| dc.contributor |
Médecins Sans Frontières, Lusikisiki, South Africa. |
|
| dc.creator |
Bedelu, M |
|
| dc.creator |
Ford, N |
|
| dc.creator |
Hilderbrand, K |
|
| dc.creator |
Reuter, H |
|
| dc.date |
2007-12-01 |
|
| dc.date.accessioned |
2017-01-31T07:10:34Z |
|
| dc.date.available |
2017-01-31T07:10:34Z |
|
| dc.identifier |
Implementing antiretroviral therapy in rural communities: the Lusikisiki model of decentralized HIV/AIDS care. 2007, 196 Suppl 3:S464-8 J. Infect. Dis. |
|
| dc.identifier |
0022-1899 |
|
| dc.identifier |
18181695 |
|
| dc.identifier |
10.1086/521114 |
|
| dc.identifier |
http://hdl.handle.net/10144/22615 |
|
| dc.identifier |
http://fieldresearch.msf.org/msf/handle/10144/22615 |
|
| dc.identifier |
The Journal of Infectious Diseases |
|
| dc.identifier.uri |
http://dspace.mediu.edu.my:8181/xmlui/handle/10144/22615 |
|
| dc.description |
Health worker shortages are a major bottleneck to scaling up antiretroviral therapy (ART), particularly in rural areas. In Lusikisiki, a rural area of South Africa with a population of 150,000 serviced by 1 hospital and 12 clinics, Médecins Sans Frontières has been supporting a program to deliver human immunodeficiency virus (HIV) services through decentralization to primary health care clinics, task shifting (including nurse-initiated as opposed to physician-initiated treatment), and community support. This approach has allowed for a rapid scale-up of treatment with satisfactory outcomes. Although the general approach in South Africa is to provide ART through hospitals-which seriously limits access for many people, if not the majority of people-1-year outcomes in Lusikisiki are comparable in the clinics and hospital. The greater proximity and acceptability of services at the clinic level has led to a faster enrollment of people into treatment and better retention of patients in treatment (2% vs. 19% lost to follow-up). In all, 2200 people were receiving ART in Lusikisiki in 2006, which represents 95% coverage. Maintaining quality and coverage will require increased resource input from the public sector and full acceptance of creative approaches to implementation, including task shifting and community involvement. |
|
| dc.language |
en |
|
| dc.publisher |
Infectious Diseases Society of America |
|
| dc.relation |
http://www.journals.uchicago.edu/toc/jid |
|
| dc.rights |
Archived on this site with permission and copyright 2007 by the Infectious Diseases Society of America |
|
| dc.title |
Implementing antiretroviral therapy in rural communities: the Lusikisiki model of decentralized HIV/AIDS care. |
|