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Providing antiretroviral treatment in southern Africa : a literature review

HEALTH SYSTEMS TRUST
February 2004

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This report outlines experience with ART in a number of sub-Saharan countries. ART is provided through a number of different avenues, which include the public sector, the non-profit sector, the corporate sector and the private sector. ART programmes may involve collaboration between two or more sectors with such partnerships being encouraged in recognition that the magnitude of the task may exceed the capacity of any one sector. Particular attention is paid to Botswana, the first sub-Saharan country to provide ART on a wide-scale through the public sector. The report consists of four chapters, focusing on provision of ART in the different sectors, challenges to scaling up ART programmes (including community preparedness and involvement of people living with HIV/AIDS, and issues for further research

South African health review 2001

HEALTH SYSTEMS TRUST (HST)
March 2002

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This is a comprehensive, authoritative and independent review of the South African health system. It is published annually and this year's edition is is made up of 17 chapters grouped into four themes: listening to voices, equity, information for health, accountability and transformation. The review acts as a barometer for assessing the transformation processes and their impact on provision of equitable health care to all in South Africa

Models of community-based HIV/AIDS care and support | South African Health Review 2000

RUSSELL, Michelle
SCHNEIDER, Helen
2000

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Over the past few years, the previously largely silent epidemic of HIV in South Africa has shifted to a visible epidemic of AIDS. The impact of this on health services, families and communities are emerging at a rapid pace. In an attempt to deal with this impact, it is common practice for health care facilities to ration services to people with HIV, with much of the burden of caring for the ill falling onto households and communities. In South Africa, 'home-based care' has become a national policy priority. This chapter presents the findings of a review of various NGO, community and religious-based projects which are involved in helping people infected and affected by AIDS. The chapter looks at programmes which provide funding, technical assistance and support to communities, those which are involved in advocacy and community mobilisation, drop-in centres and support groups, home visiting and comprehensive home-based care as well as the care of orphans. The challenges to these programmes are listed and discussed, as are the factors which promote their success

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