All Policy Briefs

Policy Brief 2: Shifting management of stable ART patients from doctors at hospitals to nurses at primary health clinics in South Africa

Background HIV/AIDS is placing the health systems of many resource-constrained countries under tremendous pressure. Shortages of human and infrastructural resources have become a major constraint to continued expansion of access to HIV care and treatment. Shifting clinical responsibilities to lesser trained, less expensive, and generally less scarce cadres of the clinical workforce and to lower level healthcare facilities is widely regarded as one solution to this problem. Policy Brief 

Policy Brief 1: The Incremental Cost of Introducing Xpert MTB/RIF into the South African National TB Programme

Background South Africa bears a large share of the global burden of HIV/tuberculosis co-infection. The Cepheid GeneXpert System using the Xpert MTB/RIF assay, a cassette-based cartridge, has provided the possibility of a rapid, point-of-care diagnosis of tuberculosis (TB) and, simultaneously, a rapid screen for rifampicin (RIF) resistance. The assay is highly sensitive and specific for M. tuberculosis (MTB) infection and received a