Original Research

SANTA vs. public tuberculosis hospitals: the patient experience in the Free State, 2001/2002

J.C Heunis, H.C.J. van Rensburg, H. Meulemans
Curationis | Vol 30, No 1 | a1034 | DOI: https://doi.org/10.4102/curationis.v30i1.1034 | © 2007 J.C Heunis, H.C.J. van Rensburg, H. Meulemans | This work is licensed under CC Attribution 4.0
Submitted: 28 September 2007 | Published: 28 September 2007

About the author(s)

J.C Heunis, University of the Free State, South Africa
H.C.J. van Rensburg, University of the Free State, South Africa
H. Meulemans, University of Antwerp, Belgium

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This paper reflects on the appropriateness of the decision to close down a nongovernmental organisation (NGO), state-aided tuberculosis (TB) hospital in the Free State in 2003. Henceforth hospitalisation of TB patients would take place at public district hospitals. A survey conducted late-2001/'early-2002 revealed a more positive patient experience of hospitalisation forTB in public hospitals than in the NGO hospital. Consideration of the patient experience serves to inform the debate concerning continued outsourcing of TB hospital care to NGOs in South Africa. This study discusses comparative findings in respect of patients’ biographic and socio-economic characteristics, health beliefs, satisfaction with hospitalisation, experience of stigmatisation, adherence to treatment and absconding from hospital.


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doi: 10.1371/journal.pone.0119861