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

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DRAFT - Confidential Table 16.15: National Programme Implementation and Health System Capability Upgrading Costs (Millions of Rands) 2003/04 2004/05 2005/06 2006/07 2007/08 National Treatment and Care 3.0 5.0 5.0 5.0 5.0 Community Mobilisation 10.0 40.0 50.0 60.0 60.0 Training and HR Training 8.0 12.0 15.0 15.0 15.0 Mentoring 10.0 40.0 40.0 Drug Procurement & Distribution 2.0 4.0 4.0 10.0 10.0 Pharmacovigilance National unit 2.5 5.0 5.0 5.0 5.0 University-based units 12.5 15.0 15.0 15.0 15.0 Patient Information (incl. M&E) Operational requirements 5.0 10.0 10.0 10.0 10.0 Infrastructure/equipment 5.0 10.0 10.0 10.0 10.0 Research NDoH priorities 14.0 20.0 20.0 13.0 13.0 General research 20.0 35.0 35.0 35.0 35.0 Communications 12.0 30.0 30.0 30.0 30.0 Total 104.0 226.0 239.0 208.0 208.0 Chapter XVI: Budget 253
DRAFT - Confidential Table 16.16: Split of Funding Requirements Between Recurrent and Start-up Investment for Health System Capability Upgrading (Millions of Rand) 2003/04 2004/05 2005/06 2006/07 2007/08 National Treatment and Care 3.0 5.0 5.0 5.0 5.0 Recurrent 1.5 2.0 2.0 2.5 3.5 Start-up and Investment 1.5 3.0 3.0 2.5 1.5 Community Mobilisation 10.0 40.0 50.0 60.0 60.0 Recurrent 5.0 25.0 40.0 60.0 60.0 Start-up and Investment 5.0 15.0 10.0 0.0 0.0 Training and HR 18.0 52.0 55.0 15.0 15.0 Recurrent 2.0 7.0 7.0 7.0 9.0 Start-up and Investment 16.0 45.0 45.0 5.0 6.0 Drug Procurement and Distribution 2.0 4.0 4.0 10.0 10.0 Recurrent 0.0 2.0 2.0 2.0 2.0 Start-up and Investment 2.0 2.0 2.0 8.0 8.0 Pharmacovigilance 15.0 20.0 20.0 20.0 20.0 Recurrent 2.0 3.5 7.5 10.0 10.0 Start-up and Investment 13.0 16.5 12.5 10.0 10.0 Patient Information (incl. M&E) 10.0 20.0 20.0 20.0 20.0 Recurrent 2.5 10.0 10.0 10.0 10.0 Start-up and Investment 7.5 10.0 10.0 10.0 10.0 Research 34.0 55.0 55.0 48.0 48.0 Recurrent 14.0 20.0 20.0 20.0 20.0 Start-up and Investment 20.0 35.0 35.0 35.0 35.0 Communications 12.0 30.0 30.0 30.0 30.0 Recurrent 2.5 4.0 4.0 4.0 26.0 Start-up and Investment 9.5 26.0 26.0 26.0 4.0 Total 104.0 226.0 239.0 208.0 208.0 Recurrent 30.8 78.6 97.6 120.6 145.6 Start-up and Investment 73.2 147.4 141.4 87.4 62.4 Provincial Management Capacity Each province will require additional staff to drive implementation successfully (Tables 16.17-16.19). Each provincial government will need to integrate within its management structure a defined capacity to oversee and monitor all aspects of the delivery of HIVrelated care and treatment services, as part of broader health care services. This would include oversight of human resource development, training, and community mobilisation and communication activities in addition to clinical services. Detailed consideration was given to the needs of provinces, the pace of their planned implementation, and their Chapter XVI: Budget 254
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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
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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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