Scaling up antiretroviral therapy: experience of the Joint Clinical Research Centre (JCRC) access programme

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dc.contributor.authorMugyenyi, Peter
dc.contributor.authorKityo, Cissy
dc.contributor.authorKibende, Samson
dc.contributor.authorSsali, Francis
dc.contributor.authorKabuye, Goeffrey
dc.contributor.authorOtim, Thomas
dc.contributor.authorTugume, Stefano
dc.contributor.authorByaruhanga, Rose
dc.contributor.authorKabugo, Michael
dc.date.accessioned2019-07-12T08:14:12Z
dc.date.available2019-07-12T08:14:12Z
dc.date.issued2006
dc.description.abstractEnglish: Despite Uganda’s success in lowering the rate of HIV infection, numbers of people already infected and progressing to AIDS continue to rise. The JCRC pioneered the use of antiretroviral drugs in Africa since 1992, and developed a successful model that incorporates drugs logistics, adherence and sustainability strategies, as well as regional referral centres of excellence and laboratories. JCRC rapidly established 35 satellite centres in the various districts, currently providing antiretroviral drugs to over 35 000 out of 70 000 patients on therapy. Increased access to treatment proceeds contemporaneously with improving infrastructure, while addressing critical human resource needs by ongoing training. This model provides data that inform a way forward for a robust, high-quality and sustainable ART programme, and aims to integrate into an improved national continuum of health care delivery.en_ZA
dc.description.abstractAfrikaans: Ten spyte van Uganda se sukses in die verlaging van die MIV-infeksiekoers, is daar steeds ’n styging in die getalle van diegene wat reeds geïnfekteer is en na Vigs vorder. In 1992 het die JCRC die gebruik van antiretrovirale middels in Afrika ingelui en sedertdien ’n suksesvolle model ontwikkel wat medisynelogistiek, terapietrou en vol- houbaarheidstrategieë behels, asook uitnemende streeksverwysingsentra en laboratoria. JCRC het spoedig 35 satellietsentra in die distrikte gevestig wat tans antiretrovirale middels aan meer as 35 000 van die 70 000 pasiënte wat terapie ontvang, verskaf. Toe- nemende toegang tot behandeling gaan hand aan hand met verbetering van infrastruk- tuur en die aanspreek van kritiese menslike hulpbronbehoeftes by wyse van voortgesette opleiding. Hierdie model bied inligting om ’n hoë gehalte program daar te stel — ’n program wat robuust en volhoubaar is en daarna streef om deel van ’n verbeterde nasionale kontinuum van gesondheidsorglewering te wees.en_ZA
dc.description.versionPublisher's versionen_ZA
dc.identifier.citationMugyenyi, P., Kityo, C., Kibende, S., Ssali, F., Kabuye, G., Otim, T., ... & Kabugo, M. (2006). Scaling up antiretroviral therapy: experience of the Joint Clinical Research Centre (JCRC) access programme. Acta Academica, Supplementum 1, 216-240.en_ZA
dc.identifier.issn0587-2405 (print)
dc.identifier.issn2415-0479 (online)
dc.identifier.urihttp://hdl.handle.net/11660/10121
dc.language.isoenen_ZA
dc.publisherUniversity of the Free Stateen_ZA
dc.rights.holderUniversity of the Free Stateen_ZA
dc.subjectJoint Clinical Research Centre (JCRC)en_ZA
dc.subjectHIV and AIDSen_ZA
dc.subjectAntiretroviral treatment (ART)en_ZA
dc.titleScaling up antiretroviral therapy: experience of the Joint Clinical Research Centre (JCRC) access programmeen_ZA
dc.typeArticleen_ZA
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