A Comprehensive Mixed-Methods Evaluation of Botswana's National Antiretroviral Th

摘要/概要 博茨瓦纳一直带头推动区域和全球有效应对， 疫尽管博茨瓦纳是受艾滋病毒/艾滋病影响最严重的国家之一， 非洲第一批为艾滋病毒/艾滋病患者提供免费普及公共抗逆转录病毒疗法的国家 合格公民。通过积极主动的艾滋病毒/艾滋病政策和方案，博茨瓦纳 取得了重大成果，并为继续在防治这一流行病方面取得进展奠定了基础。 评价战略信息是必要的，以告知建设，实施， 在此基础上扩大和改进可持续方案， 我 使用一组受限资源。随着国家应对措施的成熟， 博茨瓦纳的国家ART计划中出现了一个名为“Masa”的组织，意思是“新” 黎明“这些优先事项包括改善患者的预后， 该计划的财政可持续性，同时保持适当的卫生系统绩效 患者满意度。拟议的研究通过一项 综合的、混合的方法和国家以下一级的评估， Masa患者数据的纵向国家登记处，结合其他调查数据。 拟议的研究将由博茨瓦纳大学和 医学院（UB SOM），哈佛公共卫生学院（HSPH）和博茨瓦纳 卫生部。 我 Sanders D，Haines A.（2006年）。实现国际卫生需要开展实施研究 目标. PLoS Med，3（6）：e186.

Abstract / Summary Botswana has been a leader in galvanizing an effective regional and global response to the epidemic. Despite being one of the countries hardest hit by HIV/AIDS, Botswana was one of the first countries in Africa to provide free universal public antiretroviral therapy (ART) for eligible citizens. Through proactive policies and programs around HIV/AIDS, Botswana has made major gains and has laid the foundation for continued progress against the epidemic. Evaluation of strategic information is necessary to inform the construction, implementation, scale up, and improvement of sustainable programs upon that foundation, while making the best i use of a set of constrained resources. As the national response matures, new priorities have emerged for Botswana's National ART Program, known as Masa, the Setswana word for "new dawn." These priorities include improving patient outcomes and ensuring the long-term financial sustainability of the program, while maintaining adequate health system performance and patient satisfaction. The proposed study directly addresses these priorities through a comprehensive, mixed methods, and sub-national evaluation which makes use of a rich, longitudinal national registry of Masa patient data, in combination with additional survey data. The proposed study will be conducted by a consortium between the University of Botswana School of Medicine (UB SOM), the Harvard School of Public Health (HSPH) and the Botswana Ministry of Health (MOH). i Sanders D, Haines A. (2006). Implementation research is needed to achieve international health goals. PLoS Med, 3(6): e186.