Primary care

Community participation in primary care service delivelopment: a case study from the informal settlement Mathew Goniwe, Khayelitsha, Cape Town.

Published by: 
UCT Comm Health
Community Participation (CP) is the cornerstone of the Primary Health Care (PHC) approach and a central tenet of current government health policy. However, the successful imlpementation of community participation is bedevilled by differences in the understanding of what is meant by community participation and what motivates health services to seek CP.

The Birchwood National Consultative Health Forum Declaration on Primary Health Care

We, the members of the National Consultative Health Forum, representing government, public and private health sectors, statutory bodies, academic and research institutions, community organisations, civil society, non-governmental organisations and organised labour, in our meeting at Birchwood conference centre, Gauteng Province, held on 10-11 April 2008, on Primary Health Care to commemorate the 30th anniversary of the Alma Ata Declaration, hereby:

Use of Health Care Services Double

The use of health care services has almost doubled over the past eight years with 101 million visits to clinics in the 2006/07 financial year, says Health Minister Manto Tshabalala-Msimang.

National Primary Health Care Facilities Survey - Provincial

Series Name: 
Facilities Survey
Published by: 
Health Systems Trust
The purpose of the National Primary Health Care (PHC) Facilities Survey is to measure progress with regard to availability, accessibility, effectiveness, efficiency and quality of PHC service provision. Comparisons with previous national PHC facilities surveys (1998, 2000) allow conclusions to be drawn about trends and progress made over the past six years at national and provincial levels. This report is one of a series that was compiled from data collected for the national PHC Facilities Survey 2003. As with preceding surveys, this survey seeks to draw conclusions about equity in PHC service provision by means of quantitative description of the services and required resources in a sample of PHC facilities. It is intended that these periodic surveys of PHC facilities will help to promote the use of information in planning and management of services. The survey provides health managers with information that allows them to decide on priority interventions and assists them to appropriately target areas where intervention is most required.

The Quality and cost of primary health care in South Africa: a report to the health systems trust

Published by: 
Medical Research Council
This report is the result of two inextricably linked processes at the Centre for Health Policy. In 1992, the Centre produced a proposal for financing a National Health Insurance Fund. In the context of this work, it became clear that among other things, there was an insufficient understanding of the cost of primary health care (PHC). The Centre began to develop a research protocol that aimed at studying the cost of PHC in different delivery models such as public clinics, private general practitioners (GPs) and in health maintenance organisations (HMOs), and feasibility of an essential package of PHC services that could be available to all. When this project began, few costing studies of primary health care facilities had been undertaken in South Africa, the notable exceptions being a comprehensive costing of Diepkloof Community Health Clinic in Soweto (1991) and a costing analysis of Alexandra Health Centre (1992). The cost of providing primary care (PC) either through public or private sector facilities had not been well researched, and yet the kinds of decisions that were required about the delivery of health care depended to a great extent on what care was affordable.

Primary Health Care Training - A Pillar of our new health system

Series Name: 
HST Update
Published by: 
Health Systems Trust
The White Paper on the Transformation of the Health System in South Africa tabled by the Department of Health to Parliament in April this year reaffirms the Governments commitment to Primary Health Care (PHC) as a foundation for the new unified National Health System. Although Primary Health Care is generally accepted as the way to go to right some of the wrongs of the apartheid past, there are different views regarding implementation. Not least in this debate, is the training of PHC workers.