Extending the Reach: Contracting Out Hiv Services to the Private Health Sector in Gauteng, South Africa

In by Cate Urban

ORGANIZATION
USAID

YEAR PUBLISHED
2014

DESCRIPTION

This study focuses on the experience of Right to Care Health Services (RTCHS), a South African private company that manages HIV and AIDS services on behalf of several clients, including PEPFAR, through the United States Agency for International Development (USAID), the South African government, employers, and medical aid schemes. The experience of RTCHS demonstrates how a private health care institution can partner with donor and government stakeholders to deliver HIV and AIDS care at a large scale. However, it also illustrates that financing the implementation of service contracts raises a variety of challenges. When either donors or country governments consider contracting out strategies for HIV and AIDS care, they need to consider the full range of associated advantages and disadvantages.