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

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DRAFT - Confidential PROVINCE Districts Facility Name Facility Type Potential AIDS Patient Load by Facility During First Six Months* Limpopo Sekhukhune Matlala District 334 St Rita Regional 334 Hlogo Tlou Health Centre 334 Jane Furse District 334 Bohlabela Mapulaneng Regional 350 Tintswalo Regional 350 Mopani Nkhensani District 2043 Vhembe Elim District 616 Musina Health Centre 616 Capricorn Makweng Tertiary 830 WF Knobel District 830 Waterberg Mokopane Regional 563 Warmbaths District/Regional 563 Mpumalanga Eastvaal Evander District 1525 Bethal District 1525 Nkangala Witbank Regional 2403 Ehlanzeni Rob Ferreira Regional 1460 Themba District 1460 North West Bojanala Rustenburg Regional 3646 Central Mafikeng/Bophelong Regional 1865 Bophirima Taung District 876 Southern Klerksdorp / Tshepong Regional/Tertiary 1986 Northern Cape Kgalagadi Kuruman District 258 Namakwa Springbok District 105 Karoo De Aar District 107 Siyanda Gordonia (Upington) Regional 163 Francis Baard Kimberly District 364 Western Cape West Coast Vredenburg District 107 Boland TC Newman Health Centre 289 Overberg Hermanus District 104 Garden Route / Klein Karoo George District/Regional 233 Central Karoo Beaufort West Health Centre 30 City of Cape Town Hout Bay Health Centre 395 Langa Health Centre 395 Khayelitsha Health Centre 395 Gugulethu Health Centre 395 Note: ASSA figures for each province and antenatal prevalence rates for districts were used to estimate the potential patient loads. These are very rough estimates. 1) District populations were multiplied by antenatal rates to obtain estimates of HIV infection; these calculations normally will be too large for an accurate population figure, because antenatal rates are typically higher than population rates. 2) Percent distribution of infections within province were determined by summing projections and dividing by the total. Assuming a stable relationship between antenatal and population Chapter VI: Provincial Site Assessments 137
DRAFT - Confidential prevalences, these proportions will reflect the population pattern as well. 3) These proportions were multiplied by the number of ASSA AIDS cases to estimate the actual total number of AIDS cases by district. 4) District AIDS numbers were multiplied by 20% for an estimate of the number of entries into care during the initial months of the care and treatment programme. 5) Patient load figures for districts in which more than one facility was assessed were divided equally among the facilities. Actual distributions will depend on a number of factors beyond these simple calculations. Chapter VI: Provincial Site Assessments 138
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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 reduces the po
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DRAFT - Confidential Coordination w
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Page 143 and 144: DRAFT - Confidential SECTION THREE
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Page 155 and 156: DRAFT - Confidential • Management
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Page 165 and 166: DRAFT - Confidential the first five
Page 167 and 168: DRAFT - Confidential • Improving
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Page 171 and 172: DRAFT - Confidential Infant diagnos
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Page 175 and 176: DRAFT - Confidential Chapter X Soci
Page 177 and 178: DRAFT - Confidential • Clear guid
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Page 185 and 186: DRAFT - Confidential SECTION FIVE I
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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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