Scaling up integration: development and results of a participatory assessment of HIV/TB services, South Africa.

Health Research Policy and Systems
Vera ScottBrenda Smuts

Abstract

In South Africa the need to integrate HIV, TB and STI programmes has been recognised at a policy and organisation level; the challenge is now one of translating policies into relevant actions and monitoring implementation to ensure that the anticipated benefits of integration are achieved. In this research, set in public primary care services in Cape Town, South Africa, we set out to determine how middle level managers could be empowered to monitor the implementation of an effective, integrated HIV/TB/STI service. A team of managers and researchers designed an evaluation tool to measure implementation of key components of an integrated HIV/TB/STI package with a focus on integration. They used a comprehensive health systems framework based on conditions for programme effectiveness and then identified and collected tracer indicators. The tool was extensively piloted in two rounds involving 49 clinics in 2003 and 2004 to identify data necessary for effective facility-level management. A subsequent evaluation of 16 clinics (2 per health sub district, 12% of all public primary care facilities) was done in February 2006. 16 clinics were reviewed and 635 records sampled. Client access to HIV/TB/STI programmes was limited in that 50% o...Continue Reading

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Citations

Dec 4, 2014·BMC Health Services Research·Bahati Mk WajangaDaniel W Fitzgerald
Jan 25, 2011·Tropical Medicine & International Health : TM & IH·Marian Loveday, Virginia Zweigenthal
Sep 15, 2005·PLoS Medicine·Sydney RosenJonathon L Simon
May 13, 2017·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Andrews GundaVictor Mwapasa

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