The Public Sector HIV/AIDS Treatment Roll-out Campaign in the Western Cape: A case study highlighting success factors and challenges

Word processed copy.Includes bibliographical references (leaves 84-98).Until recently, the national implementation of a public sector Antiretroviral Therapy (ART) programme in South Africa seemed financially impossible. Drastically reduced prices for Antiretrovirals (ARVs) combined with substantial donor funding and the long-awaited adoption of a national treatment plan, have, however, shifted the debate. Now the question is not so much should universal ART be provided by government but, rather, is it possible to implement in severely resource-constrained environments and, if so, what are the best ways to deliver these services