Khayelitsha Activity Report 2001-2011: 10 Years of HIV/TB Care at Primary Health Care Level

The Khayelitsha programme was the first in South Africa to provide antiretroviral therapy (ART) at primary care level in the public sector. It is also one of two pilot projects in the country to provide decentralized care for drug-resistant tuberculosis (DR-TB). This report highlights what has been achieved collectively by several service providers (Province of Western Cape, City of Cape Town, NGO and Community Based organizations) and describes the key clinical programme and policy changes that have supported universal coverage for HIV and TB care over the last 10 years. The report demonstrates that it is possible to achieve most targets set forth in the National Strategic Plan (NSP) for HIV/Aids and Sexually Transmitted Infections (STIs); including achieving “universal coverage” of ART needs, by 2011.