Reducing HIV transmission in high prevalence districts in North West Province, Republic of South Africa through Comprehensive and Integrated Mobile Primary Health Services

Investigator: E. Michael Reyes, MD, MPH
Sponsor: University of Washington (UW)

Location(s): South Africa


The Republic of South Africa is working to meet the health challenges facing its people, which include a high HIV prevalence compounded by high incidences of sexually transmitted infections and tuberculosis (TB). To support this effort, I-TECH South Africa works with government and community leaders, individuals, and communities to improve the effectiveness and sustainability of the South African national HIV, sexually transmitted infection, and TB response.

In 2003, at the request of the National and Provincial Departments of Health (NDOH) and the US Centers for Disease Control and Prevention’s Global AIDS Program (CDC GAP), I-TECH began work in South Africa to help implement the government’s Operational Plan for Comprehensive HIV and AIDS Care, Management, and Treatment. From its central office in Pretoria, I-TECH South Africa has continued to expand its efforts, drawing on the expertise of local partners, staff, and colleagues at the University of Washington and the University of California, San Francisco, to provide technical assistance for a wide portfolio of health programs.

I-TECH and the NDOH are strengthening the country’s health systems by building human and organizational capacity at regional training centers; supporting provincial health departments to increase access to HIV, AIDS, and TB integrated care and treatment; developing leadership and management skills among district, sub-district, and health facility managers; and improving the collection, management, and use of health data.

Working through a five-year cooperative agreement with the CDC, I-TECH is also supporting an integrated biomedical, behavioral, and structural HIV prevention effort in two districts in North West Province.

In all of its efforts, I-TECH South Africa places an emphasis on program assessment, monitoring and evaluation, and continuous quality improvement; and creates and prepares programs for sustainable transition to local ownership.