The National Department of Health (NDOH) commissioned a Joint Review of the HIV, TB and PMTCT Programmes to be undertaken in 2013. The main purpose of this independent Review, carried out by a multi-disciplinary team of South African and international reviewers, was to assess performance of the programmes and provide options for improvement. The focus of the Joint Review was on issues critical to effective delivery and impact of HIV, TB and PMTCT services - to assess progress made, identify challenges, and highlight best practices. The Review was also to recommend strategic and operational approaches for further scale-up, improvement of quality and increasing value for money of key HIV, TB and PMTCT services.
The objectives of the Review were as follows:
1. To review progress and capacity requirements towards reaching national health sector targets for HIV and TB.
2. To review the level of integration of management and services between HIV and TB programmes at all levels.
3. To assess quality and effectiveness of HIV and TB services and the extent to which previous reviews and emerging science are incorporated into delivery of HIV and TB services.
4. To assess existing capacities and challenges and propose options for further strengthening of cross-cutting systems for service delivery such as supply chain, information systems, laboratory and health workforce.
5. To analyse current investments, value for money and investment priorities in the short and medium term for the TB and HIV programmes.
Overall strategic guidance to and oversight of the Review was provided by a Steering Committee chaired by the National Department of Health in which a wide range of national stakeholders and development partners were also represented.