Emerging threats to equitable implementation of ART in South Africa

The Comprehensive Plan for the expanded treatment of HIV in South Africa was lodged in November 2003. The guiding principles of this plan are “universal access to care and treatment for all, irrespective of race, colour, gender and economic status”, and equitable implementation. However, there are...

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Main Authors: Robert Stewart, Ashnie Padarath, Cecilia Milford
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/1113
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author Robert Stewart
Ashnie Padarath
Cecilia Milford
author_facet Robert Stewart
Ashnie Padarath
Cecilia Milford
author_sort Robert Stewart
collection DOAJ
description The Comprehensive Plan for the expanded treatment of HIV in South Africa was lodged in November 2003. The guiding principles of this plan are “universal access to care and treatment for all, irrespective of race, colour, gender and economic status”, and equitable implementation. However, there are concerns that the provision of antiretroviral treatment will exacerbate existing inequities, thereby undermining the very system that it seeks to build. Using a monitoring framework developed by EQUINET, this contribution seeks to identify the shortfalls in programme implementation and threats to achieving the equity goals that are emerging. Findings highlight ongoing concerns around weak monitoring systems and data collection that enable the development of equity profiles at a sub-national level, while limiting the extent to which progress in meeting the guiding principles may be assessed.
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spelling doaj.art-817b7802180f424188e05c9826dff5292024-03-07T11:13:08ZengUniversity of the Free StateActa Academica0587-24052415-04792006-01-011Emerging threats to equitable implementation of ART in South AfricaRobert Stewart0Ashnie Padarath1Cecilia Milford2B&M AnalystsHealth Systems TrustUniversity of KwaZulu-Natal The Comprehensive Plan for the expanded treatment of HIV in South Africa was lodged in November 2003. The guiding principles of this plan are “universal access to care and treatment for all, irrespective of race, colour, gender and economic status”, and equitable implementation. However, there are concerns that the provision of antiretroviral treatment will exacerbate existing inequities, thereby undermining the very system that it seeks to build. Using a monitoring framework developed by EQUINET, this contribution seeks to identify the shortfalls in programme implementation and threats to achieving the equity goals that are emerging. Findings highlight ongoing concerns around weak monitoring systems and data collection that enable the development of equity profiles at a sub-national level, while limiting the extent to which progress in meeting the guiding principles may be assessed. https://journals.ufs.ac.za/index.php/aa/article/view/1113
spellingShingle Robert Stewart
Ashnie Padarath
Cecilia Milford
Emerging threats to equitable implementation of ART in South Africa
Acta Academica
title Emerging threats to equitable implementation of ART in South Africa
title_full Emerging threats to equitable implementation of ART in South Africa
title_fullStr Emerging threats to equitable implementation of ART in South Africa
title_full_unstemmed Emerging threats to equitable implementation of ART in South Africa
title_short Emerging threats to equitable implementation of ART in South Africa
title_sort emerging threats to equitable implementation of art in south africa
url https://journals.ufs.ac.za/index.php/aa/article/view/1113
work_keys_str_mv AT robertstewart emergingthreatstoequitableimplementationofartinsouthafrica
AT ashniepadarath emergingthreatstoequitableimplementationofartinsouthafrica
AT ceciliamilford emergingthreatstoequitableimplementationofartinsouthafrica