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The guidelines outline equitable access to essential services for acute and chronic conditions, with referral pathways to higher levels of care. The update incorporates benefit-risk and feasibility reviews, includes algorithms for HIV management using dolutegravir, and provides COVID-19 guidance covering screening, referral, and home-based management, supported by national and partner programs.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/primary-healthcare-standard-treatment-guideline-and-essential-medicine-list-2020-edition/515739/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/primary-healthcare-standard-treatment-guideline-and-essential-medicine-list-2020-edition/515739.png","ImageObject",300,407,{"name":92,"@type":93},"Pentious","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-27","2026-10-06",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What are the STGs and EML intended to support at primary healthcare level?","Question",{"text":113,"@type":114},"They provide clear, evidence-based guidance to enable equitable access to essential healthcare services at primary level for preventing and treating a wide range of acute and chronic conditions, with appropriate referral to higher levels.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What updates are included in the 2020 Seventh Edition?",{"text":118,"@type":114},"The edition includes updates based on latest scientific evidence and practice guidance, incorporates algorithms for HIV management using dolutegravir, and adds guidance related to COVID-19 management.",{"name":120,"@type":111,"acceptedAnswer":121},"How does the document address rational medicine use and decision transparency?",{"text":122,"@type":114},"Recommendations are reviewed through transparent critical appraisal of global evidence using an evidence-to-decision framework, with NEMLC decisions published on the National Department of Health website.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},515739,1791461681,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":145,"read_time":146,"preview_page_count":4},1374404730887,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","Standard Treatment Guidelines and Essential Medicines List for South Africa  \nPrimary Healthcare Level  \n2020 Edition  \nElectronic copies are available on National Department of Health: [http://www.health.gov.za/](http://www.health.gov.za/); knowledge hub: [https://www.knowledgehub.org.za/e-library](https://www.knowledgehub.org.za/e-library) or Ideal Clinic websites: [https://www.idealhealthfaci](https://www.idealhealthfaci)[lity.org.za/](lity.org.za/)  \nMobile versions can be downloaded as “EML Clinical Guide” smartphone app from the relevant app stores.  \nPrint copies may be obtained from:  \nThe Directorate: Primary Healthcare  \nPrivate Bag X828  \nPretoria  \n0001  \nFirst printed 1996 Second edition 1998 Third edition 2003 Fourth edition 2008 Fifth edition 2014 Sixth edition 2018 Seventh edition 2020  \nISBN: 978-1-928539-25-4  \nNOTE:  \nThe information presented in these guidelines conforms to the current medical, nursing and pharmaceutical practice. Contributors and editors cannot be held responsible for errors, individual responses to medicines and other consequences.  \n© Copyright 2020, The National Department of Health.  \nAny part of this material may be reproduced, copied or adapted to meet local needs, without permission from the Committee or the Department of Health, provided that the parts reproduced are distributed free of charge or at no cost – not for profit.  \nSuggested citation:  \nThe National Department of Health, South Africa: Essential Drugs Programme. Primary Healthcare Standard Treatment Guideline and Essential Medicine List. 7th ed. South African National Department of Health; 2020.  \nPublished and funded by:  \nThe National Department of Health, Pretoria, Republic of South Africa.  \nSupported by the Better Health Programme, South Africa (BHPSA) . The United Kingdom’s Better Health Programme (BHP) is a global health system strengthening programme led by the United Kingdom Foreign, Commonwealth and Development Office (FCDO) and delivered in South Africa by Mott MacDonald.  \nFOREWORD  \nIt is my pleasure to bring to you the Seventh Edition of the Primary Healthcare (PHC) Standard Treatment Guidelines (STGs) and Essential Medicines List (EML) .  \nHealth for all is vital, and the movement towards universal health coverage is now one of the most prominent global health priorities. To achieve universal health coverage, emphasis is placed on the role of primary healthcare (PHC), integrated into the broader framework for delivering comprehensive care in a patient-centered, efficient and equitable way. Furthermore, there must be a focus on disease prevention and health promotion, supported by the use of appropriate technology and cost-effective use of available resources.  \nDuring the unprecedented times that the country is experiencing through the COVID-19 pandemic, access to safe, effective and affordable medicines has become more important than ever. The National Essential Medicines List Committee (NEMLC) together with its Expert Review Committees, and supported by the Essential Drugs Programme, has worked tirelessly to contribute to making sure that the highest standard of quality healthcare based on available resources is provided to all citizens. The seventh edition of the PHC Guidelines brings updates based on the latest scientific evidence and other new and updated practice guidelines, and includes guidance related to the management of COVID-19.  \nThe National STGs and EML, accessed by healthcare professionals in both the public and private health sectors South Africa and across the globe, are important tools to support the rational use of medicines. The evidence-based medicine recommendations included in the STGs and EML are reviewed through the transparent critical appraisal of global evidence, using a systematic evidence-to-decision framework. Transparency is maintained through the publication of all NEMLC decisions on the National Department of Health website.  \nAs the country continues to move towards Nati","cbCaiqVWiPlApbMq","https://ap.wps.com/l/cbCaiqVWiPlApbMq","pdf",5099136,626,"English","# Foreword\n## Goals for universal health coverage and primary healthcare\n## Medicine access during COVID-19\n# Introduction\n## Role of PHC and access at facility level\n## Scope of STGs and EML for acute and chronic conditions\n## Evidence-based updating and new clinical guidance","[{\"question\":\"What are the STGs and EML intended to support at primary healthcare level?\",\"answer\":\"They provide clear, evidence-based guidance to enable equitable access to essential healthcare services at primary level for preventing and treating a wide range of acute and chronic conditions, with appropriate referral to higher levels.\"},{\"question\":\"What updates are included in the 2020 Seventh Edition?\",\"answer\":\"The edition includes updates based on latest scientific evidence and practice guidance, incorporates algorithms for HIV management using dolutegravir, and adds guidance related to COVID-19 management.\"},{\"question\":\"How does the document address rational medicine use and decision transparency?\",\"answer\":\"Recommendations are reviewed through transparent critical appraisal of global evidence using an evidence-to-decision framework, with NEMLC decisions published on the National Department of Health website.\"}]","Primary Healthcare Standard Treatment Guideline and Essential Medicine List - 2020 Edition | PDF",1791321679,1578]