They have not had formal opportunities to update their skills in managing HIV disease. Consequently, the knowledge and skills-base in the public sector are suboptimal. Human resource issues rooted in economic and racial inequalities exacerbate the skills shortage. The estimated cost of care for HIV-infected individuals in South Africa is staggering, even without ARV therapy. Because clinical research in the region is currently undertaken at a variety of sites with differing affiliations, there is a widespread impression that the overall effort lacks coordination, regulation, and quality controls.
Many scientific questions relating to the epidemic in the region remain unanswered.
Further epidemiological studies and research into more effective strategies to prevent and manage the epidemic in this context will be an important priority for the regional office. Ensure that standards and quality of HIV care are improved and maintained by developing and supporting clinical guidelines that are evidence-based and considered good clinical practice. Influence policy and programs that relate to HIV care by providing an experienced clinical perspective and undertaking treatment advocacy. Monitor and report on the quality of HIV care provision in both public and private health sectors. Provide clinical decision support assistance.