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Providing HIV Services including Antiretroviral Therapy at Primary Health Care Clinics in Resource-Poor Settings: The experience from Khayelitsha

Non HST

 

Publication Information

1st Author : Medecins Sans Frontires and UCT
Other Authors:
Publisher: UCT
Publication Date: 0/2003
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ISSN:
Publication Type: Reports (General)
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The experience from Khayelitsha 604 KB
 

Summary In February 2000 Medecins Sans Frontires (MSF) and the Health Department of the Province of the Western Cape initiated a comprehensive service for persons infected with HIV in Khayelitsha. In May 2001 this site became the first public sector service to provide antiretroviral therapy (ART) in South Africa. The aim of this project was to show the effectiveness, feasibility and acceptability of treating persons infected with HIV, including the provision of ART, in a primary health care setting. In order to show that it was more affordable to use generic versions of antiretroviral drugs, MSF sought and received a section 21 authorisation of the Medicines Control Council to use generic antiretrovirals in September 2001. The use of generic antiretrovirals started in January 2002. MSF sought the technical assistance of the Infectious Disease Epidemiology Unit of the School of Public Health and Family Medicine at the University of Cape Town (UCT) to provide support and to evaluate this programme. This report describes the epidemiology of HIV and development of services in Khayelitsha, including the ART programme, and reports on adherence, clinical response, survival and occurrence of adverse events in patients on ART until the end of June 2003.
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Keywords This Item is associated with the Following Keywords: distribution, ARV Treatment Monitor.
   
   
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