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ART treatment access and effective responses to HIV and AIDS - Providing new momentum for accessible, effective and sustainable health systems - Issues and Options Briefing
Southern African Regional Network for Equity in Health (EQUINET)
December 2003

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The Regional Network for Equity in Health in Southern Africa (EQUINET) and Oxfam GB with government and civil society partners initiated in 2003 a programme of research, policy analysis and intervention on equity in health sector responses to HIV and AIDS. The programme commissioned review papers on equity in health sector responses to HIV and AIDS in Malawi, South Africa, Tanzania, Zimbabwe, southern Africa and in relation to health personnel and nutrition.

This briefing outlines the major findings and issues from work carried out in southern Africa on equity in health sector responses to HIV and AIDS, particularly in terms of access to antiretroviral treatment. It presents options drawn from the evidence and experience in the region of how to strengthen equity and include low income or more vulnerable communities in treatment access programmes.

Contents

1 Putting Hiv, Aids and Treatment Access in Context

1.1 The epidemiological context
1.2 The public health context:
1.3 The health systems context
1.4 The public policy context

2. A health systems approach to treatment access

2.1 Locating treatment within the prevention and care continuum
2.2 Beyond clinical criteria for rationing
2.3 Integrating treatment within health services
2.4 Investing in health personnel
2.5 Intervening beyond health services to enhance treatment access
2.6 Ensuring fair financing
2.7 Turning windows of opportunity into sustainable systems

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