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dc.contributor.authorKielmann, Karina
dc.contributor.authorDatye, Vinita
dc.contributor.authorPradhan, Anagha
dc.contributor.authorRangan, Sheela
dc.date.accessioned2018-06-29T22:01:58Z
dc.date.available2018-06-29T22:01:58Z
dc.date.issued2014-08
dc.identifierER3557
dc.identifier.citationKielmann, K., Datye, V., Pradhan, A. & Rangan, S. (2014) Balancing authority, deference and trust across the public-private divide in health care: Tuberculosis health visitors in western Maharashtra, India, Global Public Health, vol. 9, , pp. 975-992,
dc.identifier.issn1744-1692
dc.identifier.urihttp://dx.doi.org/10.1080/17441692.2014.941898
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/3557
dc.description.abstractWhile concepts such as 'partnership' are central to the terminology of private-public mix (PPM), little attention has been paid to how social relations are negotiated among the diverse actors responsible for implementing these inter-sectoral arrangements. India's Revised National Tuberculosis Control Programme (RNTCP) has used intermediary agents to facilitate the involvement of private providers in the expansion of Directly Observed Therapy, Short-Course (DOTS). We examine the roles of tuberculosis health visitors (TB HVs) in mediating working relationships among private providers, programme staff and patients that underpin a PPM-DOTS launched by the RNTCP in western Maharashtra. In addition to observations and informal interactions with the programme and participating health providers, researchers conducted in-depth interviews with senior programme officers and eight TB HVs. Framed by a political discourse of clinical governance, working relationships within the PPM are structured by the pluralistic context, social and professional hierarchies and paternalism of health care in India. TB HVs are at the nexus of these relationships, yet remain undervalued partly because accountability is measured through technical rather than social outcomes of the 'partnership'. Close attention to the dynamics of power relations in working practices within the health system can improve accountability and sustainability of partnerships. 2014 2014 The Author(s). Published by Taylor & Francis.
dc.format.extent975-992
dc.relation.ispartofGlobal Public Health
dc.subjectPrivate-Public Mix
dc.subjectPartnerships
dc.subjectTuberculosis Control
dc.subjectIndia
dc.subjectAccountability
dc.titleBalancing authority, deference and trust across the public-private divide in health care: Tuberculosis health visitors in western Maharashtra, India
dc.typearticle
dcterms.accessRightspublic
dc.description.facultysch_iih
dc.description.volume9
dc.identifier.doihttp://doi:10.1080/17441692.2014.941898
dc.description.ispublishedpub
dc.description.eprintid3557
rioxxterms.typearticle
qmu.authorKielmann, Karina
qmu.centreInstitute for Global Health and Development
dc.description.statuspub
dc.description.number8


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