Timely linkage to care and treatment by HIV-positive individuals can lead to significant decreases in morbidity and mortality as well as increases in life expectancy and quality of life. Further, there are significant prevention benefits as early initiation on antiretroviral treatment (ART) can significantly reduce HIV transmission to uninfected partners. Modeling exercises also suggest that universal HIV testing coupled with immediate treatment could decrease HIV incidence and virtually eliminate the HIV/AIDS pandemic. To achieve this, the rate of linkage to care must be 100%. This underscores the importance of understanding and addressing barriers to linkage.
Health Systems Trust is a dynamic, not-for-profit organisation that supports the development of an equitable and comprehensive health system for the provision of quality health care in South and Southern Africa.
Health Systems Trust wishes to appoint a Clinical Mentor to support the clinical services in the Frances Baard District in the Northern Cape supported by the South Africa Sustainable Response to HIV and AIDS (SA SURE) project. SA SURE aims to strengthen local capacity to provide sustainable HIV and TB-related care and treatment services. This is a contract position linked to the duration of the project.
Causes of Deaths in Children under-Five Years Old at a Tertiary Hospital in Limpopo Province of South Africa
Accurate and timely information on the causes of child deaths is essential in guiding efforts to improve child survival, by providing data from which health profiles can be constructed and relevant health policies formulated. The purpose of this study was to identify causes of death in children younger than 5 years-old in a tertiary hospital in South Africa.
2011-2012 Education Sector HIV and AIDS: Global Progress Survey- Progression, Regression or Stagnation?
A new survey provides a comprehensive snapshot of how countries’ education sectors are responding to HIV and AIDS, assesses progress since the last survey in 2004, and points out the policy implications of the current situation. Called the 2011-2012 Education Sector HIV and AIDS Global Progress Survey Progression, Regression or Stagnation?, it was commissioned by the UNAIDS Inter-Agency Task Team on Education convened by UNESCO.
Stopping the loss of millions of young lives from pneumonia and diarrhoea is a goal within our grasp. The integrated Global Action Plan for the Prevention and Control of Pneumonia and Diarrhoea (GAPPD) proposes a cohesive approach to ending preventable pneumonia and diarrhoea deaths. It brings together critical services and interventions to create healthy environments, promotes practices known to protect children from disease and ensures that every child has access to proven and appropriate preventive and treatment measures.
The goal is ambitious but achievable: to end preventable childhood deaths due to pneumonia and diarrhoea by 2025.
NIMART rollout to primary healthcare facilities increases access to antiretrovirals in Johannesburg: An interrupted time series analysis
Introduction. South Africa has made remarkable progress in rolling out antiretroviral therapy (ART), with the largest number of people (more than 1.4 million) enrolled on antiretrovirals in the world. Decentralisation of services to primary health centres (PHCs) has strengthened retention of patients on ART and reduced the burden of managing uncomplicated cases at referral hospitals.
Development and application of benchmarks for budgeting of non-negotiable goods and services for provincial departments of health.
As in other countries, South Africa’s healthcare system comprises a network of health facilities providing primary health care, supported by several higher levels of care. Information on individual facilities allows analysis and reflection on how the country’s health services inputs meet the population’s needs in terms of the type, quantity and quality of the services. This information is essential to identify health system strengths and gaps, to assess current and future needs and for planning investments and future services such as the National Health Insurance.
The ART guidelines deal with Fixed Dose Combinations medications and introduces fixed dose combination (FDC) ART for patients initiated with ART for the first time; introduce FDC ART for HIV positive pregnant women irrespective of CD4 count during pregnancy and during the breastfeeding period; phased introduction of FDC to patients with other co-morbidities (diabetes, hypertension and respiratory diseases, including TB); phased introduction of FDC to patients who require switching due to drugs toxicity or switching from Stavudine (d4T) based regime and phased introduction of FDC to patients who are stable of ART and VL suppressed.