1887

n Acta Academica - Integration of ART : concepts, policy and practice

Supplement 1
  • ISSN : 0587-2405

Abstract

<b>Integrasie van ART : konsepte, beleid en praktyk</b> <br>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.

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 programme.

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/content/academ/2006/sup-1/EJC15077
2006-01-01
2019-08-18

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