The health and health system of South Africa: historical roots of current public health challenges

@article{Coovadia2009TheHA,
  title={The health and health system of South Africa: historical roots of current public health challenges},
  author={Hoosen Mohamed Coovadia and Rachel Jewkes and Peter Barron and David Sanders and Diane Mcintyre},
  journal={The Lancet},
  year={2009},
  volume={374},
  pages={817-834}
}

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References

SHOWING 1-10 OF 135 REFERENCES

Mainstreaming HIV / AIDS progress and challenges in South Africa's HIV / AIDS campaign

TLDR
A number of areas requiring a mind shift including leadership; gender relations; health worker training and attitudes; and societal denial and stigmatisation are illustrated.

Issues in the political economy of health in Southern Africa.

TLDR
Although the South African state adopted as rhetoric many of the recommendations of the WHO Alma Ata conference on primary health care, the racial discrepancies in the incidence of the diseases of poverty and deprivation have if anything become starker.

Stewardship : protecting the public's health : oversight : principles and Policy

TLDR
An assessment of how well the Ministry of Health is doing on stewardship of the private health sector in South Africa concludes that stewardship is sub-optimal and that there is scope for improvement, given the huge levels of health inequity and disparities between the public and private sectors.

Key challenges to achieving health for all in an inequitable society: the case of South Africa.

TLDR
An approach to improving health for all that focuses on equity in the allocation of health resources is proposed, and the Cape Town Equity Gauge project is presented as one example of a response to the challenge of inequity.

'It makes me want to run away to Saudi Arabia': management and implementation challenges for public financing reforms from a maternity ward perspective.

TLDR
The study found that the Public Financing Management Act, that aimed to improve the efficiency and accountability of public finance management, had the unintended consequence of causing the quality of maternal health services to deteriorate in the hospital wards studied.

Private medicine and the privatisation of health care in South Africa.

  • C. Naylor
  • Political Science, Medicine
    Social science & medicine
  • 1988
...