholders. In addition, the study analysed laws, policies and regulations relevant to TB control. Four dimensions of political commitment emerged from the interviews: provision of adequate resources (financial, human and infrastructural); political authorities' participation in advocacy for TB; laws and policies' promulgation and social protection interventions. Particularly in respect to financial resources, donors such as the Global Fund to Fight AIDS, Tuberculosis and Malaria presently give more than 60% of the working budget of the programme. The documentary review showed that laws, policies and regulations existed that were relevant to TB control, albeit they were not clearly linked.
作为扩大和维持结核病（TB）控制的一部分，世界卫生组织的遏制结核病伙伴关系倡议呼吁加强对结核病控制的政治承诺，特别是在发展中国家。本研究从卫生政治经济学的理论要求出发，构建了政治承诺框架，探讨了加纳对结核病控制的现有和预期承诺维度。本研究采用半结构化深入访谈的方式，对加纳卫生服务机构的 29 名工作人员和一些政治官员进行了访谈。此外，研究还分析了与结核病控制相关的法律、政策和法规。访谈中出现了四个维度的政治承诺：提供充足的资源（财政、人力和基础设施）；政治当局参与结核病宣传；法律、政策的颁布和社会保护干预。特别是在财政资源方面，全球抗击艾滋病、结核病和疟疾基金等捐助者目前提供的资金超过了该方案工作预算的 60%。文献回顾表明，存在与结核病控制相关的法律、政策和法规，尽管它们之间没有明确联系。
