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Drivers and Barriers of Innovation Dynamics in Healthcare - Towards a framework for analyzing innovation in Tuberculosis control in India

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  • Engel, Nora

    () (UNU-MERIT)

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    Abstract

    Tuberculosis remains the biggest infectious killer in India and worldwide, and it has recently regained substantial international attention with its come-back in drug resistant forms. The environment, the disease and the societal response to it are changing and with it challenges and opportunities to control the disease. Innovation in a variety of areas such as improved diagnostic tests, drugs, delivery mechanisms, service processes, institutions and treatment regimes is needed in order to be able to respond to the changing public health challenge. This paper reviews theoretical approaches to innovation of direct relevance to the case and examines what theoretical framework is useful to look at the problem of innovation in public health in India. Such an analysis can reveal drivers and barriers of change within the context of the Indian health system in a comprehensive, problem-oriented way and is thus able to add to existing research done on TB. However, given that TB control is a public health challenge, concerned with problems of delivery and implementation, the concept of innovation has to go beyond technological innovation and the private sector. Therefore it is argued that the case can simultaneously contribute to innovation theory in order to better understand what change processes and innovation for concrete public health challenges in a country such as India mean. After a short description of recent changes in TB control based on fieldwork in India the paper proceeds with an examination of existing frameworks on healthcare innovation upon their usefulness for such a case. The paper concludes with a proposal for a theoretical framework and areas for further empirical fieldwork.

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    File URL: http://www.merit.unu.edu/publications/wppdf/2008/wp2008-077.pdf
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    Bibliographic Info

    Paper provided by United Nations University, Maastricht Economic and social Research and training centre on Innovation and Technology in its series UNU-MERIT Working Paper Series with number 077.

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    Date of creation: 2008
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    Handle: RePEc:dgr:unumer:2008077

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    Web page: http://www.merit.unu.edu

    Related research

    Keywords: Innovation; Healthcare; Tuberculosis; Disease control; India;

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    1. Farmer, Paul, 1997. "Social scientists and the new tuberculosis," Social Science & Medicine, Elsevier, vol. 44(3), pages 347-358, February.
    2. Engel, Nora, 2008. "Flexibility and innovation in response to emerging infectious diseases: Reactions to multi-drug resistant Tuberculosis in India," UNU-MERIT Working Paper Series 076, United Nations University, Maastricht Economic and social Research and training centre on Innovation and Technology.
    3. Metcalfe, Stan & Ramlogan, Ronnie, 2005. "Innovation Systems and the Competitive Progress in Developing Economies," Centre on Regulation and Competition (CRC) Working papers 30672, University of Manchester, Institute for Development Policy and Management (IDPM).
    4. Lynn Mytelka, 2006. "Pathways and Policies to (Bio) Pharmaceutical Innovation Systems in Developing Countries," Industry & Innovation, Taylor and Francis Journals, vol. 13(4), pages 415-435.
    5. Ogden, Jessica & Walt, Gill & Lush, Louisiana, 2003. "The politics of 'branding' in policy transfer: the case of DOTS for tuberculosis control," Social Science & Medicine, Elsevier, vol. 57(1), pages 179-188, July.
    6. Bloom, Gerald & Standing, Hilary, 2008. "Future health systems: Why future? Why now?," Social Science & Medicine, Elsevier, vol. 66(10), pages 2067-2075, May.
    7. Merilee S. Grindle, 1999. "In Quest of the Political: The Political Economy of Development Policy Making," CID Working Papers 17, Center for International Development at Harvard University.
    8. Das Gupta, Monica, 2005. "Public health in India : an overview," Policy Research Working Paper Series 3787, The World Bank.
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