Abstract
M.A. (Political Science)
Although an effective cure for tuberculosis exists, the incidence
and mortality rate for TB in South Africa remain exceptionally
high. The reason for this is both medical as well as sociopolitical.
The purpose of this dissertation is to examine the
inter-action of various differential variables which influence
the control of TB in this country.
TB whilst caused by a germ, is adversely affected by socioeconomic
deprivation, which in turn has distinct political
connotations in South Africa. The dissertation therefore examines
the inter-play of the historical and present influences of sociopolitical
factors on the TB situation at present.
Another important aspect of TB control is the State's efforts to
control TB through the TB Control Programme (TBCP). This
dissertation discusses the objectives of the TBCP and meaSures
its effectivity against the socio-political context in which it
functions. This is followed by a series of suggestions including
an examination of the financial implications of these.
A non-governmental organisation (NGO), SANTA ( The South African
National TB Association) is a further actor in the control of TB.
As specified delegates of the State for TB health education, it
is essential that their role be examined both in terms of the
TBCP as well as in terms of their own stated objectives for TB
control. This includes an examination of the role of NGOs in
complimenting the activities of the State and their believability
in the community they claim to serve. Further proposals are put
forward with regard to ways in which SANTA can improve their
believability, relevance and effectivity within TB control in
South Africa.
Further influencing factors are the impact of AIDS and political
violence on TB and the ability of the various actors to control
TB. These two aspects are discussed briefly and constitute areas
for further research. In addition it would be relevant for some
form of cost-benefit analysis to be conducted, in order to extend
the scope of the policy analysis conducted here.