All Policy Briefs

Initiating Antiretroviral Therapy at a Patient’s First Clinic Visit: The RapIT Study

The RapIT study was conducted from 2013 to 2015  at two clinics in Johannesburg, South Africa. It was a randomized controlled trial of rapid ART initiation that allowed patients to have treatment eligibility determined, all treatment preparation steps performed, and ARV medications dispensed on the day of their first HIV-related clinic visit. Although it took place at only two clinics, both in urban areas in a single province, the RapIT trial showed that it is possible to start nearly all 

Pharmacy Automation for HIV Treatment: An Evaluation of Costs

In October 2012, an automated dispensing system (ADS) for dispensing antiretroviral medications (ARVs) was installed in the pharmacy in an outpatient HIV care and treatment site located in a public hospital in Johannesburg, South Africa. This site dispenses ARVs to almost 300 patients per day. The Health Economics and Epidemiology Research Office (HE2RO) evaluated the introduction of the ADS in this facility. In this policy brief, we report the estimated cost per script dispensed under manual 

SA HIV TB Investment Case Summary Report

On Mar 22, 2016 the reports for Phase 1 of the South African HIV and TB Investment Case were launched by the Deputy President during the World TB Day celebrations. HE2RO staff were heavily involved in all aspects of the development of the Investment Case, from devising the analytical framework to reviewing evidence for interventions and enablers to developing the novel optimisation method driving the model analysis to writing the 

SA HIV TB Investment Case Full Report

On Mar 22, 2016 the reports for Phase 1 of the South African HIV and TB Investment Case were launched by the Deputy President during the World TB Day celebrations. HE2RO staff were heavily involved in all aspects of the development of the Investment Case, from devising the analytical framework to reviewing evidence for interventions and enablers to developing the novel optimisation method driving the model analysis to writing the 

A Brief Analysis of the 2014/15 Second Quarter Expenditure on the Health HIV and AIDS Conditional Grants to Provinces

Abstract The South African Government (SAG) has made commendable progress in fighting HIV/AIDS and TB by mobilizing financial resources for the response to these diseases. The SAG has managed to scale antiretroviral treatment access, with over 2 million people on antiretroviral treatment which has led to a decrease in AIDS mortality and an increase in life expectancy (UNAIDS, 2012). A district-level patient satisfaction survey of the Centre for Economic Governance and AIDS in Africa (CEGAA) 

Brief review of 2014 Medium Term Budget Policy Statement from an HIV and AIDS perspective

Abstract The period following the first democratic elections of 1994 introduced significant changes in the public budget process in South Africa. The Constitution of the Republic of South Africa, endorsed in 1996, calls for specific laws and regulations regarding the implementation of measures to improve fiscal transparency and participation and commits government departments to the progressive realization of various socio-economic rights within the constraints of available resources. The 

Understanding the Financing of HIV/AIDS in the Public Sector of South Africa

Abstract As stipulated in the South African Constitution and the National Development Plan, health is one of the priority areas to be addressed by government resources and effort. The national budget for health continues to show a strong public commitment to funding the HIV/AIDS response. Commendable developments in health policy, HIV programming, and resource allocation are particularly evident in the increasing allocations of public funds to HIV, accompanied by increased capacity to 

A Synopsis of the South African Provincial Strategic Plans and Budget Allocations for HIV/AIDS and TB Budget Policy Brief 7. PSP and Budget Review

Abstract The highest population of people living with HIV/AIDS is found in South Africa. It has the highest HIV prevalence of 17.9% 1, with an estimated 6,100,000 people living with HIV/AIDS. The South African government has over the years taken major steps to avert the disease through implementing health and HIV/AIDS policies, supported by increasing allocations from the national revenue. South Africa has aligned its policies with UNAIDS guidelines for the elimination of the pandemic 

Factsheet on Non-Negotiable Budget Items in the Provision of Public Health and HIV/AIDS Services in South Africa

Abstract A recent benchmarking exercise done by the Health Systems Trust indicates that spending on health goods and services increased at a relatively slower pace that the compensation of employees, in the last three years (Day and Daviaud, 2014). The goods and services spending grew by only 4% whilst spending on personnel grew by 12% (ibid.) A balance needs to be struck between the two spending areas to ensure that health programmes are delivered to the population as needed. Given the fact 

Reflecting on health, HIV/AIDS and TB budgets and services in South Africa: Review of the 2014 South African National Budget

The South African Constitution provides the legal framework for the provision of public services in response to public needs. The government budget is a policy document that tells of policy areas that have been prioritized through budget allocations. The budget links the constitutional responsibilities of the state to the actual implementation of priority policies and human rights. As stipulated in the South African Constitution and the National Development Plan (NDP), health is one of the 

Policy Brief 8: Retention on antiretroviral therapy in South Africa: Evidence from a systemic review

Background  Large scale, public sector provision of antiretroviral therapy (ART) for HIV/AIDS began in South Africa in 2004. Since then, up to2.4 million patients are reported to have initiated ART. Mortality has fallen and life expectancy risen, ART patients are returning to the workforce, and the national treatment program is viewed as one of the country’s great successes in public health. Despite the indisputable success of the program, concern about retaining millions of patients on 

A Synopsis of the South African Provincial Strategic Plans and Budget Allocations for HIV/AIDS and TB

Abstract The highest population of people living with HIV/AIDS is found in South Africa. It has the highest HIV prevalence of 17.9% 1, with an estimated 6,100,000 people living with HIV/AIDS. The South African government has over the years taken major steps to avert the disease through implementing health and HIV/AIDS policies, supported by increasing allocations from the national revenue. South Africa has aligned its policies with UNAIDS guidelines for the elimination of the pandemic