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- Volume 2001, Issue 1, 2001
South African Health Review - Volume 2001, Issue 1, 2001
Volume 2001, Issue 1, 2001
Author A. NtuliSource: South African Health Review 2001, pp vii –xi (2001)More Less
Extracted from text ... vii Preface Listening to 'Voices' "To work in the public sector is a wonderful experience, to help the community in the best way you can with the limited resources you have is a very rewarding experience. " The South African Health System has a cadre of dedicated individuals who are energetic and enthusiastic about their responsibilities and motivated by a commitment to the public sector and the desire to serve people. the 'voices' of parliamentarians and managers recorded in the pages of this Review bear testimony to their optimism and dedication, as well as ..
Author L. SaitSource: South African Health Review 2001, pp 1 –16 (2001)More Less
Extracted from text ... Lynette Sait Equity Gauge, Health Systems Trust Health Legislation Health legislation continued to be a highly contested terrain in 2001. While some progress was noted in advancing the policy goals of the Department in two areas - Medical Schemes legislation and the operation of the new National Health Laboratory Services, other areas were less successful. Strains in government thinking around the issue of drugs for HIV/AIDS continued to be evident, with legislative structures sending out mixed signals, and the government becoming embroiled in a court action with the Treatment Action Campaign over the ..
Source: South African Health Review 2001, pp 17 –48 (2001)More Less
Extracted from text ... Peter Barroni and Bennett Asiaii iInitiative for SubDistrict Support, Health Systems Trust iiChief Directorate: District Health Systems, Department of Health The District Health System The District Health System (DHS) is the vehicle through which the delivery of Primary Health Care will take place. As Primary Health Care is the foundation of the health system it is critical for the overall functioning of the system that there is a wellfunctioning DHS in place. During 2001 the concept of the District Health System (DHS) became more entrenched with a number of crucial milestones being reached: _ the formal ..
Source: South African Health Review 2001, pp 49 –68 (2001)More Less
Extracted from text ... Sandi Mbatsha and Di McIntyre Health Economics Unit Department of Public Health and Primary Health Care University of Cape Town Financing Local Government Health Services Given the stated commitment to decentralising district health services to local governments, it is becoming increasingly important to evaluate the current financing of local government health services and to evaluate whether this should be changed in future to ensure that decentralised services are adequately and appropriately funded. This chapter summarises the views of health department and treasury officials from national, provincial and local governments on these issues. the present system of subsidy ..
Source: South African Health Review 2001, pp 69 –82 (2001)More Less
Extracted from text ... Jane Goudge, i Jud Cornell, ii Di McIntyreiii and Sandi Mbatshaiii iCentre for Health Policy, University of Witwatersrand iiIndependent Consultant iiiHealth Economics Unit, Department of Public Health and Primary Health Care University of Cape Town Private Sector Financing Accurate quantification of the financial and physical resources within the health sector is crucial to inform policy design and monitoring during implementation. the recent National Health Accounts project documented the total health care financing and expenditure during the years 1996/97 - 1998/99. This chapter summarises the results of the private sector ..
Author J. MoormanSource: South African Health Review 2001, pp 83 –100 (2001)More Less
Extracted from text ... Julia Moorman Women's Health Project University of Witwatersrand PublicPrivate Partnerships This chapter draws on the experience of one provincial Department of Health in implementing publicprivate partnershipsa (PPPs) and the challenges experienced. One overriding challenge was the timing of a new and risky initiative in the light of competing priorities. Although PPPs were seen as a potential strategy to overcome service delivery problems of the Department, managers are faced with many challenges and are working in a transforming health service, the scale of which is unprecedented. These challenges relate to the ..
Source: South African Health Review 2001, pp 101 –116 (2001)More Less
Extracted from text ... Louisa Williamson and Norah Stoops HISP School of Public Health University of the Western Cape Using Information for Health This chapter considers a number of implementation issues in respect of the key interventions undertaken in the past two years as part of the national district health information systems strategy. Findings are based on the knowledge and experiences of stakeholders, service and programme managers and health providers involved in the national rollout of the District Health Information System (DHIS). the national rollout process has a twopronged approach: building capacity and developing infrastructure. The ..
Author D. FourieSource: South African Health Review 2001, pp 117 –136 (2001)More Less
Extracted from text ... David Fourie School of Public Management and Administration University of Pretoria Annual Reports and the Public Finance Management Act The Public Finance Management Act, 1999 (Act 1 of 1999), 1 provides accounting officers with flexibility and autonomy to manage government departments. However to ensure accountability, the accounting officer is expected to report on the activities of the Department in an Annual Report. National Treasury has developed guidelines for annual reports. 2-5 This chapter provides an overview of the Public Finance Management Act, 1999 (Act 1 of 1999) ..
Author P. WhelanSource: South African Health Review 2001, pp 137 –160 (2001)More Less
Extracted from text ... Paul Whelan Institute for Democracy in South Africa HIV / AIDS Financing There is a complex array of mechanisms through which resources destined for HIV/ AIDS flow to provincial health departments, the key site of delivery of a number of HIV/ AIDS prevention and care services. Much of this complexity has emerged in the last two years, as the national Department of Health (DoH) sought to establish alternative, perhaps more costeffective modes of prevention, care and treatment at provincial level. Provinces have recently also prioritised and sought to increase the status of HIV ..
