Treatment Now!
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Treatment Now
Advocacy Actions
The South African Cabinet approved the Operational Plan for Comprehensive Treatment and Care for HIV/AIDS on 19 November 2003. The plan stated "within a year, there will be at least one [antiretroviral] service point in every health district across the country, and within five years, one service point in every local municipality." By way of monitoring and advocacy actions, the Network and its partners will seek to ensure access to treatment for all.
News
The Network has a threefold role: that of sharing information; identifying progress and problems; and finally, Community-based and site specific ARV Roll Out Support. Implicit in this is keeping the Network well informed of cutting edge medical research, breaking news, and other relevant information on the Provincial and National ARV Roll Out and HIV/AIDS care in general. Click HERE to access the news archive.
Participants
The KZN HIV/AIDS Civil Society Network is a network committed to building good relations with Health Service professionals, NGOs, CBOs, academic institutions and other role players in order to effectively monitor and support the Operational Plan for Comprehensive Treatment and Care for HIV/AIDS within the Province. The overall task of the network is to set up a reporting system to feedback information from all accredited sites and to monitor everything from availability of counsellors to treatment adherence. Click HERE to join the network.
Statistics
One of the main objectives of the Network is to effectively monitor and support the Comprehensive Treatment and Care for HIV/AIDS within the Province. This website has been developed to give access to a range of documents and resources. To further facilitate the sharing of information an E-mail ListServ has been set up for discussions, distributing newsletters, and to respond to specific questions. Join Treatment Now! The e-list of the KZN HIV/AIDS Civil Society Network. To see the collection of prior postings to the list, visit the Treatment Now Archives.
Treatments
Another important objective of the Network is to improve the flow of information between patients and their families, health facilities and health managers. Many organisations have networks, experience, skills and services that can support the treatment plan. Click HERE to access the Online 2004 HIV/AIDS Directory a comprehensive listing of organisations working in and around the epidemic.
Updates
The Network publishes regular updates and information on what has been happening around the Network including the Task Team. The update concentrates on strengthening coordination around the ARV Roll Out as an urgent, practical and life saving focus.
Treatment Now Forum
The overall task of the network is to set up a reporting system to feedback information from all accredited sites and to monitor everything from availability of counsellors to treatment adherence. If individual doctors or other health workers are having difficulty getting patients onto the programme, the Network and its partners will seek to find out what the problems are, find out what support is needed and take it up with the district - and the province if necessary. Additionally, if the Department of Health claims a certain number of people are going on to treatment at a given site every week, civil society organisations need to check this is happening and if not why not. Inform the network what your organisation is doing, how the rollout is going in your area and what needs to be done by whom to get things going faster and more efficiently. Members Only Access. Click HERE to register.


Roll out Medicine, Not excuses!
The South African Cabinet approved the Operational Plan for Comprehensive Treatment and Care for HIV/AIDS on 19 November 2003.

The plan said: "within a year, there will be at least one [antiretroviral] service point in every health district across the country, and within five years, one service point in every local municipality."

It aimed to have 1.4 million people on treatment within five years.

However, on 20 February Health Minister Manto Tshabalala-Msimang denied that the government had promised to begin its treatment programme by March 2004.

The start of the programme was reportedly delayed by lack of anti-retroviral drugs because the government was waiting for tenders. At the end of March, the health department promised to procure an emergency supply of ARVs as an interim measure until the tendering process was completed.

By April patients in a handful of hospitals in Gauteng, the Western Cape and KwaZulu-Natal began offering treatment to small numbers of patients. Several 'accredited' sites in KZN have not had their accreditation signed off by the Health Minister. But in June the health ministry announced that no new patients, especially children, would receive free antiretrovirals (ARVs) as the demand outstripped supply. Minister Tshabalala-Msimang said that a shortage of anti-AIDS drugs, especially for children, was a serious impediment to the programme.

However, one of the main pharmaceutical suppliers said that they had a facility waiting to produce paediatric formulations - syrups rather than the tablets prescribed for adults - but had not been asked to do so.

A few days later, the Health Department said treatment for children was not being suspended but it was up to provinces to check they had adequate supplies to enroll new patients. However, it has been impossible so far to confirm where children can access treatment - we have reports that at least 2 accredited sites are not treating children.

Efforts ascertain the national status of the roll-out were fruitless. Departmental officials, doctors and researchers actually laughed when we said we wanted to know the number of people on ARV treatment in the public sector.

It's outrageous that no one knows but outrage isn't going to get us very far so what can civil society do?
  • Get the facts
    In KZN, dozens of organisations have come together to form a Civil Society Network to monitor and support the rollout. The network is setting up a reporting system to feedback information from all the accredited sites and to monitor everything from availability of counselors to treatment adherence.

  • Monitor progress
    If the Department of Health claims a certain number of people are going on to treatment at a given site every week, civil society organisations need to check this is happening and if not why not.

  • Investigate problems
    If individual doctors or other health workers are having difficulty getting patients onto the programme, find out what the problems are, find out what support is needed and take it up with the district - and the province if necessary.

  • Be part of the solution
    Civil society organisations need to strengthen their relationships with all roleplayers involved in the delivery of health services to people with HIV/AIDS. In this way, we can improve the flow of information between patients and their families, health facilities and health managers. Many organisations have networks, experience, skills and services that can support the treatment plan.

 




   


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