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.
Action on the social determinants of health (SDH) is relevant for reducing health inequalities. This is particularly the case for South Africa (SA) with its very high level of income inequality and inequalities in health and health outcomes. This paper provides evidence on the key SDH for reducing health inequalities in the country using a framework initially developed by the World Health Organization.
This Annual Health Statistics publication is produced by Health Systems Trust for the South African National Department of Health (NDoH) and provides information on various indicators. It also provides trends covering population demography, morbidity and mortality patterns, resources invested (financial and human) in the public health sector and progress on service delivery.
Conceptual frameworks in a public health context shall in the best of worlds serve two equally important purposes: guide empirical work to enhance our understanding of determinants and mechanisms and guide policy-making to illuminate entry points for interventions and policies. Effects of social determinants on population health and on health inequalities are characterized by working through long causal chains of mediating factors. Many of these factors tend to cluster among individuals living in underprivileged conditions and to interact with each other. Epidemiology and biostatistics are therefore facing several new challenges of how to estimate these mechanisms.
This report examines the case for greater involvement by public health agencies in cash transfer schemes, a form of welfare assistance. It seeks to identify opportunities, obstacles and actions that might support greater involvement.
The issue arises because cash transfer schemes are an increasingly common form of welfare assistance across the world. Health gain is an explicit objective of such schemes, yet the public health community to date have largely been passive observers rather than active participants.
Health in All Policies (HiAP) is an approach to policies that systematically takes into account the health and health-system implications of decisions, seeks synergies, and avoids harmful health impacts to improve population health and health equity. It is founded on health-related rights and obligations and has great potential to improve population health and equity.
However, incorporating health into policies across sectors is often challenging and even when decisions are made, implementation may only be partial or unsustainable.
Causes of Deaths in Children under-Five Years Old at a Tertiary Hospital in Limpopo Province of South Africa
Accurate and timely information on the causes of child deaths is essential in guiding efforts to improve child survival, by providing data from which health profiles can be constructed and relevant health policies formulated. The purpose of this study was to identify causes of death in children younger than 5 years-old in a tertiary hospital in South Africa.
This statistical release presents information on mortality and causes of death in South Africa for deaths that occurred in 2010. It also provides information on death occurrences from 1997 to 2009 to show trends in mortality and causes of death. It is based on data collected through the South African civil registration system that is maintained by the Department of Home Affairs. The information on causes of death provided is as recorded on death notification forms completed by medical practitioners and other certifying officials.
The UN Platform on Social Determinants of Health is an informal mechanism to provide coordinated support to Member States with implementation of the Rio Political Declaration on Social Determinants of Health. The Platform also advocate s placing the social determinants of health highly on the global development agenda, and fostering coherent action on the social determinants of health. Currently, the platform involves staff from ILO, UNDP, UNFPA, UNICEF, WHO and UNAIDS.