Integration of ART: concepts, policy and practice

dc.contributor.authorHeunis, Christo
dc.contributor.authorSchneider, Helen
dc.date.accessioned2019-07-10T13:49:08Z
dc.date.available2019-07-10T13:49:08Z
dc.date.issued2006
dc.description.abstractEnglish: The recent implementation of ART in the South African public health sector necessitates renewed debate on the integration of key primary health care (PHC) programmes. Integration of PHC is really best understood in relation to its opposite, i e verticalisation or selective PHC. This paper discusses these approaches in international and South African contexts. Integration as it has been applied to HIV, namely the continuum of care and TB-HIV integration, is also considered, with specific reference to the Free State. We then present the “voices” of programme implementers on the theme of integration in this province. Both in the literature and in the interviews with implementers, the need for integration is supported. However, there is also recognition that the vertical and integrated approaches should not be exclusive, but should both feature in ART roll-out, particularly in the inception phases of the programmeen_ZA
dc.description.abstractAfrikaans: Die onlangse implementering van ART in die Suid-Afrikaanse openbare gesondheidsektor noodsaak hernieude debat oor die integrasie van belangrike PGS-programme. Integrasie van PGS word ten beste verstaan in verhouding tot die teenoorgestelde daarvan, dit is vertikalisasie of selektiewe PGS. Die artikel ondersoek dié konsepte binne ’n internasionale en Suid-Afrikaanse perspektief. Integrasie, soos toegepas op MIV, naamlik die kontinuum van sorg en TB-MIV-integrasie, word ook oorweeg, met spesifieke verwysing na die Vrystaat. Daarna volg programimplementeerders in die provinsie se “stemme” oor integrasie. Die behoefte aan integrasie word ondersteun in beide die literatuur en die onderhoude met implementeerders. Terselfdertyd word daar erken dat die vertikalisasie- en integrasiebenaderings mekaar nie moet uitsluit nie, maar dat beide in die implementering van ART toegepas moet word, veral in die aanvangsfases van die program.en_ZA
dc.description.versionPublisher's versionen_ZA
dc.identifier.citationHeunis, C., & Schneider, H. (2006). Integration of ART: concepts, policy and practice. Acta Academica, Supplement 1, 256-285.en_ZA
dc.identifier.issn0587-2405 (print)
dc.identifier.issn2415-0479 (online)
dc.identifier.urihttp://hdl.handle.net/11660/10074
dc.language.isoenen_ZA
dc.publisherUniversity of the Free Stateen_ZA
dc.rights.holderUniversity of the Free Stateen_ZA
dc.subjectSouth Africaen_ZA
dc.subjectPublic health sectoren_ZA
dc.subjectPrimary health care (PHC)en_ZA
dc.titleIntegration of ART: concepts, policy and practiceen_ZA
dc.typeArticleen_ZA
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