Sunday Times (Johannesburg) - August 17, 2003
Ranjeni Munusamy
The team, to be headed by the Medical Research Council's executive director for research, Dr Anthony Mbewu, will include experts assembled by former US President Bill Clinton's foundation.
Nono Simelela, head of the Aids directorate in the Health Department, will be deputy head of the team.
Members of the Clinton Foundation's Aids Initiative, led by its head, Ira Magaziner, flew to South Africa this week to meet Health Minister Manto Tshabalala-Msimang and work out what technical assistance the government needs.
Among the foundation's aims is to help the government buy and produce antiretroviral drugs at the lowest possible prices.
The foundation's aid comes as a result of discussions between President Thabo Mbeki and the former US president, the latest round of which was during former President Nelson Mandela's 85th birthday party.
The Clinton Foundation was asked last month to comment on the report of the joint health and treasury task team that investigated the costs of distributing antiretroviral drugs in South Africa. Within four days, Magaziner responded by saying the foundation was "very impressed" as the report conformed to "the best international standards".
Three days later, the foundation offered to dispatch a team to South Africa immediately to work on, among other things:
Setting up a specialised unit, as recommended by the health and treasury task team, to manage implementation nationally;
A detailed plan for the creation of provincial training centres that will serve as the hubs for the roll-out;
A strategy to buy and produce drugs at the lowest possible price;
A plan to upgrade the national laboratory system to handle an increase in HIV testing; and
A communications plan to help Aids patients and health professionals understand how the drugs are to be used.
Government spokesman Joel Netshitenzhe said the Cabinet's decision was based on the task team report but was "influenced" by the recommendations from the foundation.
"Issues pertaining to implementation are critical in determining the scale, scope and pace of distribution," Netshitenzhe said.
"We don't want this to be a poor man's treatment by giving out something that is substandard. We are using the best available regimes."
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