Journals Information
Universal Journal of Public Health Vol. 4(3), pp. 151 - 154
DOI: 10.13189/ujph.2016.040305
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North West Province Department of Health and BroadReach Healthcare Partnership Model
Ernest Darkoh 1, Ebrahim Variava 2, Shuabe Rajap 3,*, Bongani Nkosi 4, Fiona de Korte 5
1 Co-founder, Johannesburg, South Africa
2 Tshepong/Klerksdorp Hospital Complex, Department of Internal Medicine, University of Witwatersrand, Klerksdorp, 2570, North West, South Africa
3 Senior Manager, Programmes (General), Cape Town, South Africa
4 Programme Manager, Johannesburg, South Africa
5 Business Development Manager, South Africa
ABSTRACT
South Africa has the largest number of people living with HIV globally, and the world's largest antiretroviral therapy (ART) programme with over 2 million people estimated to have received ART by 2013 [2,3]. Recognizing the significant constraints on public sector resources to meet increasing public demand and need for ART initiation, BroadReach Healthcare and the North West Province Department of Health (DOH) implemented the private General Practitioner (GP) 'Down Referral' Model commencing in 2005 and ongoing, to provide HIV treatment and care for patients stable on ART. Implementation of this model leverages existing capacity within the private sector, shifting delivery of ART in stable patients from hospitals to lower-level private health facilities, and allowing public facilities to focus on initiating new ART eligible patients and managing complex cases. Over 10 years, the model has proved highly successful where the probability of patient survival at 12 and 48 months is 99% and 89% respectively, and retention at 48 months remains high at 94% [7]. This model is a simple, robust, evidence based and easily replicable model for rolling out a defined health service at scale, and further demonstrates potential for public private partnerships in addressing the burden of chronic disease.
KEYWORDS
Private Public Partnership in Health Care Service Delivery
Cite This Paper in IEEE or APA Citation Styles
(a). IEEE Format:
[1] Ernest Darkoh , Ebrahim Variava , Shuabe Rajap , Bongani Nkosi , Fiona de Korte , "North West Province Department of Health and BroadReach Healthcare Partnership Model," Universal Journal of Public Health, Vol. 4, No. 3, pp. 151 - 154, 2016. DOI: 10.13189/ujph.2016.040305.
(b). APA Format:
Ernest Darkoh , Ebrahim Variava , Shuabe Rajap , Bongani Nkosi , Fiona de Korte (2016). North West Province Department of Health and BroadReach Healthcare Partnership Model. Universal Journal of Public Health, 4(3), 151 - 154. DOI: 10.13189/ujph.2016.040305.