Gauteng Province

Annual Report 2008/09

Series Name: 
HST Annual Report
Published by: 
Health Systems Trust

Message from the CEO

HST remains committed to its mission to contribute to building comprehensive, effective, efficient and equitable national health systems by supporting the implementation of functional health districts in South Africa and the Southern African region.

During the year 2008/09, it was once again an honour and a privilege for HST to be involved in many worthwhile projects.

The Integration of HIV/AIDS Care and Support into Primary Health Care in Gauteng Province

Published by: 
Health Systems Trust
This study aimed to assess the integration of HIV/AIDS care and support in Gautengs primary health care (PHC) services. With this aim in mind, the research sought to provide answers to three main sets of questions. Firstly, are care and support services for people with HIV/AIDS being provided at PHC clinics, what is the quality of these services, and to what extent are these services being utilised? Secondly, are the inputs (e.g. staff knowledge and attitudes) and support systems (e.g. drug supplies), necessary for good quality, accessible HIV/AIDS care, present in the PHC infrastructure? Thirdly, what if any, systems changes are required to improve the access and quality of PHC services for people living with HIV/AIDS? This research was conducted in collaboration with, and partly funded by, the Gauteng Provincial Department of Health which is in the process of disseminating primary health care clinical guidelines in the Province.

The Story of Integration in the Brakpan District

Volume: 
1
Series Name: 
Kwik Skwiz
Published by: 
Health Systems Trust
In order for South African health services to be transformed and restructured in line with the district health system, it is necessary to integrate previously fragmented services. This fragmentation has led to confusion for patients and has been wasteful of scarce resources.In some districts, such as Brakpan, functional integration has occurred. Here staff from fragmented services and different authorities started working together harmoniously long before formal integration commenced. The story of how the Brakpan health services accomplished this integration of staff serves as an important example for other districts of how to overcome fragmentation and power struggles.