Operational plan for comprehensive HIV and AIDS care and ...

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SAMHS SMT STI TB THP TRIPS VCT VL WHO WTO South African Military Health Services Strategic Management Team Sexually Transmitted Infection Tuberculosis Traditional Health Practitioner Agreement on Trade-Related Aspects of Intellectual Property Rights Voluntary HIV Counselling and Testing Viral Load World Health Organisation World Trade Organisation v
Foreword I would like to thank the South African Cabinet for affording me the opportunity to develop this Detailed Operational Plan on Comprehensive Care and Treatment for HIV and AIDS, after considering the Report of the Joint Treasury and Health Task Team that costed the provision of antiretroviral therapy in the public sector. I accepted full responsibility for the development of this Plan since Cabinet asked me to do this work, and I immediately established a Task Team of various experts to assist the Department of Health in developing the operational plan. This exercise has given the Department of Health the opportunity to review its current programmes on HIV and AIDS, Tuberculosis, Sexually Transmitted Infections, Maternal Child and Women’s Health, Nutrition and Traditional Medicines. It compelled the Department of Health to review its organisational structure and function in order to integrate and properly coordinate the implementation of its health programmes across line functions, with other relevant departments. This work has brought into sharp focus the need for strong and sustainable partnerships in health care delivery with the private sector and civil society, in particular the fight against the spread of HIV infection and the impact of AIDS. The plan presents various options and choices to South Africans for the care and treatment of HIV and AIDS. These options are presented in a manner that will afford Cabinet the opportunity to analyse and evaluate, through a rational framework, and to arrive at a pragmatic and defensible decision that is based on compassion, equity, justice, fairness, universal access to basic health care, and sustainability. Dr. ME Tshabalala-Msimang Minister of Health of South Africa Foreword ` vi
Page 1 and 2: OPERATIONAL PLAN FOR COMPREHENSIVE
Page 3 and 4: LIST OF TABLES Table 0.1: Total Pro
Page 5: LIST OF ACRONYMS ADR AIDS ALT API A
Page 9 and 10: We hope that all South Africans who
Page 11 and 12: 16. Dr. Fazel Randera, Health Advis
Page 13 and 14: Executive Summary BACKGROUND 1. The
Page 15 and 16: 6. Following the discussion of this
Page 17 and 18: health status and to prolong life),
Page 19 and 20: extreme inequalities and disparitie
Page 21 and 22: 9.5 Providing a Comprehensive Conti
Page 23 and 24: efforts through additional investme
Page 25 and 26: elements in a containment strategy
Page 27 and 28: 18. The programme detailed in this
Page 29 and 30: monitoring of patients for TB, a co
Page 31 and 32: 40 The drug procurement strategies
Page 33 and 34: follow-up and monitoring for patien
Page 35 and 36: CHAPTER III - TRADITIONAL MEDICINE
Page 37 and 38: 74 The minimum service point accred
Page 39 and 40: 85. Task Team projections of AIDS p
Page 41 and 42: patented and/or branded drugs suppl
Page 43 and 44: 102. It proposes a significant expa
Page 45 and 46: measure the outcomes of the program
Page 47 and 48: 119. Examples of specific research
Page 49 and 50: Table 0.1: Total Programme Budget E
Page 51 and 52: the existing health care system and
Page 53 and 54: Table 0.2: New Patients Starting AR
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DRAFT - Confidential The key preven
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DRAFT - Confidential practitioners,
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DRAFT - Confidential Patients seen
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DRAFT - Confidential c. Adult ARV D
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DRAFT - Confidential ADMINISTRATIVE
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DRAFT - Confidential Human Resource
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DRAFT - Confidential ADMINISTRATIVE
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DRAFT - Confidential Chapter VI PRO
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DRAFT - Confidential Table 6.3 list
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DRAFT - Confidential SECTION THREE
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DRAFT - Confidential SPECIAL CONSID
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DRAFT - Confidential as a contingen
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DRAFT - Confidential • Improving
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DRAFT - Confidential Johannesburg.
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DRAFT - Confidential Infant diagnos
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DRAFT - Confidential SECTION FOUR C
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DRAFT - Confidential Chapter X Soci
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DRAFT - Confidential Care and Suppo
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DRAFT - Confidential or services. O
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DRAFT - Confidential Monitoring of
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DRAFT - Confidential The majority o
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DRAFT - Confidential Comparable rol
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DRAFT - Confidential Chapter XIII P
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DRAFT - Confidential drug-food inte
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DRAFT - Confidential Antimicrobial
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DRAFT - Confidential PROGRAMME ASSE
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DRAFT - Confidential South African
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DRAFT - Confidential AIDS in South
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DRAFT - Confidential There has been
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DRAFT - Confidential • What is th
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DRAFT - Confidential HIV infection
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DRAFT - Confidential Research Overs
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DRAFT - Confidential SECTION SIX MA
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DRAFT - Confidential continual revi
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DRAFT - Confidential The work of th
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DRAFT - Confidential Figure 15.3: C
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DRAFT - Confidential continuous pro
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DRAFT - Confidential Finally, mecha
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DRAFT - Confidential Table 16.1: Es
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DRAFT - Confidential required for t
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DRAFT - Confidential and consumable
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DRAFT - Confidential Table 16.19: T
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DRAFT - Confidential Given the cons
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DRAFT - Confidential month follow-u
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