Public Sector Antiretroviral Therapy Rollout
Public Sector Antiretroviral Therapy Rollout in Amajuba District,
KZN, South Africa
One year into the implementation of the antiretroviral therapy (ART) rollout program, Amajuba District’s treatment facilities are learning from the mistakes of the first few months and beginning to address many of the problems. Both treatment facilities are undergoing scale-up in terms of increased human resources and improved infrastructure and plans are in motion for decentralization of services to primary health care (PHC) clinics. One of the biggest challenges
will be sustainable integration of ART services into an already strained health system that is at risk of being overwhelmed. Given the amount of resources being dedicated to the rollout program, its successful implementation offers a valuable opportunity for strengthening of the existing health system infrastructure. The coming months will be critical in determining the successes and/or failures of the scaled-up programs and the ability of the district’s treatment
facilities to correct past mistakes and address ongoing areas of need. The overall objective of this research project was to document a snapshot of the rapidly changing landscape of the public sector ART rollout in Amajuba District of KwaZulu Natal, South Africa. Findings from the project informed the context assessment component of the larger Amajuba Child Health and Wellbeing Research Project (ACHWRP). The bulk of the research was conducted during February, March, April, and May 2005. Findings from this research project were not intended be generalized to any other district’s treatment program, but were meant to provide insights into one district’s experience in implementing the rollout.