Integration of ART: concepts, policy and practice

The recent implementation of ART in the South African public health sector necessitates renewed debate on the integration of key primary health care (PHC) programmes. Integration of PHC is really best understood in relation to its opposite, i e verticalisation or selective PHC. This paper discusses...

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Main Authors: Christo Heunis, Helen Schneider
Format: Article
Language:English
Published: University of the Free State 2006-01-01
Series:Acta Academica
Online Access:https://journals.ufs.ac.za/index.php/aa/article/view/1112
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author Christo Heunis
Helen Schneider
author_facet Christo Heunis
Helen Schneider
author_sort Christo Heunis
collection DOAJ
description The recent implementation of ART in the South African public health sector necessitates renewed debate on the integration of key primary health care (PHC) programmes. Integration of PHC is really best understood in relation to its opposite, i e verticalisation or selective PHC. This paper discusses these approaches in international and South African contexts. Integration as it has been applied to HIV, namely the continuum of care and TB-HIV integration, is also considered, with specific reference to the Free State. We then present the “voices” of programme implementers on the theme of integration in this province. Both in the literature and in the interviews with implementers, the need for integration is supported. However, there is also recognition that the vertical and integrated approaches should not be exclusive, but should both feature in ART roll-out, particularly in the inception phases of the programme.
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spelling doaj.art-4f96a51a0dd44b2c856f0a2832119d862024-03-07T11:13:09ZengUniversity of the Free StateActa Academica0587-24052415-04792006-01-011Integration of ART: concepts, policy and practiceChristo Heunis0Helen Schneider1University of the Free StateUniversity of the Witwatersrand The recent implementation of ART in the South African public health sector necessitates renewed debate on the integration of key primary health care (PHC) programmes. Integration of PHC is really best understood in relation to its opposite, i e verticalisation or selective PHC. This paper discusses these approaches in international and South African contexts. Integration as it has been applied to HIV, namely the continuum of care and TB-HIV integration, is also considered, with specific reference to the Free State. We then present the “voices” of programme implementers on the theme of integration in this province. Both in the literature and in the interviews with implementers, the need for integration is supported. However, there is also recognition that the vertical and integrated approaches should not be exclusive, but should both feature in ART roll-out, particularly in the inception phases of the programme. https://journals.ufs.ac.za/index.php/aa/article/view/1112
spellingShingle Christo Heunis
Helen Schneider
Integration of ART: concepts, policy and practice
Acta Academica
title Integration of ART: concepts, policy and practice
title_full Integration of ART: concepts, policy and practice
title_fullStr Integration of ART: concepts, policy and practice
title_full_unstemmed Integration of ART: concepts, policy and practice
title_short Integration of ART: concepts, policy and practice
title_sort integration of art concepts policy and practice
url https://journals.ufs.ac.za/index.php/aa/article/view/1112
work_keys_str_mv AT christoheunis integrationofartconceptspolicyandpractice
AT helenschneider integrationofartconceptspolicyandpractice