Strengthening health care systems in government meant cost containment and improved equity. Escalating costs and poorly constructed strategies are weakening the efficiency and effectiveness of service delivery in health care. This has a negative impact on value creation and internal processes as critical elements such as human capital, information and organisational capital are not aligned with strategies and roll-out plans for HIV/Aids interventions. This research study therefore questioned the extent to which these strategies have impacted on the roll-out plans for HIV/Aids interventions, and investigated if the utilisation of public-private partnerships (PPP) resulted in applying fiscal reponsible mechanisms in health care reforms (effectively, efficiently, economically and equitably (4Es)). Trends in the new public management (NPM) movement inspired a shift towards business-like reforms and saw PPP as a mechanism that improved efficiency and effectiveness in service delivery as it offered the promise to strengthen the capacity of government policy. The study aimed to put forward value-creating strategies and develop a best practice model that strengthened government’s policy capacity by providing efficient, effective, economical and quitable service in health care and thereby improving strategies that impact on the roll-out plans for HIV/Aids. This comparative study comprised four international case studies (developed and developing countries) which presented benchmarks against which the performance of the national case study was measured. A better understanding of the influence which different ideologies had on the architecture of international and global governance structures was gained as it highlighted and compared the key issues that influenced strategies for HIV/Aids intervention between the developed and developing countries. Results of the study indicated that there are conflicting views between government departments in how to achieve value-for-money outcomes and their application of risk allocation. The conflicting views widened the gap between public and private governance structures and relations. The focus of the PPP definition as applied in the national context of health care is not percieved as being health-specific or effective as it excludes some forms of interactions occurring in the health sector. PPP goals emphasised efficiency, affordability and value-for-money approaches, while health care goals emphasised the interest of the “patient” and public health. / Thesis (PhD (Public Affairs))--University of Pretoria, 2007. / School of Public Management and Administration (SPMA) / unrestricted

Yes / This briefing paper reports on research exploring detailed case studies of HIV/AIDS livelihoods-oriented interventions operating in Uganda, Lesotho and South Africa. The interventions were analysed through an audit of sustainable livelihood `principles¿. This revealed general lessons both about the practical opportunities and challenges for employing sustainable livelihoods approaches to the design, implementation, monitoring and evaluation of development interventions and also about the changing format of development interventions. / Department for International Development

This dissertation reports on a study undertaken to determine interventions that community libraries can engage in to improve HIV/AIDS awareness. Chapter One describes the background for the study by providing information portraying the background, research problem, aim and objectives -as well as the research methodology to be followed to ensure its successful completion. Chapter Two examines the social role and responsibility of the community library - with reference to HIV/AIDS awareness. International and national sources are used to establish what role the community libraries should play in providing resources for communal benefit. Chapter Three deals with HIV/AIDS awareness interventions currently engaged in by community libraries as well as proposed interventions. A list and description of intervention types is included. This list forms the foundation for the interview guide. Chapter Four describes the interview process. Chapter Five reports on the results of the interviews. Chapter Six provides an integrated summary of the findings from the literature review and those from the interviews in the Bojanala region. Chapter Seven concludes with a summary of recommendations and suggestions for possible further research. Essentially, the study consists of an examination of the social role and responsibility of the community library regarding HIV/AIDS awareness. An international and national literature review of the types of interventions that community libraries can embark upon to promote HIV/AIDS awareness amongst community members of all age groups. An investigation - by means of interviews with librarians/library workers in the Bojanala region - on what interventions are currently undertaken to promote HIV/AIDS awareness among the community of the Bojanala region. Recommendations regarding the types of interventions that community libraries in South Africa may provide to assist in enhancing HIV/AIDS awareness. The literature review identified the social role and responsibility of the community library; interventions currently engaged in by community libraries; and pointed the way for proposed HIV/AIDS awareness interventions that community libraries could embark on as part of their social responsibility role. It was clear from the national and international literature review that the community library - with its years of experience in information acquisition, organisation, dissemination and use - is a natural ally in supporting HIV/AIDS awareness. The aim of this investigation was to determine the social role and responsibility of community libraries in the promotion of HIV/AIDS awareness. The interventions that community library services could embark on to promote HIV/AIDS awareness. The researcher investigated the interventions that the Bojanala region could embark on to comply with the vision of the Department of Social Development (2002:9) ”that both the government and civil society as a whole develop well directed and purposeful programmes to tackle the HIV/AIDS pandemic.” This was done through face-to-face interviews with librarians/library workers responsible for managing community projects. Compared with the HIV/AIDS prevalence rate in other regions and provinces (Northern Cape and Limpopo) with similar populations, the Bojanala region was identified as a region with a high HIV prevalence rate. The recommendations made by the researcher covered nine sections pertaining to HIV/AIDS interventions, namely: Users Policies HIV/AIDS information resources Collection Development Partnerships HIV/AIDS awareness programmes Interventions Promotion Staff training The recommendations that emerge from the research could be implemented in any community library in any given country with a high HIV/AIDS prevalence rate. / Information Science / (M. Tech. (Business Administration))

