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dc.contributor.authorMacGregor, Hayley
dc.contributor.authorMcKenzie, Andrew
dc.contributor.authorJacobs, Tanya
dc.contributor.authorUllauri, Angelica
dc.date.accessioned2018-05-04T11:33:37Z
dc.date.available2018-05-04T11:33:37Z
dc.date.issued2018-04-25
dc.identifier.citationMacGregor, H., McKenzie, A., Jacobs, T., Ullauri, A. (2018) Scaling up ART Adherence Clubs in the Public Sector Health System in the Western Cape, South Africa: A Study of the Institutionalisation of a Pilot Innovation. Globalization and Health, (14)40.en
dc.identifier.urihttps://opendocs.ids.ac.uk/opendocs/handle/20.500.12413/13723
dc.description.abstractIn 2011, a decision was made to scale up a pilot innovation involving ‘adherence clubs’ as a form of differentiated care for HIV positive people in the public sector antiretroviral therapy programme in the Western Cape Province of South Africa. In 2016 we were involved in the qualitative aspect of an evaluation of the adherence club model, the overall objective of which was to assess the health outcomes for patients accessing clubs through epidemiological analysis, and to conduct a health systems analysis to evaluate how the model of care performed at scale. In this paper we adopt a complex adaptive systems lens to analyse planned organisational change through intervention in a state health system. We explore the challenges associated with taking to scale a pilot that began as a relatively simple innovation by a non-governmental organisation.en
dc.language.isoenen
dc.publisherBioMed Centralen
dc.rights© The Author(s). 2018 Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectHealthen
dc.titleScaling Up ART Adherence Clubs in the Public Sector Health System in the Western Cape, South Africa: a Study of the Institutionalisation of a Pilot Innovationen
dc.typeArticleen
dc.rights.holderThe authorsen
dc.identifier.externalurihttps://globalizationandhealth.biomedcentral.com/articles/10.1186/s12992-018-0351-zen
dc.identifier.teamHealth and Nutritionen
dc.identifier.doihttps://doi.org/10.1186/s12992-018-0351-z
dcterms.dateAccepted2018-03-13
rioxxterms.funderDefault funderen
rioxxterms.identifier.projectDefault projecten
rioxxterms.versionVoRen
rioxxterms.versionofrecordhttps://doi.org/10.1186/s12992-018-0351-zen
rioxxterms.funder.projectd218e59e-c0fb-4cb3-8a07-92a57da72cd1en


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© The Author(s). 2018 Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0
International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and
reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to
the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver
(http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Except where otherwise noted, this item's license is described as © The Author(s). 2018 Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.