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.
- Health Systems Research
- Health Systems Strengthening
- Corporate Services
Community Based Monitoring to Increase Access of Adolescents to Primary Health Care Services: A Soul City Case Study
Public Expenditure Tracking Survey and Quantitative Service Delivery Survey (PETS-QSDS) in Health: Gauteng Province
The World Health Organization developed the Handbook on health inequality monitoring: with a special focus on low- and middle-income countries to provide an overview for health inequality monitoring within low- and middle-income countries, and act as a resource for those involved in spearheading, improving or sustaining monitoring systems. The handbook was principally designed to be used by technical staff of ministries of health to build capacity for health inequality monitoring in World Health Organization Member States; however, it may also be of interest to public health professionals, researchers, students and others. We assume that the users of this handbook have basic statistical knowledge and some familiarity with monitoringrelated issues.
A Universal Truth: No Health Without a Workforce - Third Global Forum on Human Resources for Health Report
This report is intended to inform proceedings at the Third Global Forum on Human Resources for Health and to inform a global audience and trigger momentum for action. It aims to consolidate what is known on human resources for health and how to attain, sustain and accelerate progress on universal health coverage.
South Africa has a huge burden of disease, fuelled by a range of risk factors, and morbidity (illness and disease) and mortality (death) figures are high.This is shown by the results of the first South African National Health and Nutrition Examination Survey (SANHANES), a comprehensive health and nutrition study that yielded critical information on emerging epidemics of non-communicable diseases. The study also analysed the underlying social, economic, behavioural and environmental factors that drives these diseases in the South African population.
A concept paper: Using the outcomes of common surgical conditions as quality metrics to benchmark district surgical services in South Africa as part of a systematic quality improvement programme
The fourth, fifth and sixth Millennium Development Goals relate directly to improving global healthcare and health outcomes. The focus is to improve global health outcomes by reducing maternal and childhood mortality and the burden of infectious diseases such as HIV/AIDS, tuberculosis and malaria. Specific targets and timeframes have been set for these diseases. There is, however, no specific mention of surgically treated diseases in these goals, reflecting a bias that is slowly changing with emerging consensus that surgical care is an integral part of primary healthcare systems in the developing world. The disparities between the developed and developing world in terms of wealth and social indicators are reflected in disparities in access to surgical care.
This report draws on a comprehensive review of the literature and on input from policy makers, research - ers, and practitioners to address four questions: (1) How is the growing burden of non-communica - ble diseases (NCDs) and road traffic injuries (RTIs) changing the epidemiology of Sub-Saharan Africa? (2) What determines and drives this burden, and what are the commonalities with communicable dis - eases? (3) What is the rationale for public interven - tion? (4) How could resource-constrained govern - ments approach NCD prevention and treatment and road safety in a comprehensive, effective and efficient way?