Reflections on ART policy and its implementation: rebuilding the ship as we sail?
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Date
2006
Authors
Schneider, Helen
Journal Title
Journal ISSN
Volume Title
Publisher
University of the Free State
Abstract
This paper reflects on the early experience with ART implementation in South Africa
in the light of the policy goals of increasing ART access whilst improving prevention
and strengthening the public health system. It reviews evidence on the state of ART
roll-out and suggests that achievements to date have been significant, even if unevenly
distributed and not meeting the set targets. The paper then considers what may be
important future challenges — ensuring sustainable financing, addressing health system
weaknesses (especially those related to human resources), building integrated systems
of care and prevention, and developing appropriate national stewardship of the programme.
Dealing with these challenges will be essential, both for building equitable ART access
and leveraging wider benefits from the large investments in ART.
Description
Keywords
Public health, South Africa, Integrated systems of care, Antiretroviral treatment (ART)
Citation
Schneider, H. (2006). Reflections on ART policy and its implementation: rebuilding the ship as we sail?. Acta Academica, Supplementum 1, 17-43.