Preface

Abstract

The global recognition of rights to treatment reflects a significant shift in mindset. Another shift is now needed to deliver on those aspirations. Health systems cannot be built from a patchwork of non-government, vertical, ad hoc services around a crumbling public sector core. For treatment access to become a reality for more than a minority, a further step needs to be taken towards explicit global and national commitment to refinance Africa’s public health sector and district health systems (Loewenson & McCoy 2004).