Policy requires that these services be provided in an integrated manner: "All health facilities, as far as possible, will render MCWH services on a one-stop, 'supermarket' basis." (1) However, this policy has not been fully implemented and many facilities do not yet provide integrated services.
In the past, programmes such as communicable disease control, nutrition, STDs/HIV/AIDS, and certain maternal, child and women's health (MCWH) services were organised vertically; planning and management for each programme occurred separately from other services from the central level down to service delivery level.
The national and provincial MCWH managers have very small budgets, which are used to fund their oversight functions and to support the implementation of MCHW/SRH policies (e.g.
Therefore, the Paediatric Essential Medicines List Committee supported by the National Department of Health's HIV/AIDS, TB and Maternal, Child and Women's Health (HIV/AIDS, TB & MCWH
) branch provide (on weighing current evidence and the risks/benefits) the following national guideline for IPT in HIV-infected and HIV-uninfected children: