Abstract
No abstract available.
Highlights
For the past three years Médecins sans Frontières (MSF) has been supporting a programme to provide care and treatment for people with HIV/AIDS in the local service area of Lusikisiki, a subdistrict of 150 000 inhabitants in the Eastern Cape serviced by one hospital and 12 clinics
An assessment done by MSF in early 2003 found that electricity was only available in a third of clinics and the supply of electricity was unreliable in half of those; only 8% had running water or a phone, and half lacked nursing accommodation
This paper describes how the integration of HIV care and treatment including Antiretroviral therapy (ART) into primary health care in Lusikisiki managed to overcome the challenges of working in a resource-poor rural area to achieve good coverage and outcomes in a relatively short space of time.[4]
Summary
Sustainability of long-term treatment in a rural district: the Lusikisiki model of decentraliSed HIV/AIDS care. The chronic shortage of health care workers is recognised as one of the major bottlenecks to scaling up treatment,[1] and this has the biggest impact in rural areas where the human resource crisis is most acute.[2]. For the past three years Médecins sans Frontières (MSF) has been supporting a programme to provide care and treatment for people with HIV/AIDS in the local service area of Lusikisiki, a subdistrict of 150 000 inhabitants in the Eastern Cape serviced by one hospital and 12 clinics. This paper describes how the integration of HIV care and treatment including ART into primary health care in Lusikisiki managed to overcome the challenges of working in a resource-poor rural area to achieve good coverage and outcomes in a relatively short space of time.[4]
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