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]
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]
16 Health and Related Indicators [pdf 5.88Mb]
Timely linkage to care and treatment by HIV-positive individuals can lead to significant decreases in morbidity and mortality as well as increases in life expectancy and quality of life. Further, there are significant prevention benefits as early initiation on antiretroviral treatment (ART) can significantly reduce HIV transmission to uninfected partners. Modeling exercises also suggest that universal HIV testing coupled with immediate treatment could decrease HIV incidence and virtually eliminate the HIV/AIDS pandemic. To achieve this, the rate of linkage to care must be 100%. This underscores the importance of understanding and addressing barriers to linkage.
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.
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.
2011-2012 Education Sector HIV and AIDS: Global Progress Survey- Progression, Regression or Stagnation?
A new survey provides a comprehensive snapshot of how countries’ education sectors are responding to HIV and AIDS, assesses progress since the last survey in 2004, and points out the policy implications of the current situation. Called the 2011-2012 Education Sector HIV and AIDS Global Progress Survey Progression, Regression or Stagnation?, it was commissioned by the UNAIDS Inter-Agency Task Team on Education convened by UNESCO.
Stopping the loss of millions of young lives from pneumonia and diarrhoea is a goal within our grasp. The integrated Global Action Plan for the Prevention and Control of Pneumonia and Diarrhoea (GAPPD) proposes a cohesive approach to ending preventable pneumonia and diarrhoea deaths. It brings together critical services and interventions to create healthy environments, promotes practices known to protect children from disease and ensures that every child has access to proven and appropriate preventive and treatment measures.
The goal is ambitious but achievable: to end preventable childhood deaths due to pneumonia and diarrhoea by 2025.
NIMART rollout to primary healthcare facilities increases access to antiretrovirals in Johannesburg: An interrupted time series analysis
Introduction. South Africa has made remarkable progress in rolling out antiretroviral therapy (ART), with the largest number of people (more than 1.4 million) enrolled on antiretrovirals in the world. Decentralisation of services to primary health centres (PHCs) has strengthened retention of patients on ART and reduced the burden of managing uncomplicated cases at referral hospitals.
Almost two decades after the end of apartheid, inequality still shapes every facet of life in South Africa. A child in the poorest 20% of households is 17 times more likely to experience hunger than a child in the richest 20% of households (South African Human Rights Commission, UNICEF, 2011). In 2010, 35% of all children lived below the ultra-poverty line (R290 per month1); this rises to 60% of all children who lived below the lower poverty line (R575 per month) (Hall, 2012). South Africa is also home to the highest number of people living with HIV/AIDS—over 5.6 million (UNAIDS, 2012). The HIV/AIDS crisis has weakened family structures and accelerated the demand for social services.
The Africa Environment Outlook (AEO) is a tool of the African Ministerial Conference on the Environment (AMCEN) for monitoring environmental management in Africa. It provides a framework for reporting at the national and subregional levels and seeks to enable AMCEN member countries to institute environmental management policies and programmes for the sustainable future of the continent. The AMCEN Secretariat partners with the United Nations Environment Programme (UNEP), through its Regional Office for Africa (ROA) and the Division of Early Warning and Assessment (DEWA), in producing periodic series of the report