IDEAS home Printed from https://ideas.repec.org/p/unm/unumer/2009040.html
   My bibliography  Save this paper

Innovation Dynamics in Tuberculosis Control in India: The Shift to New Partnerships

Author

Listed:
  • Engel, Nora

    (UNU-MERIT)

Abstract

Innovation dynamics in Tuberculosis control in India: The shift to new partnerships 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. Recent developments in the literature emphasize that innovation is a complex endeavour that includes processes of negotiation, learning and alignment amongst researchers, health practitioners, firms and public authorities. The ground level realities for innovation in countries such as India where TB is a social as much as a clinical problem are complicated with challenges and constraints inherent to the health and wider social system that hamper learning, experimenting and thus innovation. Based on preliminary results from qualitative fieldwork in India this paper will examine the innovation dynamics in one of the recent policy changes in TB control in India: the emergence of new partnerships between private medical providers, NGOs and the government. The paper traces where new ideas come from, how they make their way through the existing control structure and how the existing efforts to control TB respond to and cope with these new developments. The central argument is that the dynamics of innovation in a complex, conflicting and confusing setting like TB control can be understood as a continuous evolution of problems, promises and solutions.

Suggested Citation

  • Engel, Nora, 2009. "Innovation Dynamics in Tuberculosis Control in India: The Shift to New Partnerships," MERIT Working Papers 2009-040, United Nations University - Maastricht Economic and Social Research Institute on Innovation and Technology (MERIT).
    • Handle: RePEc:unm:unumer:2009040
    as

