Primary Health Care
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]
Research Snapshot: Public health and management competency requirements for Primary Health Care facility managers at sub-district level in the District Health System in South Africa
Standard Treatment Guidelines and Essential Medicines List for South Africa Primary Health Care - 2008 Edition
It is our pleasure to introduce the fourth edition of the Standard Treatment Guidelines and Essential Medicines List for Primary Health Care. In keeping with the goals of the National Drug Policy, the review was done to keep pace with the advances in the fi eld of medicine. Changes in this edition are a refl ection of current epidemiology norms and recent developments in medicine.
The challenges facing the health sector are numerous but not insurmountable. The effective and effi cient use of medicines will go a long way towards meeting these challenges.
Our goal of evidence based medicine selection has been strengthened in this edition. Affordability, without compromising quality, has been taken into account.
Has the process of developing human resource's been geared towards making Primary Health Care a priority?" This is a question to which the previous edition of HST Update drew attention. We continue the debate by focusing on a cadre of health workers operating at the community level of health care.
Health system strengthening is a key objective in both the Negotiated Service Delivery Agreement and the Re-engineered Primary Health Care approach. Effective utilisation of routine data is crucial for improving the effectiveness of service delivery as well as for improvement of health information systems. There remains considerable scope for improved utilisation of routine data for quality improvement.
The SAHR 2011 provides valuable policy and empirical information on a range of issues that are related to and impact on the Negotiated Service Delivery Agreement and primary health care re-engineering as envisaged by the National Department of Health (NDoH). A range of experts provide commentary on topics ranging from rural health, health technology to human resources. SAHR 2011 also contains a section on core health issues, where developments in health information systems, financing health care, and health legislation and policy are discussed. The Review concludes with the Indicators chapter which presents a selection of the best available data on the functioning and performance of the health system.
Workforce planning for the health service is challenging and complex. Nonetheless, workforce planning is an important process. The health, policy, legislative and economic context influence the task of visualising and implementing improvements in the health workforce. The policy context provides the framework for the development of the HRH Strategy. The Minister of Health, in his Budget Speech in May 2011, announced the re-engineering of the Primary Health Care system and the overhaul of the health system.
Implementing the three main streams for re-engineering Primary Health Care is the short-term priority. These streams are: District Clinical Specialist teams, a School Health Programme and Community Outreach PHC Teams.
The Problem Statement
International experience has shown that CHWs can make a valuable contribution to improving basic health status in poor communities. However, the nature of their role in South Africa's Primary Health Care (PHC) system has yet to be defined. The development of CHW programmes will be facilitated by the move towards a district-based health system (DHS). However, the message from other countries is that there must be clarity on the status and role of these front-line health workers for them to achieve their full potential.