AA 2006 Supplementum 1
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Initial anticipations and experiences of antiretroviral therapy among managers at ART-assessment facilities in the Free State
(University of the Free State, 2006)English: Before the implementation of ART, and again seven months later, interviews were conducted with facility managers and nurses leading PHC programmes. Their perceptions of the impact of ART are discussed. A positive ... -
Human resources for ART in the Free State public health sector: recording achievements, identifying challenges
(University of the Free State, 2006)English: The shortage of human resources for health poses a serious threat to public sector ART in South Africa. In the Free State, recruitment of staff for ART emphasises the challenges of securing the necessary number ... -
Scaling up antiretroviral therapy: experience of the Joint Clinical Research Centre (JCRC) access programme
(University of the Free State, 2006)English: 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, ... -
Home-based care as an indispensable extension of professional care in ART - a plea for recognition and support
(University of the Free State, 2006)English: The Centre for Health Systems Research & Development is currently conducting a longitudinal study to assess the implementation of public sector anti-retroviral treatment (ART) in the Free State. Home-based care ... -
From the nurse's mouth: the Fezile Dabi ART assessment site experience
(University of the Free State, 2006)English: HIV/AIDS, together with the implementation of a public sector antiretroviral treatment (ART) programme and the transformation of the health system, places unprecedented pressure on facilities with insufficient ... -
The Free State's approach to implementing the Comprehensive Plan: notes by a participant outsider
(University of the Free State, 2006)This study reviews the first two years of implementation of the Comprehensive Plan in the Free State, within the national framework and amid external influences. The features and principles of the province’s approach are ... -
Expanding access to ART in Sub-Saharan Africa: an advocacy agenda for health systems development and resource generation
(University of the Free State, 2006)English: Providing universal, effective and sustainable access to ART in sub-Saharan Africa (SSA) requires a broader advocacy agenda encompassing the development of health care systems and the generation of much larger ... -
Reflections on ART policy and its implementation: rebuilding the ship as we sail?
(University of the Free State, 2006)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 ... -
Emerging threats to equitable implementation of ART in South Africa
(University of the Free State, 2006)English: The Comprehensive Plan for the expanded treatment of HIV in South Africa was lodged in November 2003. The guiding principles of this plan are “universal access to care and treatment for all, irrespective of race, ... -
Social dynamics fuelling the spread of HIV/AIDS in the Free State: implications for prevention, care, treatment and support
(University of the Free State, 2006)English: This article examines some of the socio-economic and socio-cultural factors that may have shaped a social context conducive to the spread of HIV/AIDS in the Free State. Among the factors identified driving the ... -
The demographic and development landscape of HIV and AIDS in the Free State, South Africa
(University of the Free State, 2006)English: Many of the current and expected demographic changes in southern and South Africa are destined to emanate from the influence of HIV and AIDS on the population structure. This article elucidates the most important ... -
Public sector antiretroviral treatment: the challenge of patient retention
(University of the Free State, 2006)English: Compliance with follow-up is needed to ensure that the public sector antiretroviral treatment programme in South Africa is successful and sustainable. This paper investigates the nature of factors associated ... -
Integration of ART: concepts, policy and practice
(University of the Free State, 2006)English: 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 ...