Source: South African Health Review 2001, pp 161 –183 (2001)More Less
Extracted from text ... Chris Kenyon, i Mark Heywood, ii Shaun Conwayiii iHealth Systems Trust iiAIDS Law Project iiiInternational Association of Physicians in AIDS Care Mainstreaming HIV / AIDS Progress and challenges in South Africa's HIV/AIDS campaign Despite a comprehensive national HIV/AIDS/STD Strategic Plan for SA, HIV prevalence has continued to increase, indicating inadequate implementation of the plan. the human rights approach was explicitly endorsed as being one of the guiding principles of the plan. The targets for life skills education programmes are ambitious but achievable. Some provinces are already well ahead ..
Source: South African Health Review 2001, pp 187 –202 (2001)More Less
Extracted from text ... Precious Modiba, Lucy Gilson and Helen Schneider Centre for Health Policy University of Witwatersrand Voices of Service Users This chapter presents data from indepth interviews conducted with 13 people who are HIV positive in Gauteng Province and compared with data obtained from focus groups of public health sector users in other parts of the country. the interviews with HIV positive users sought to establish pathways of health service utilisation and the factors influencing these. the first entry point into the health system of people living with HIV is the hospital, and in Gauteng ..
Source: South African Health Review 2001, pp 207 –220 (2001)More Less
Extracted from text ... Natalie Leon, Florence Bhunu and Chris Kenyon Health Systems Trust Voices of Facility Managers Introduction The experiences of facility managers illuminate some of the enabling factors as well as the obstacles for a range of managers across the country. They also illustrate the frustrations experienced by managers and how they are coping with these. Perhaps the most striking of the findings is that some facility managers, despite the obstacles, managed to change their facility from a place that felt like a 'Robben Island outcast colony', to a place that is productive and ..
Source: South African Health Review 2001, pp 221 –230 (2001)More Less
Extracted from text ... Kathryn Strachan, i Sarah Davidsii and Wendy Hallii iFreelance Journalist iiHealth Systems Trust Voices of Hospital Superintendents/Managers Introduction Hospital Superintendents are among those health professionals at the forefront of the transformation and delivery of health services. 1 Hospitals have always been, and will remain central to the health care system and adequate health care cannot be provided without them. This chapter is based on interviews with 15 Hospital Managers from 8 provinces. the managers were purposefully chosen for convenience of access and availability. There is an approximate 50-50 split ..
Source: South African Health Review 2001, pp 231 –244 (2001)More Less
Extracted from text ... Thulani Masilela, Puleng Molefakgotla and Ronel Visser Health Systems Trust Voices of District Managers Introduction Very little has been written about the experiences of the 'lead actors' in the task of turning the District Health System (DHS) into reality, namely the district managers (DMs). In this chapter, the working life of the DMs is investigated, and the pleasures, difficulties, challenges and frustrations of their work are explored. the information was gathered through facetoface interviews with DMs in eight of the nine provinces. The major themes running through the interviews relate to ..
Source: South African Health Review 2001, pp 245 –260 (2001)More Less
Extracted from text ... Voices of National and Provincial Managers Introduction This chapter accompanies the other 'voices' chapters in this Review. It focuses on midlevel managers in Departments of Health at provincial and national level, sixteen of whom were interviewed in depth about their daytoday joys and frustrations in managing and transforming the South African health system. These interviews provide some insight into the challenges and barriers to effective health policy implementation. The selection of managers for interview happened in two stages. the heads of department of all nine provinces and the national Department ..
Source: South African Health Review 2001, pp 261 –272 (2001)More Less
Extracted from text ... Alfred Mafuleka and Solani Khosa Health Systems Trust Voices of Parliamentarians Introduction Central to the new democratic South Africa are policy makers who have responsibility for facilitating a legislative environment conducive to bring about the needed change within our health system. Interviews were carried out with twelve legislators from both provincial and national parliaments. Legislators interviewed were from the Portfolio Committee on Health of the National Assembly, the Select Committees on Social Services and Finance of the National Council of Provinces (NCOP) and Provincial Health Standing Committees. This chapter reflects the voices of these ..
Author Y. PillaySource: South African Health Review 2001, pp 273 –282 (2001)More Less
Source: South African Health Review 2001, pp 283 –340 (2001)More Less
Extracted from text ... Candy Dayi and Andy Grayii iHealth Systems Trust iiDept of Experimental and Clinical Pharmacology University of Natal Health and Related Indicators Introduction The objective of this section of the Health Review is to present the best available data on a wide range of health and related indicators. Where possible data from multiple years are presented. However, caution should be used when attempting comparisons across time and especially between different sources. Not all sources are comparable. However, particular attention has been paid to detailed listings of the definitions ..
Source: South African Health Review 2001, pp 341 –344 (2001)More Less
Extracted from text ... Glossary AIDS Acquired Immune Deficiency Syndrome ANC African National Congress www. anc. org. za or Antenatal Care ARV Antiretroviral ASSA Actuarial Society of South Africa www. assa. org. za BCG Bacille Calmette Geurin (TB vaccine) BMI Body Mass Index CASE Community Agency for Social Enquiry www. case. org. za CBDC Cross Border District Council CBDMA Cross Border District Managed Area CBLC Cross Border Local Council CBO Community Based Organisation CEDAW Convention on the Elimination of Discrimination Against Women www. ..
Source: South African Health Review 2001, pp 345 –348 (2001)More Less
Extracted from text ... Index A Abortion (see Termination of Pregnancy) Acts (see also Bills, Legislation) Constitution of the Republic of South Africa Act No. 108 of 1996 . 10, 12, 50, 118-120, 264 Free State Provincial Health Act, No. 8 of 1999 . 24 Medical Schemes Act No. 131 of 1998 3, 5 Medical Schemes Act of 1973 6 Medicines and Related Substances Control Amendment Act No. 90 of 19971, 7 Municipal Structures Act No. 117 of 199821 Municipal Systems Act No. ..