This dissertation reports on a study undertaken to determine interventions that community libraries can engage in to improve HIV/AIDS awareness. Chapter One describes the background for the study by providing information portraying the background, research problem, aim and objectives -as well as the research methodology to be followed to ensure its successful completion. Chapter Two examines the social role and responsibility of the community library - with reference to HIV/AIDS awareness. International and national sources are used to establish what role the community libraries should play in providing resources for communal benefit. Chapter Three deals with HIV/AIDS awareness interventions currently engaged in by community libraries as well as proposed interventions. A list and description of intervention types is included. This list forms the foundation for the interview guide. Chapter Four describes the interview process. Chapter Five reports on the results of the interviews. Chapter Six provides an integrated summary of the findings from the literature review and those from the interviews in the Bojanala region. Chapter Seven concludes with a summary of recommendations and suggestions for possible further research. Essentially, the study consists of an examination of the social role and responsibility of the community library regarding HIV/AIDS awareness. An international and national literature review of the types of interventions that community libraries can embark upon to promote HIV/AIDS awareness amongst community members of all age groups. An investigation - by means of interviews with librarians/library workers in the Bojanala region - on what interventions are currently undertaken to promote HIV/AIDS awareness among the community of the Bojanala region. Recommendations regarding the types of interventions that community libraries in South Africa may provide to assist in enhancing HIV/AIDS awareness. The literature review identified the social role and responsibility of the community library; interventions currently engaged in by community libraries; and pointed the way for proposed HIV/AIDS awareness interventions that community libraries could embark on as part of their social responsibility role. It was clear from the national and international literature review that the community library - with its years of experience in information acquisition, organisation, dissemination and use - is a natural ally in supporting HIV/AIDS awareness. The aim of this investigation was to determine the social role and responsibility of community libraries in the promotion of HIV/AIDS awareness. The interventions that community library services could embark on to promote HIV/AIDS awareness. The researcher investigated the interventions that the Bojanala region could embark on to comply with the vision of the Department of Social Development (2002:9) ”that both the government and civil society as a whole develop well directed and purposeful programmes to tackle the HIV/AIDS pandemic.” This was done through face-to-face interviews with librarians/library workers responsible for managing community projects. Compared with the HIV/AIDS prevalence rate in other regions and provinces (Northern Cape and Limpopo) with similar populations, the Bojanala region was identified as a region with a high HIV prevalence rate. The recommendations made by the researcher covered nine sections pertaining to HIV/AIDS interventions, namely: Users Policies HIV/AIDS information resources Collection Development Partnerships HIV/AIDS awareness programmes Interventions Promotion Staff training The recommendations that emerge from the research could be implemented in any community library in any given country with a high HIV/AIDS prevalence rate. / Information Science / (M. Tech. (Business Administration))