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...
Main Authors: | , |
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Format: | Article |
Language: | English |
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University of the Free State
2006-01-01
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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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first_indexed | 2024-03-08T04:42:47Z |
format | Article |
id | doaj.art-4f96a51a0dd44b2c856f0a2832119d86 |
institution | Directory Open Access Journal |
issn | 0587-2405 2415-0479 |
language | English |
last_indexed | 2024-04-25T02:12:47Z |
publishDate | 2006-01-01 |
publisher | University of the Free State |
record_format | Article |
series | Acta Academica |
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 |