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]
HST strives to be highly responsive and relevant to policymakers and other key stakeholders. As part of HST’s commitment to prioritising early and widespread dissemination of its health systems and policy research findings, HST has launched the HST HSR Snapshot series. The February 2013 (Volume 1, Issue 1) is the first snapshot to be produced and details the findings of a study which forms part of a larger research project aimed at developing a toolkit to assist with assessing the managerial and public health competencies of facility and sub-district level health care workers.
Health Systems Trust (HST) wishes to appoint a Programme Manager to provide strategic direction and technical support to the unit. S/he will be responsible for initiating and implementing project activities. The candidate will manage, assure quality and provide technical leadership in the health systems research (HSR) unit in line with the organisation’s goal of contributing to building equitable, effective and efficient national health systems in South Africa and the region, through the development and maintenance of functional districts.The candidate will also contribute to other initiatives within the organisation such as proposal writing.
In concluding our 2011/2012 financial year, HST looks back on a very inspiring and successful twelve months. Inspiring because this was the year during which we celebrated 20 years of excellence in the area of health systems strengthening with exuberance and with continued service to our client communities. Successful because we added two large projects to our already impressive portfolio that allow us to further entrench our significant contribution to health systems strengthening in southern Africa.
Prevention and Control of Noncommunicable Diseases: Guidelines for primary health care in low resource settings
The primary goal of the guideline is to improve the quality of care and the outcome in people with type 2 diabetes in low-resource settings. It recommends a set of basic interventions to integrate management of diabetes into primary health care. It will serve as basis for development of simple algorithms for use by health care staff in primary care in low-resource settings, to reduce the risk of acute and chronic complications of diabetes. The guideline was developed by a group of external and WHO experts, following the WHO process of guideline development. GRADE methodology was used to assess the quality of evidence and decide the strength of the recommendations.
Health Systems Trust is a not-for-profit organisation supporting the development of an equitable and comprehensive health system for the provision of quality health care in South and southern Africa.
Health Systems Trust (HST) has a vacancy in the organisation for a passionate, motivated and committed individual to take up the position of Director: Health Systems Research. This senior management position is a one year contract position, renewable based on funding and performance.
The School of Public Health at the University of the Western Cape is a WHO Collaborating Centre, and has an international reputation as a leading research and teaching institution in Public Health. Its educational and research activities are wide-ranging, with a special focus on health systems research, primary health care, social determinants of health, priority conditions (including TB/HIV and chronic disease) and the implementation of district health systems. The School’s distance learning postgraduate programme, offered through a range of learning media, is unique in Southern Africa.
Effective monitoring of healthcare service delivery and overall performance of the health systems requires functional health information systems capable of producing real time information for decision making. Globally, Information and Communication Technology (ICT) has emerged as a critical enabling mechanism to achieve this. This eHealth Strategy for the public health sector in South Africa ushers in a new era of optimism about the capabilities of our health information systems.
Health systems strengthening has become a top priority of many global and national health agendas as a way to improve health outcomes. With the global health context becoming increasingly complex, national health systems are beginning to move away from a focus on disease-specific health responses to comprehensive strengthening of health systems. The global community agrees that without a systems approach, population health outcomes will not further improve and health related development goals such as the United Nation’s Millennium Development Goals (MDGs) for 2015 will not be met.