Metrics details. The paper is a comparative case study of the early management of ART scale up in three South African provincial governments — Western Cape, Gauteng and Free State — focusing on both operational and strategic dimensions. Drawing on surveys of models of ART care and analyses of the policy process conducted in the three provinces between and , as well as a considerable body of grey and indexed literature on ART scale up in South Africa, it draws links between implementation processes and variations in provincial ART coverage low, medium and high achieved in the three provinces. While they adopted similar chronic disease care approaches, the provinces differed with respect to political and managerial leadership of the programme, programme design, the balance between central standardisation and local flexibility, the effectiveness of monitoring and evaluation systems, and the nature and extent of external support and programme partnerships. This case study points to the importance of sub-national programme processes and the influence of factors other than financing or human resource capacity, in understanding intervention scale up. In a commentary on this review, two of us emphasized the central role of strategic management in scale up, at the heart of which is the capacity to engage flexibly with multiple actors and interests whilst taking account of the constraints and possibilities of the implementation environment [ 2 ]. This paper seeks to deepen understanding of these processes, with a specific focus on approaches to programme management in the scale up of antiretroviral therapy ART in South Africa. Scale up was initially guided by a national framework, the Comprehensive Care Management and Treatment CCMT Plan , which proposed a progressive expansion in access over five years. On the basis of the CCMT Plan, initial funding for implementation of the policy was mobilised from the national budget through conditional grants, standardized first and second line drug regimens were defined, and treatment guidelines developed. However, in the face of overwhelming need and lagging resources, ART coverage rates are still low — in coverage was still only
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You got the memo, right? But we were both sort of seeing people at the time, and then my relationship fell apart over the fall when I was on tour. And Neil stayed in touch with me and we really hit it off. We just kept finding we had more and more in common, and then by January, it seemed like I woke up to the inevitable one day: ‘Maybe I should be dating this guy!
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Last year I wrote up an article covering what happened in Durban 50 years ago. I am doing the same this year so here goes:. The first intake of Active Citizen Force trainees from Durban leave Durban Station on Jan 2 nd to join their country wide counterparts at various military basic training bases. ACF Military Training of 9 months duration is now virtually compulsory for every able bodied white male. My turn came up in April when the second batch were called up. The 3 rd largest city is awarded to Soweto.
The Transvaal Castle, built in , one of two new Union Castle ships arrived in Durban on her maiden voyage. Marcel Marceau, much acclaimed as one of the greatest mimes ever, has a week long run of performances at the Alhambra Theatre in March. Kingsmead Sports Ground in Old Fort Road is considered for demolition as the ground falls into major disrepair. Though not Durban related, John Glenn becomes the first American astronaut in space as he orbits the Earth 3 times in 4 hours 56 minutes before splashing down in the Caribbean near Puerto Rico.
All of Durban. The Passion Play presented every 5 years is being performed in Durban. Durban is the only city in the world allowed to present the Passion Play getting special permission from Oberammergau. The tragic death of Terence John Flusk 17 having been assaulted at a house party shocks Durban.