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1. A policy on widespread access to ART can only succeed if it fully mobilises the existing health system infrastructure. It should form an integral part of the continuum of HIV care through the public primary health care and hospital system, coordinated by district, provincial and national management structures. This does not preclude a degree of ‘exceptionalism’ and vertical programme arrangements, considering the scale and urgency of the response; nor does it exclude the possibility of coordinated action between public and private sectors where this is deemed relevant at local level.

Strengthening the health system and ensuring equity in the widescale implementation of an antiretroviral therapy programme in South Africa.