Overview

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The Doris Duke Charitable Foundation's ORACTA Programme supports studies that contribute towards improving the care and treatment of AIDS patients in resource-limited settings, informing anti-retroviral therapy (ART) programme policy and practice, and enhancing the outcomes of the roll-out and scale-up of ART in Africa.

HEARD is working with the Elizabeth Glaser Paediatric AIDS Foundation, the University of KwaZulu-Natal, and the Enhancing Care Initiative - at McCord Hospital and St Mary's Hospital in Durban, and at Mseleni Hospital in rural KwaZulu-Natal, to:

• Establish the cost-effectiveness of different models of anti-retroviral treatment programmes across clinical sites in southern Africa in urban and rural settings
• Measure quality of life, demographic characteristics and ART adherence of patients accessing anti-retroviral therapy in urban and rural settings in KwaZulu-Natal, South Africa

The significance of this research lies in showing what factors generate treatment costs across the sites and determine cost-effectiveness of treatment programmes at different sites. The findings will form the basis of recommendations for resource allocation for ART programmes in various settings.

The broader agenda is to support the South African government target of ensuring universal access to prevention, treatment, care and support by 2011.

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