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

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DRAFT - Confidential and support from the SMT as they implement the accreditation process and address crosscutting issues, such as laboratory and pharmacy systems, that require national leadership. To begin implementing the programme quickly, a number of people could be hired on a temporary basis to initiate the programme while longer-term recruitment takes place. The SMT will be responsible for overseeing the successful implementation of all aspects of the management plan. They will exercise programmatic control over expenditures associated with the programme and will ultimately be responsible for its success. Public-Private Cooperation This programme is designed for implementation in the public sector. However, just as HIV does not observe national borders, the virus does not distinguish between those South Africans who utilise the public health system and those who have private insurance and use private clinicians and hospitals. HIV and AIDS are national problems that require a coordinated national response. Though government will not directly oversee nor fund care and treatment for HIV and AIDS in the private sector, it should attempt to ensure that the standards it establishes for quality and accreditation in the public sector are replicated in the private sector. Similarly, the pharmacovigilance, monitoring and evaluation and research agendas should be coordinated with the private sector, to help ensure success of national AIDS treatment. Drug resistance can develop in private sector patients as easily as in those treated in the public sector. Public-private cooperation will also be helpful for the implementation of the public sector programme itself. Private NGOs and companies can assist government with community mobilisation and support programmes, education and communications programmes, and programmes to integrate education and prevention with treatment and other healthpromoting activities. Chapter XV: Programme Management 235
DRAFT - Confidential Finally, mechanisms that support contractual arrangements between public health facilities and health professionals and managers in the private sector may assist provincial health authorities to augment their human resource capabilities and facilitate a more rapid and successful implementation of the plan. Management Review The Strategic Management Team will ultimately be responsible for the accomplishment of the tasks defined in this plan and for revising both the plan’s objectives and the management and task plan as necessary. The SMT should regularly publish reports on programme progress. Chapter XV: Programme Management 236
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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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DRAFT - Confidential Chapter III Tr
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DRAFT - Confidential In addition to
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DRAFT - Confidential Development of
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DRAFT - Confidential SPECIAL CONSID
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DRAFT - Confidential SECTION TWO HU
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DRAFT - Confidential collaboration
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DRAFT - Confidential effectiveness)
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DRAFT - Confidential 18. A system i
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DRAFT - Confidential Chapter V Huma
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DRAFT - Confidential • ARV treatm
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DRAFT - Confidential Table 5.3: Cor
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DRAFT - Confidential Table 5.5: Tot
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DRAFT - Confidential forward, the e
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DRAFT - Confidential The general ch
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DRAFT - Confidential • ARV treatm
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DRAFT - Confidential Human Resource
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DRAFT - Confidential met. These bur
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DRAFT - Confidential capacity in ma
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DRAFT - Confidential will be streng
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DRAFT - Confidential 4. Explore cha
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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 Laboratories N
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DRAFT - Confidential Table 6.1: Fac
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DRAFT - Confidential Table 6.2: Pro
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DRAFT - Confidential prevalences, t
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DRAFT - Confidential Table 6.3: Sit
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DRAFT - Confidential SECTION THREE
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DRAFT - Confidential generic produc
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DRAFT - Confidential Fourthly, the
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DRAFT - Confidential Security of Su
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DRAFT - Confidential SPECIAL CONSID
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DRAFT - Confidential manufacturer.
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DRAFT - Confidential • Management
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DRAFT - Confidential delivery, the
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DRAFT - Confidential Pharmacies at
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DRAFT - Confidential • The Pharma
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DRAFT - Confidential as a contingen
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DRAFT - Confidential the first five
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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 • Clear guid
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DRAFT - Confidential communities, a
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DRAFT - Confidential Care and Suppo
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DRAFT - Confidential The communicat
Page 185 and 186: DRAFT - Confidential SECTION FIVE I
Page 187 and 188: DRAFT - Confidential The systems sh
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Page 193 and 194: DRAFT - Confidential The Cluster of
Page 195 and 196: DRAFT - Confidential or services. O
Page 197 and 198: DRAFT - Confidential Monitoring of
Page 199 and 200: DRAFT - Confidential The majority o
Page 201 and 202: DRAFT - Confidential Comparable rol
Page 203 and 204: DRAFT - Confidential Chapter XIII P
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Page 207 and 208: DRAFT - Confidential Antimicrobial
Page 209 and 210: DRAFT - Confidential PROGRAMME ASSE
Page 211 and 212: DRAFT - Confidential agenda: to con
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Page 215 and 216: DRAFT - Confidential AIDS in South
Page 217 and 218: DRAFT - Confidential There has been
Page 219 and 220: DRAFT - Confidential • What is th
Page 221 and 222: DRAFT - Confidential HIV infection
Page 223 and 224: DRAFT - Confidential • Determinat
Page 225 and 226: DRAFT - Confidential Research Overs
Page 227 and 228: DRAFT - Confidential SECTION SIX MA
Page 229 and 230: DRAFT - Confidential continual revi
Page 231 and 232: DRAFT - Confidential The work of th
Page 233 and 234: DRAFT - Confidential Figure 15.3: C
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Page 241 and 242: DRAFT - Confidential Table 16.1: Es
Page 243 and 244: DRAFT - Confidential required for t
Page 245 and 246: DRAFT - Confidential and consumable
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Page 259 and 260: DRAFT - Confidential Given the cons
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