BroadReach Healthcare Down Referral Model (Northwest Province, South Africa)

Goals | Components | Results | Lessons Learned | Project Docs

BroadReach Healthcare's North West Province Down Referral Model in South Africa reduces overburdened public health resources by leveraging the private sector in treatment delivery for PLHA. Patients are initiated at a public healthcare facility, the Wellness Centre, where they are stabilized for six months, and then down referred to a private GP or clinic for continued government-funded treatment. Should a patient acquire an opportunistic infection or require treatment for another condition, they are referred back to the Wellness Centre, and down referred again to the private GP/clinic once stabilized. Funding for health services, training, doctors' fees, patient education and other health products comes from South Africa's MOH and PEPFAR, while the North West Provincial DOH funds the provision of medication and labs. Private clinicians provide care for these patients at a capitated rate and receive training, mentoring, and a monitoring system for patient outcomes, in addition to free ARVs. Quality of care is monitored by Aid for AIDS, the largest Disease Management Organization (DMO) in South Africa.