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. 2007 Oct 19:5:25.
doi: 10.1186/1478-4491-5-25.

Public-private options for expanding access to human resources for HIV/AIDS in Botswana

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Public-private options for expanding access to human resources for HIV/AIDS in Botswana

Norbert Dreesch et al. Hum Resour Health. .

Abstract

In responding to the goal of rapidly increasing access to antiretroviral treatment (ART), the government of Botswana undertook a major review of its health systems options to increase access to human resources, one of the major bottlenecks preventing people from receiving treatment. In mid-2004, a team of government and World Health Organization (WHO) staff reviewed the situation and identified a number of public sector scale up options. The team also reviewed the capacity of private practitioners to participate in the provision of ART. Subsequently, the government created a mechanism to include private practitioners in rolling out ART. At the end of 2006, more than 4500 patients had been transferred to the private sector for routine follow up. It is estimated that the cooperation reduced the immediate need for recruiting up to 40 medically qualified staff into the public sector over the coming years, depending on the development of the national standard for the number and duration of patient visits to a doctor per year. Thus welcome relief was brought, while at the same time not exercising a pull factor on human resources for health in the sub-Saharan region.

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Figures

Figure 1
Figure 1
Cumulative number of patients currently on ART in the public and private sector, September 2006 [9].

References

    1. McKinsey The Mc Kinsey report: Ensuring a Successful Launch of ARV Therapy in Botswana, Gaborone. 2001.
    1. World Health Organization and UNAIDS unveil plan to get 3 million AIDS patients on treatment by 2005 http://www.who.int/mediacentre/news/releases/2003/pr89/en/index.html 1 December 2003. - PubMed
    1. Personal communication, Botswana ARV Programme Manager. 2004.
    1. Hirschhorn LR, Oguda L, Fullem A, Dreesch N, Wilson P. Estimating health workforce needs for antiretroviral therapy in resource-limited settings. Human Resources for Health. 2006;4:1. doi: 10.1186/1478-4491-4-1. - DOI - PMC - PubMed
    1. World Health Organization Scaling up HIV/AIDS care: service delivery and human resources perspectives, Geneva. 2004.

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