Health Systems and Operational Research
The Desmond Tutu TB Centre (DTTC) aims to improve tuberculosis (TB) and Human Immunodeficiency Virus (HIV) care by building an evidence base for effective programme implementation. Health systems and operational research focuses on identifying gaps in health programme quality, efficiency and effectiveness, evaluating factors that contribute to these, and testing interventions to improve outputs and outcomes.
We aim to answer high priority, programmatically relevant questions through rigorous research. The team is experienced in epidemiological analyses, managing large, routine datasets, conducting health system strengthening and socio-behavioural science research and mathematical modelling, all contributing to the overall aim of generating evidence to inform and strengthen health programme implementation.
The DTTC has successfully implemented numerous health system strengthening and operational research projects, and is leading multiple ongoing health system strengthening and operational research studies. Specific research within this focus area includes working with special sub-populations (children with TB and people previously treated for TB), and evaluating TB outcomes, including TB mortality.
Operational research at the DTTC is built on an established platform of close collaboration with multiple stakeholders, including routine services, and Departments of Health. Other collaborations include The South African Centre for Epidemiological Modelling and Analysis (SACEMA), The South African TB Think Tank, The International Union Against Tuberculosis and Lung Disease (IUATLD) and the World Health Organization (WHO).