





2nd Access to Healthcare in Africa Conference,
September 15 - 16,
Casa Toscana Lodge
Pretoria
Chairmans Address
2nd Access to Health Care in Africa Conference: Challenges to quality,
access and management in effective health care, with a focus on HIV
and AIDS, TB and malaria
Why is it that countries, hardest hit by difficult to control chronic
disease, infectious diseases, and epidemics like the Tuberculosis/HIV/AIDS
epidemics, are those countries with lots of challenges concerning
medical and managerial infrastructure, low health expenditure and
marginalized health care management structures.
It is especially those countries who need support and assistance not
only around the logistics and finances but especially about internal
capacity building, education, managerial skills, implementation of
health care policies and strengthening of health care systems at district,
regional, provincial and national levels.
It is a pleasure to announce the second AA4A conference which will
be held in a contrasting environment as the topics we are going to
deliberate about. The Foundation for Professional Development (FPD),
Lynnwood, Pretoria, will be the venue for the Second AA4A conference
with the inspiring tile as mentioned above.
Two third of the total HIV burden is in the African continent. Tuberculosis
is becoming more than ever a global threat with MDR and XDR strains
and the challenges to treatment that comes with it. Are countries
with emerging epidemics (Eastern Europe, India, China) treated with
the preventive and epidemic containment measures they deserve or are
we, again, going to respond when the damage is irreversible? Malaria
is not such a ‘sexy disease’ as HIV/AIDS but it is still
one of the major killers in the developing societies. What about the
other chronic diseases like diabetes, cardio-pulmonary and vascular
diseases etc, all major threats in our societies: Can they not benefit
from the investment in the HIV epidemic?
Global recession, donor’s responses and the challenge to make
choices around accessibility, quality control, efficiency, efficacy
and health economics around health intervention programs complicate
these issues even more.
So do the ‘contradiction’ between health care in developing
countries and high tech information technology, donor involvement
in drug procurement, global harmonization of medicines regulations
and registration in LDC’s, the challenges of pediatric formulations
and its accessibility. Increasing complexity of donor requirements
and lack of coordination create complexity and limitations in organizing
the supply chain. Above topics are not addressed properly at the global
conferences but they are the difference between success and failure
of the intervention at ground level
The second AA4A conference with the title “2nd Access for Health
Care in Africa: Challenges to quality, access and management in effective
health care, with a focus on HIV and AIDS is going to put those topics
on the table.
AA4A collects a core of international speakers who are field, management
and policy making specialists . They are not alone going to update
but debate those inspiring topics with us. Not only to be the educator
but to be the ‘sparring partner’ to those who are implementers,
leaders in their own society, managers and politicians who all recognize
those problems and who are looking for answers they can work with.
It will be a conference of dialogue, not of monologue. It will be
an ongoing debate. It will not give all the answers, it will definitely
spark more questions that will lead to the third AA4A 2010 conference
where chronic dialogue around access, affordability, strengthening
of health care systems, efficiency and efficacy will be addressed.
It is an honor to Chair the 2009 conference.
I will be looking forward to meet you in September at the Casa Toscana Lodge, Pretoria, South Africa.
Dr Hugo A Tempelman
Conference Chairman 2009
CEO Ndlovu Care Group
Objectives
The symposium will explore these matters at a high level, contribute
to the debate about them, challenge conventional wisdom about how
best to deal with them and explore new directions in solving them.
It will function as a forum for the dissemination of information about
them. It will provide a unique opportunity to take forward and achieve
progress in their resolution.
Key international speakers will introduce each theme, followed by
a high level interactive panel and participant discussion. In each
session, the main points from the debate will be summarized and any
recommendations formulated.
Who should attend?
The target audience for the symposium consists of practitioners and
managers who are responsible for the effective implementation and
management of treatment for HIV and AIDS, TB and malaria, although
the principles to be presented apply across all treatment programmes
at regional, country, district and local levels. Attendees are expected
to include representatives of public and private sector organizations,
including NGOs.