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American Public Health Association
133rd Annual Meeting & Exposition
December 10-14, 2005
Philadelphia, PA
APHA 2005
5172.0: Wednesday, December 14, 2005 - 3:05 PM

Abstract #112975

Improving the odds: Considering the operational barriers to effective HIV ARV delivery in low resource settings - lessons from South Africa

Jean Flatley McGuire, PhD, Institute on Urban Health Researhc, Northeastern University, Stearns 503 Northeastern University, 420 Huntington Ave, Boston, MA 02115, 617-373-7729, j.mcguire@neu.edu and Nomalanga Makwedini, RN, MPH, Director, HIV/AIDS Directorate, Eastern Cape Department of Health, Eastern Cape Province, South Africa.

Efforts to expand HIV treatment in developing countries have differentially focused on drug access concerns. Little attention and few resources have been committed to identifying and addressing service delivery challenges that can impede treatment success. A collaborative review of five ARV rollout sites in the Eastern Cape Province of South Africa provides a basis for assessing operational concerns and quality improvement opportunities through integrated formative and ongoing system evaluation. Variations in facility size, clinical capacity, and geographic location shaped differences in the scope of service delivery challenges, although the arenas of difficulty remained largely the same across settings: patient information management and record keeping; drug, specimen and other inventory management; clinical management; staff capacity, training, scope of responsibilities and redundancy; data collection and simplification; vendor and other external service management; and overall quality improvement. Particular attention will be paid to the distortions introduced by donor funding obligations. Recommended interventions and their current status will be reviewed. Contributions of a unique US-South Africa twinning arrangement is assessed.

Learning Objectives: At the conclusion of the session participants will be to

Keywords: HIV/AIDS, Quality Improvement

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.

[ Recorded presentation ] Recorded presentation

Health Planning and Financing: Getting the Resources to Succeed

The 133rd Annual Meeting & Exposition (December 10-14, 2005) of APHA