TB
South African Health Review 2008
The theme of this 13th edition of the Review, launched in December 2008, is Primary Health Care in South Africa: A review of 30 years since Alma Ata. The SAHR 2008 chapters focus on critical issues in Primary Health Care. The Review includes a national and international perspective of Primary Health Care, and focuses on areas such as policy and legislation, determinants of health, lifestyle, infectious diseases, mental health, maternal and child health, nutrition and environmental health. The SAHR reviews issues around human resources, finance, and information. It also looks at research on health systems, the role of the private and non-governmental organisations in Primary Health Care, and ends with the relevant health and related indicators chapter.
Full SAHR 2008 [pdf 10.5MB]
Foreword [pdf 833Kb]
Contents and Acknowledgements [pdf 460Kb]
Editorial [pdf 509Kb]
Primary Health Care: In Context
1 International Perspective on Primary Health Care Over the Past 30 Years [pdf 599Kb]
2 A Perspective on Primary Health Care in South Africa [pdf 570Kb]
3 Health Legislation and Policy [pdf 616Kb]
4 Determinants of Health and their Trends [pdf 311Kb]
Primary Health Care: Programme Areas
5 Chronic Non-Communicable Diseases [pdf 637Kb]
6 STIs, HIV and AIDS and TB: Progress and Challenges [pdf 624Kb]
7 Community Access to Mental Health Services: Lessons and Recommendations [pdf 541Kb]
8 Maternal, Newborn and Child Health: 30 Years On [pdf 595Kb]
9 Nutrition: A Primary Health Care Perspective [pdf 668Kb]
10 Developments in Environmental Health [pdf 1.32Mb]
Primary Health Care: Systems Support
11 Strengthening Human Resources for Primary Health Care [pdf 676Kb]
12 Primary Health Care Financing in the Public Sector [pdf 614Kb]
13 Information for Primary Health Care [pdf 629Kb]
14 A Review of Health Research in South Africa from 1994 to 2007 [pdf 600Kb]
15 The Role of Private and Other Non-Governmental Organisations in Primary Health Care [pdf 590Kb]
Indicators
16 Health and Related Indicators [pdf 5.88Mb]
Motsoaledi outlines integrated health school plan
Health Minister Aaron Motsoaledi has launched an integrated health school policy in partnership with the Departments of Basic Education and Social Development to deal head-on with health problems confronting school-going youth.
Motsoaledi said it was a constitutional imperative to provide health care to all children, even those out of the school system. “We want all vulnerable children to develop their full potential.”
He was speaking at the opening of the South African Conference on Orphans, Children and Youth made vulnerable by HIV and Aids, which included the launch of Child Protection Week and Pledge, held at Inkosi Albert Luthuli International Convention Centre in Durban.
African leaders pledge to intensify efforts towards ending AIDS, TB and Malaria
More than 12 African heads of state and other global leaders met today and reviewed progress toward implementing transformative reforms in the AIDS, Tuberculosis (TB) and malaria responses and pledged to accelerate the pace of change (increase annual domestic funding for health care, particularly AIDS, TB and malaria services). AIDS Watch Africa (AWA), an advocacy platform for African Heads of State on AIDS, TB and Malaria convened the meeting in Addis Ababa, Ethiopia on the side-lines of the African Union summit celebrating 50 years of African Unity.
Health: Minister's Budget Vote Speech
Honourable Speaker
My colleague the Deputy Minister of Health
MECs for Health present
The Chairperson and members of the Health Portfolio Committee
Honourable Members of Parliament
Invited Guests
Ladies and Gentlemen
Honourable Speaker, it is now well documented and generally understood that South Africa faces a quadruple burden of disease. Many other countries are faced only with a double burden.
These four are:
Monitoring and Evaluation Coordinator
Health Systems Trust is a dynamic, not-for-profit organisation that supports the development of an equitable and comprehensive health system for the provision of quality health care in South and Southern Africa.
PURPOSE:
Health Systems Trust wishes to appoint a full-time Monitoring and Evaluation Coordinator for the CDC District Support (SA SURE) Project to lead the design and implementation of a monitoring and evaluation system for the SA SURE Project. With the aim to strengthen local capacity in the provision of sustainable HIV and TB related care and treatment in five provinces (Eastern Cape, Free State, KwaZulu-Natal, Limpopo, Northern Cape. The post is a contract position linked to the duration of the project.
Clinical Mentors
Health Systems Trust is a dynamic, not-for-profit organisation that supports the development of an equitable and comprehensive health system for the provision of quality health care in South and Southern Africa.
Health Systems Trust wishes to appoint a Clinical Mentor to support the clinical services in the Frances Baard District in the Northern Cape supported by the South Africa Sustainable Response to HIV and AIDS (SA SURE) project. SA SURE aims to strengthen local capacity to provide sustainable HIV and TB-related care and treatment services. This is a contract position linked to the duration of the project.
KEY RESPONSIBILITIES:
Gold miners with work-related TB neglected for too long
TB is linked with a deadly silicosis epidemic hidden for decades in rural South Africa. Gold mining firms must make amends, says Jaine Roberts.
Across the rural Eastern Cape province in South Africa, up to half of men admitted to hospital withtuberculosis (TB) are former gold miners. This should not be surprising: the incidence of TB among miners is 2,000 cases per 100,000, four times the national incidence.
But researchers rarely ask about occupation when studying the distribution and determinants of illnesses such as TB — and the result here is a hidden epidemic of silicosis-related TB among former gold miners in South Africa.
TB testing in South Africa rolling out slowly
South Africa will expand its rollout of GeneXpert tuberculosis (TB) testing machines, which can diagnose TB and drug-resistant TB within 90 minutes, but concerns remain about the capacity to back up this commitment with supplies and treatment.
The country is the largest buyer of GeneXpert technology in the world, but the machines have not yet become point-of-care tests and are often deployed at district rather than clinic level. Nonetheless, they have shaved weeks off waiting times for patients because samples no longer have to be transported to and from national referral hospitals kilometres away for diagnosis.
Sadc has less than 1,000 days to meet millennium goal on TB and HIV
SOUTH Africa and the Southern African Development Community (Sadc) have less than 1,000 days to significantly reduce the impact of the tuberculosis (TB) and HIV co-epidemic in the region to meet the United Nations (UN) Millennium Development Goals (MDG) deadline in 2015.
Sadc health ministers and nongovernmental organisations (NGOs) will join a delegation in Mbabane, Swaziland, on Thursday to discuss the co-epidemic as well as its impact on labour in the region’s mining sector.
Organisations at a briefing in Johannesburg on Wednesday committed about $860m to fighting the TB epidemic in Sadc.
The Swaziland meeting will also look to put in motion recommendations in the Sadc declaration on TB in the mining sector, signed last year.
Further resistance to TB drugs identified in SA
EXCLUSIVE: Researchers have identified a new strain of tuberculosis in 17 patients in the Eastern Cape which is totally resistant to the all current drug regimens.



