Pragmatic research looks at the real world effectiveness of medical interventions by trialing interventions in real life health systems. The HIV/TB epidemic in Southern Africa is having massive effects on population health with increased death rates and decreased life expectancy and poses real questions of how to deliver health interventions like antiretroviral treatment in communities and health systems with severe resource limitations. The STRETCH trial in South Africa was a pragmatic Randomised Controlled Trial looking at the integration of HIV care into primary care services which led to national policy changes and positive impacts on a number of population health indicators.
About Dr Kerry Uebel
Dr Kerry Uebel qualified in Medicine at University of Sydney in 1981. She is a Family Medicine Specialist and has worked in primary care in the public sector in South Africa for the last 34 years. She completed her PhD in a project integrating HIV care into primary care services and has worked for the last 7 years as a consultant in HIV and TB care with both inpatient and outpatient clinical responsibilities, and outreach training responsibilities in primary care. She has a passion for the care of patients with HIV and TB, the care of health care workers in developing countries facing epidemics like HIV and TB, the equipping and training of primary care nurse practitioners and junior doctors in developing countries, and in relevant research projects supporting these areas.