n African Renaissance - Community Oriented Primary Care and transformation of Africa's healthcare system : issues, challenges and opportunities

Volume 3, Issue 4
  • ISSN : 1744-2532
  • E-ISSN: 2516-5305


Community Oriented Primary Care originated from the rural areas of South Africa in the early 1940s (1, 2, 3). In Phoela, South Africa, a husband and wife team, Sydney and Emily Kark began operating an integrated clinical medicine and public health practice for a defined rural population. This integrated clinical and public health approach focused on getting to know the residents of Phoela and its environs, family members and other dependants, whether they had complaints of illness or not. By taking time to get to know their clients and family members in the clinic and within family settings, Sydney and Emily Kark began the process of involving the community in their own health care. The Phoela community-based integrated clinical and public health approach eventually evolved into community health centers in the country.

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