The antiretroviral moratorium in the Free State Province of South Africa: Contributing factors and implications
| dc.contributor.author | Hodes, Rebecca | |
| dc.contributor.author | Grimsrud, Anna | |
| dc.date.accessioned | 2016-04-26T10:53:56Z | |
| dc.date.available | 2016-04-26T10:53:56Z | |
| dc.date.issued | 2011 | |
| dc.date.updated | 2016-04-26T09:12:25Z | |
| dc.description.abstract | In November 2008, a moratorium on initiating new patients onto antiretroviral (ARV) treatment was enacted by the Provincial Department of Health in the Free State province of South Africa. The moratorium, which was part of a series of cost curtailment measures, lasted for four months. During this time, an estimated thirty additional patients in the province died from AIDS each day. The moratorium contradicted national government’s commitment to scaling-up of ARV treatment to 80% of those in need by 2011. This article uses the health systems components outlined by Harries et al. as crucial to the delivery of quality care as a conceptual framework to assess the causal elements of the antiretroviral moratorium. It examines the factors that contributed to the moratorium, including poor financial management systems, human resource and equipment shortages, weak monitoring and evaluation systems, and bureaucratic malfunctioning. This article describes South Africa’s system of fiscal federalism and its impact on health budgeting. As the first official cessation of provincial roll-out, the moratorium served as a litmus test for government’s reaction to critical challenges in the expansion of the ARV treatment programme at both national and provincial levels. It therefore provides a valuable case study for the state’s response to some of the systematic and health infrastructural problems that have characterised South Africa’s ARV roll-out since its inception. | en_ZA |
| dc.identifier.apacitation | Hodes, R., & Grimsrud, A. (2011). <i>The antiretroviral moratorium in the Free State Province of South Africa: Contributing factors and implications</i> University of Cape Town ,Faculty of Humanities ,Centre for Social Science Research(CSSR). Retrieved from http://hdl.handle.net/11427/19216 | en_ZA |
| dc.identifier.chicagocitation | Hodes, Rebecca, and Anna Grimsrud <i>The antiretroviral moratorium in the Free State Province of South Africa: Contributing factors and implications.</i> University of Cape Town ,Faculty of Humanities ,Centre for Social Science Research(CSSR), 2011. http://hdl.handle.net/11427/19216 | en_ZA |
| dc.identifier.citation | Hodes, R., & Grimsrud, A. (2011). The antiretroviral moratorium in the Free State Province of South Africa: contributing factors and implications. Cape Town: Centre for Social Science Research, University of Cape Town. | en_ZA |
| dc.identifier.ris | TY - Working Paper AU - Hodes, Rebecca AU - Grimsrud, Anna AB - In November 2008, a moratorium on initiating new patients onto antiretroviral (ARV) treatment was enacted by the Provincial Department of Health in the Free State province of South Africa. The moratorium, which was part of a series of cost curtailment measures, lasted for four months. During this time, an estimated thirty additional patients in the province died from AIDS each day. The moratorium contradicted national government’s commitment to scaling-up of ARV treatment to 80% of those in need by 2011. This article uses the health systems components outlined by Harries et al. as crucial to the delivery of quality care as a conceptual framework to assess the causal elements of the antiretroviral moratorium. It examines the factors that contributed to the moratorium, including poor financial management systems, human resource and equipment shortages, weak monitoring and evaluation systems, and bureaucratic malfunctioning. This article describes South Africa’s system of fiscal federalism and its impact on health budgeting. As the first official cessation of provincial roll-out, the moratorium served as a litmus test for government’s reaction to critical challenges in the expansion of the ARV treatment programme at both national and provincial levels. It therefore provides a valuable case study for the state’s response to some of the systematic and health infrastructural problems that have characterised South Africa’s ARV roll-out since its inception. DA - 2011 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2011 T1 - The antiretroviral moratorium in the Free State Province of South Africa: Contributing factors and implications TI - The antiretroviral moratorium in the Free State Province of South Africa: Contributing factors and implications UR - http://hdl.handle.net/11427/19216 ER - | en_ZA |
| dc.identifier.uri | http://hdl.handle.net/11427/19216 | |
| dc.identifier.vancouvercitation | Hodes R, Grimsrud A. The antiretroviral moratorium in the Free State Province of South Africa: Contributing factors and implications. 2011 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/19216 | en_ZA |
| dc.language | eng | en_ZA |
| dc.publisher.department | Centre for Social Science Research(CSSR) | en_ZA |
| dc.publisher.faculty | Faculty of Humanities | en_ZA |
| dc.publisher.institution | University of Cape Town | |
| dc.title | The antiretroviral moratorium in the Free State Province of South Africa: Contributing factors and implications | en_ZA |
| dc.type | Working Paper | en_ZA |
| uct.type.filetype | Text | |
| uct.type.filetype | Image | |
| uct.type.publication | Research | en_ZA |
| uct.type.resource | Research paper | en_ZA |