Law

Community health workers in South Africa - Information for Provincial Policy Makers

Published by: 
Health Systems Trust
The Reconstruction and Development Programme (RDP) states that the PHC system must encourage the training, use and support of CHWs as cost-effective additional or alternative personnel. Supporters of this view are frustrated by the uneven development of CHW initiatives in different provinces and the fact that there is still no clear national policy direction on their role.

The Integration of Health Services

Series Name: 
HST Update
Published by: 
Health Systems Trust
The Department of Health adopted the district health system as the vehicle to render primary health care in 1995/6. This policy is reflected, inter alia, in the White Paper on the Transformation of the National Health System published in April 1997. In addition, the view that local government should govern health districts as capacity is developed at municipal level, was also expressed a few years ago and continues to be the policy of the Department. The link between local government and health districts is a logical one given the need for local accountability, the importance of community participation and the need to meet local health needs. These and other principles are listed in the district health system policy document published towards the end of 1995. In addition, the Constitution makes provision for municipalities to render various services, either as delegated or assigned functions or, as in the case of municipal health services, as core functions.