Schneider, HelenLehmann, Uta2012-11-012012-11-012010Schneider, H. & Lehmann, U. (2010). Lay health workers and HIV programmes: Implications for health systems. AIDS Care, 22: 1, 60 — 670954-01211360-0451http://hdl.handle.net/10566/458One of the consequences of massive investment in antiretroviral access and other AIDS programmes has been the rapid emergence of large numbers of lay workers in the health systems of developing countries. In South Africa, government estimates are 65,000, mostly HIV/TB care-related lay workers contribute their labour in the public health sector, outnumbering the main front-line primary health care providers and professional nurses. The phenomenon has grown organically and incrementally, playing a wide variety of care-giving, support and advocacy roles. Using South Africa as a case, this paper discusses the different forms, traditions and contradictory orientations taken by lay health work and the system-wide effects of a large lay worker presence. As pressures to regularise and formalise the status of lay health workers grow, important questions are raised as to their place in health systems, and more broadly what they represent as a new intermediary layer between state and citizen. It argues for a research agenda that seeks to better characterise types of lay involvement in the health system, particularly in an era of antiretroviral therapy, and which takes a wider perspective on the meanings of this recent re-emergence of an old concept in health systems heavily affected by HIV/AIDS.enThis is the author final version of an article published by Routledge. This file may be freely used provided that the source is acknowledged. No commercial distribution of this text is permittedLay health workersHome-based careHIVHealth systemsArticle