Examining health system performance for indigenous people in the Peruvian Amazon through the lens of tuberculosis control. (360G-Wellcome-206012_Z_16_Z)

What are the key features that are required to strengthen the health system to improve the the detection, diagnosis, and treatment of tuberculosis for Peruvian Amazonian indigenous peoples (IP) and guarantee theprovision of high-quality health services?The secondary questions are: (a) What are the barriers, enablers and/or facilitators for appropriate TB detection?; (b) What are the barriers, enablers and/or facilitators for appropriate TB diagnosis? and (c) What are the barriers, enablers and/or facilitators for appropriate TB treatment? In each of these questions we will use the World Health Organization's building blocks approach to health systems (14) that looks into six major dimensions: leadership and governance, financing, health work force, information system, service delivery and medical products and technology.We will capture views and information from three key scenarios: i) community organizations, including indigenous federations; ii) health facilities, including users and providers; and, iii) health managers, and decision makers.We will have three phases: Phase 1 will address all three secondary questions; Phase 2, will assemble all information gathered and, design/prepare a proposal of TB health system's strengthening; and, Phase 3, will address a wider consultation with key stakeholders to validate the proposal.