Abstract
The global commitment to end HIV-AIDS is a bold one; requiring a multi-sectoral response strongly embedded within effective HIV-AIDS prevention efforts, patient advocacy and effective healthcare programme delivery. UNAIDS estimates that, of the 36.7 million individuals infected with HIV-AIDS globally, 19.1 million reside in South Africa (UNAIDS Gap report, 2016).In addition, approximately 2.1 million new HIV infections occurred in 2015 with almost 960 000 of those occurring in South Africa signalling that the rates of infections are not dropping as expected (UNAIDS Gap report, 2016). Given the unrelenting nature of this disease burden, even greater efforts are now required to turn the tide on HIV-AIDS globally, but more so in South Africa. These efforts entail more effective HIV-AIDS service delivery with combination prevention modalities, access to HIV-AIDS treatment and care, harm reduction of HIV-AIDS stigma and discrimination together with HIV-AIDS education, awareness and advocacy. Enhancing HIV-AIDS service delivery requires strong commitment with implementation of quality management systems in programme service delivery resulting in sustainable, effective and well run HIV-AIDS programmes. Quality management systems in HIV-AIDS programmes allow programmes to successfully meet their objectives thus allowing optimal patient care through effective and efficient means. To date there has been minimal implementation of quality systems in healthcare especially in South Africa. The use of health quality tools and systems in HIV-AIDS programmes locally and globally will allow for efficient and cost effective benefits for the optimal wellbeing of all those affected and infected by HIV-AIDS. This article reviews available data on the prevalence of quality management systems in HIV-AIDS healthcare and identifies gaps and smart practises towards recommendations for comprehensive global HIV-AIDS standards development.
Highlights
The South African HIV-AIDS response has been a long fight embodying issues of denialism, social injustice, politics, mortality and morbidity until significant achievements have been made in fighting this disease
The multi sector response to HIV-AIDS has varied from NGO to public to private sectors with different sectors modelling their own components of HIVAIDS care based on their sector needs
This article highlighted the components and benefits of implementation of quality management systems in HIV-AIDS programmes .It displayed the value the organisations may experience from implementation of these systems
Summary
The South African HIV-AIDS response has been a long fight embodying issues of denialism, social injustice, politics, mortality and morbidity until significant achievements have been made in fighting this disease. The multi sector response to HIV-AIDS has varied from NGO to public to private sectors with different sectors modelling their own components of HIVAIDS care based on their sector needs. Quality management in healthcare is a novel new concept and has experienced various levels of uptake in varied HIV-AIDS sectors globally and locally. Components of HIV-AIDS quality management programmes have begun to be implemented in HIV-AIDS programmes as evidenced by development of HIV-AIDS monitoring and evaluation frameworks for the public, NGO and civil HIV-AIDS health sectors. While the South African private HIV-AIDS sector, has commenced implementation of HIV-AIDS quality management systems through modalities such as the ISO certification, locally relevant and sector appropriate monitoring and evaluation frameworks for HIV-AIDS for the private sector remain elusive. Data that follows reviews components of quality management systems in healthcare and explores benefits in HIV-AIDS health service delivery and culminates with deficiencies, inefficiencies and gaps of HIV-AIDS quality management systems with recommendations for improvement
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