1887

n Acta Academica - Reflections on ART policy and its implementation : rebuilding the ship as we sail?

Supplement 1
  • ISSN : 0587-2405

Abstract

<b>Nadenke oor ART-beleid en beleidsimplementering : herbou die skip terwyl ons seil?</b> <br>Hierdie bydrae weerspieël die vroeë ervaring met ART-implementering in Suid-Afrika in die lig van die beleidsoogmerke van toenemende toeganklikheid te midde van verbeterde voorkoming en versterking van die openbare gesondheidsisteem. Hierdie oorsig van die stand van ART-implementering dui op betekenisvolle sukses, al is dit oneweredig versprei en die gestelde mikpunte nie bereik nie. Die artikel gee vervolgens aandag aan belangrike toekomstige uitdagings - die versekering van volhoubare finansiering, die verbetering van swakplekke in die gesondheidsisteem (veral dié wat met menslike hulpbronne verband hou), die vestiging van geïntegreerde sorg- en voorkomingsisteme en die ontwikkeling van nasionale rentmeesterskap van die program. Hierdie sake verdien dringende aandag om beide regverdige toegang tot ART en wyer voordele van die groot investering in ART te verseker.

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 reviews evidence on the state of ART roll-out and suggests that achievements to date have been significant, even if unevenly distributed and not meeting the set targets. The paper then considers what may be important future challenges - ensuring sustainable financing, addressing health system weaknesses (especially those related to human resources), building integrated systems of care and prevention, and developing appropriate national stewardship of the programme. Dealing with these challenges will be essential, both for building equitable ART access and leveraging wider benefits from the large investments in ART.

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/content/academ/2006/sup-1/EJC15085
2006-01-01
2019-10-23

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