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

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DRAFT - Confidential HIV AND AIDS CARE AND TREATMENT IMPLEMENTATION Assessments of service points confirm that existing laboratory and pharmacy capacity can support some level of implementation effort, and that human resource limitations pose the most significant barrier. Recruitment of staff and intensive training programmes can surmount these limitations. At some sites, the assistance needed is limited, and ARV treatment can begin in a matter of a few months; at other sites, more time and assistance will be required to reach a level of competency to commence treatment. Nutrition, administrative support, and patient information systems also will build on existing structures, and expand to manage the growing patient populations. Ancillary services should be addressed through both facility and community programmes. We are confident that at least one facility in each district will be delivering HIV and AIDS care and treatment within 12 months. In those districts with a greater anticipated patient load implementation efforts will focus on ensuring the capacity for ARV care in more than a single facility within the 12-month period. A second potential pool of initial ARV implementation facilities includes sites identified by provinces for the first phase of development, but that were not subjected to the current assessment evaluations (Table 6.3). These additional sites might be incorporated in the initial implementation to buttress the early expansion. The accreditation team will conduct more formal assessments at these other sites. Chapter VI: Provincial Site Assessments 133
DRAFT - Confidential Table 6.1: Facility readiness for HIV and AIDS Care and Treatment PROVINCE Districts Facility Name Facility Type Readiness* Eastern Cape Cacadu / Western Settlers Regional 1 Amatole Celicia Makiwane/Frere Tertiary 1 PE: Nelson Mandela Dora Nginza Regional 1 Chris Hani / North East Frontier Regional 2 Ukhahlamba Umlamli/ Empilisweni District 1 OR Tambo Umtata General Regional 1 St Elizabeth Regional 1 Alfred Nzo / EG Kei Rietvlei District 2 Free State Xhariep Diamant District 2 Motheo Pelenomi District 2 National District 1 Universitas Regional 2 Lejwe Le Putswa Bongani District 1 Thusanong District 2 Thabo Mofutsanyane Elizabeth Ross District 1 Phekolong District 2 Northern Free State Boitumelo Regional 2 Gauteng Ekurhuleni Natalspruit Regional 2 City of Johannesburg Helen Joseph Regional 1 Coronation Regional 1 Discoverer Health Centre 2 Tshwane/ Metsweding Garankuwa Regional 1 West Rand Leratong Regional 1 Sedibeng Kopanong District 2 KwaZulu- Natal EThekwini King Edward Secondary Care 1 RK Khan District/Regional 1 Ugu Murchison District 1 Port Shepstone Regional 2 Umgungundlovu Greys/Edendale Regional 1 Uthukela Ladysmith District 1 Umzinyathi Dundee District 2 Church of Scotland District 1 Amajuba Newcastle District/Regional 2 Madadeni District/Regional 1 Zululand Nkonjeni District 2 Umkhanyakude Mosvold District 1 Mseleni District 1 Uthungulu Ngwelezane Regional 1 Empangeni District 2 *Readiness: 1 = Site is ready to start ARV-roll-out in a couple of months with limited input to reach capacity for ARV treatment. 2 = Site requires higher levels of input to ensure that capacities can support treatment programmes in 12 months. Chapter VI: Provincial Site Assessments 134
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OPERATIONAL PLAN FOR COMPREHENSIVE
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LIST OF TABLES Table 0.1: Total Pro
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LIST OF ACRONYMS ADR AIDS ALT API A
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Foreword I would like to thank the
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We hope that all South Africans who
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16. Dr. Fazel Randera, Health Advis
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Executive Summary BACKGROUND 1. The
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6. Following the discussion of this
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health status and to prolong life),
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extreme inequalities and disparitie
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9.5 Providing a Comprehensive Conti
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efforts through additional investme
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elements in a containment strategy
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18. The programme detailed in this
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monitoring of patients for TB, a co
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40 The drug procurement strategies
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follow-up and monitoring for patien
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CHAPTER III - TRADITIONAL MEDICINE
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74 The minimum service point accred
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85. Task Team projections of AIDS p
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patented and/or branded drugs suppl
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102. It proposes a significant expa
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measure the outcomes of the program
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119. Examples of specific research
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Table 0.1: Total Programme Budget E
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the existing health care system and
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Table 0.2: New Patients Starting AR
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DRAFT - Confidential Chapter I Prev
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DRAFT - Confidential The key preven
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DRAFT - Confidential practitioners,
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DRAFT - Confidential 6. Levels of C
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DRAFT - Confidential Patients seen
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DRAFT - Confidential c. Adult ARV D
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DRAFT - Confidential increased freq
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DRAFT - Confidential first few week
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DRAFT - Confidential development of
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DRAFT - Confidential evidence, nevi
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DRAFT - Confidential their lives. A
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DRAFT - Confidential point of conta
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DRAFT - Confidential ADMINISTRATIVE
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DRAFT - Confidential joint collabor
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DRAFT - Confidential SECTION FIVE I
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DRAFT - Confidential The systems sh
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DRAFT - Confidential and location o
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DRAFT - Confidential should enable
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DRAFT - Confidential The Cluster of
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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 agenda: to con
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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 • Determinat
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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 protocols. The
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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 will also allo
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DRAFT - Confidential Table 16.8: Pl
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DRAFT - Confidential Table 16.11: T
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DRAFT - Confidential mechanisms to
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DRAFT - Confidential Table 16.16: S
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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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