    Download full text from publisher

    File URL: https://www.merit.unu.edu/publications/wppdf/2009/wp2009-040.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Rufin Baghana & Pierre Mohnen, 2009. "Effectiveness of R&D Tax Incentives in Small and Large Enterprises in Québec," CIRANO Working Papers 2009s-01, CIRANO.
    2. Jacobsson, Staffan & Lauber, Volkmar, 2006. "The politics and policy of energy system transformation--explaining the German diffusion of renewable energy technology," Energy Policy, Elsevier, vol. 34(3), pages 256-276, February.
    3. Yong Kim, Jim & Shakow, Aaron & Mate, Kedar & Vanderwarker, Chris & Gupta, Rajesh & Farmer, Paul, 2005. "Limited good and limited vision: multidrug-resistant tuberculosis and global health policy," Social Science & Medicine, Elsevier, vol. 61(4), pages 847-859, August.
    4. Farmer, Paul, 1997. "Social scientists and the new tuberculosis," Social Science & Medicine, Elsevier, vol. 44(3), pages 347-358, February.
    5. Geels, Frank W., 2002. "Technological transitions as evolutionary reconfiguration processes: a multi-level perspective and a case-study," Research Policy, Elsevier, vol. 31(8-9), pages 1257-1274, December.
    6. Lundvall, Bengt-Ake & Johnson, Bjorn & Andersen, Esben Sloth & Dalum, Bent, 2002. "National systems of production, innovation and competence building," Research Policy, Elsevier, vol. 31(2), pages 213-231, February.
    7. Dosi, Giovanni, 1988. "Sources, Procedures, and Microeconomic Effects of Innovation," Journal of Economic Literature, American Economic Association, vol. 26(3), pages 1120-1171, September.
    8. 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.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Edsand, Hans, 2016. "Technological Innovation Systems and the wider context: A framework for developing countries," MERIT Working Papers 2016-017, United Nations University - Maastricht Economic and Social Research Institute on Innovation and Technology (MERIT).
    2. Edsand, Hans-Erik, 2019. "Technological innovation system and the wider context: A framework for developing countries," Technology in Society, Elsevier, vol. 58(C).
    3. Engel, Nora, 2008. "Drivers and Barriers of Innovation Dynamics in Healthcare - Towards a framework for analyzing innovation in Tuberculosis control in India," MERIT Working Papers 2008-077, United Nations University - Maastricht Economic and Social Research Institute on Innovation and Technology (MERIT).
    4. Balázs Lengyel & Vladislav Cadil, 2009. "Innovation Policy Challenges in Transition Countries: Foreign Business R&D in the Czech Republic and Hungary," Transition Studies Review, Springer;Central Eastern European University Network (CEEUN), vol. 16(1), pages 174-188, May.
    5. Neij, Lena & Heiskanen, Eva & Strupeit, Lars, 2017. "The deployment of new energy technologies and the need for local learning," Energy Policy, Elsevier, vol. 101(C), pages 274-283.
    6. Wiebe, Kirsten S. & Lutz, Christian, 2016. "Endogenous technological change and the policy mix in renewable power generation," Renewable and Sustainable Energy Reviews, Elsevier, vol. 60(C), pages 739-751.
    7. Child, Michael & Breyer, Christian, 2017. "Transition and transformation: A review of the concept of change in the progress towards future sustainable energy systems," Energy Policy, Elsevier, vol. 107(C), pages 11-26.
    8. Kriechbaum, Michael & Posch, Alfred & Hauswiesner, Angelika, 2021. "Hype cycles during socio-technical transitions: The dynamics of collective expectations about renewable energy in Germany," Research Policy, Elsevier, vol. 50(9).
    9. Andersen, Allan Dahl & Markard, Jochen, 2020. "Multi-technology interaction in socio-technical transitions: How recent dynamics in HVDC technology can inform transition theories," Technological Forecasting and Social Change, Elsevier, vol. 151(C).
    10. Piva, Mariacristina & Santarelli, Enrico & Vivarelli, Marco, 2005. "The skill bias effect of technological and organisational change: Evidence and policy implications," Research Policy, Elsevier, vol. 34(2), pages 141-157, March.
    11. Jacobsson, Staffan, 2008. "The emergence and troubled growth of a 'biopower' innovation system in Sweden," Energy Policy, Elsevier, vol. 36(4), pages 1491-1508, April.
    12. Andersen, Allan Dahl & Andersen, Per Dannemand, 2014. "Innovation system foresight," Technological Forecasting and Social Change, Elsevier, vol. 88(C), pages 276-286.
    13. Azevedo, Isabel & Delarue, Erik & Meeus, Leonardo, 2013. "Mobilizing cities towards a low-carbon future: Tambourines, carrots and sticks," Energy Policy, Elsevier, vol. 61(C), pages 894-900.
    14. Bajmócy, Zoltán & Vas, Zsófia, 2012. "Az innovációs rendszerek 25 éve. Szakirodalmi áttekintés evolúciós közgazdaságtani megközelítésben [25 years of innovation systems. A literature review from the angle of evolutionary economics]," Közgazdasági Szemle (Economic Review - monthly of the Hungarian Academy of Sciences), Közgazdasági Szemle Alapítvány (Economic Review Foundation), vol. 0(11), pages 1233-1256.
    15. Pant, Laxmi Prasad, 2016. "Paradox of mainstreaming agroecology for regional and rural food security in developing countries," Technological Forecasting and Social Change, Elsevier, vol. 111(C), pages 305-316.
    16. Köhrsen, Jens, 2018. "Exogenous shocks, social skill, and power: Urban energy transitions as social fields," Energy Policy, Elsevier, vol. 117(C), pages 307-315.
    17. Bernhard Truffer, 2008. "Society, Technology, and Region: Contributions from the Social Study of Technology to Economic Geography," Environment and Planning A, , vol. 40(4), pages 966-985, April.
    18. repec:hal:spmain:info:hdl:2441/5vt1fet9fq9o5pkgj2qh2vn1cm is not listed on IDEAS
    19. Defeuilley, Christophe, 2019. "Energy transition and the future(s) of the electricity sector," Utilities Policy, Elsevier, vol. 57(C), pages 97-105.
    20. Kern, Florian & Smith, Adrian & Shaw, Chris & Raven, Rob & Verhees, Bram, 2014. "From laggard to leader: Explaining offshore wind developments in the UK," Energy Policy, Elsevier, vol. 69(C), pages 635-646.
    21. Francesco Lamperti & Giovanni Dosi & Mauro Napoletano & Andrea Roventini & Alessandro Sapio, 2018. "And then he wasn't a she : Climate change and green transitions in an agent-based integrated assessment model," Working Papers hal-03443464, HAL.

    More about this item

    Keywords

    Innovation dynamics; public-private mix; Tuberculosis; India;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • O31 - Economic Development, Innovation, Technological Change, and Growth - - Innovation; Research and Development; Technological Change; Intellectual Property Rights - - - Innovation and Invention: Processes and Incentives
    • O38 - Economic Development, Innovation, Technological Change, and Growth - - Innovation; Research and Development; Technological Change; Intellectual Property Rights - - - Government Policy

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:unm:unumer:2009040. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Ad Notten (email available below). General contact details of provider: https://edirc.repec.org/data/meritnl.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.