Extending the Reach: Contracting Out HIV Services to the Private Health Sector in Gauteng, South Africa

This study focuses on the experience of Right to Care Health Services (RTCHS), a South African private company managing HIV services on behalf of several clients, including PEPFAR, the South African government, employers, and medical aid schemes. The experience of RTCHS demonstrates how a private health care institution can partner with donor and government stakeholders to deliver HIV care and treatment at a large scale. It also illustrates that financing the implementation of service contracts raises a variety of challenges. The research team assessed three HIV contracting models implemented by RTCHS through stakeholder interviews (inclusive of patients), quantitative data from medical records, and a literature review. This report includes recommendations for a myriad of stakeholders with interest in expanding HIV care and treatment with a contracting out model. 


Josef Tayag, James White, and Alejandra Mijares


SHOPS Project

January 2015
Resource Types
South Africa
Technical Area
Health Financing
Health Area
contracting out
Current Downloads



Sustaining Health Outcomes through the Private Sector (SHOPS) Plus is a five-year cooperative agreement (AID-OAA-A-15-00067) funded by the United States Agency for International Development (USAID). This website is made possible by the generous support of the American people through USAID. The information provided on this website is not official U.S. government information and does not represent the views or positions of USAID or the U.S. government.

Sign-up for our newsletter to get the latest updates from SHOPS Plus