scholarly journals Embedding quality at the core of universal health coverage in South Africa

2018 ◽  
Vol 6 (11) ◽  
pp. e1153-e1154 ◽  
Author(s):  
Malebona Precious Matsoso ◽  
Jeanette Rebecca Hunter ◽  
Vishal Brijlal
Author(s):  
Francis Omaswa ◽  
Nigel Crisp

Chapter 16 addresses the way in which universal health coverage has become one of the most important concepts in global health. It sets the scene for the following chapters in which leaders discuss the implementation of universal health coverage in Rwanda, South Africa, and Ghana.


Author(s):  
Joseph Harris

This chapter summarizes the overall argument and points to the influential role that elites from esteemed professions played in the institutionalization of policy in the three cases. While in all cases democratization provided new opportunities for professional movements in medicine to use the organizational vehicle of the state to advance universal health coverage and the power of the law to deepen commitments to essential medicine, The chapters relate how the differences in outcomes between Thailand and Brazil, on one hand, and South Africa, on the other, hinged on dramatically different political dynamics. I consider the contemporary state of professional movements and health reforms in the three countries; why health has remained a minor concern to mass movements; the durability of professional movements; the influence of professional movements in other policy domains and cases; and their relevance to the United States and other countries in the industrializing world.


2016 ◽  
Vol 106 (6) ◽  
pp. 533 ◽  
Author(s):  
Mark Blecher ◽  
Anban Pillay ◽  
Walaiporn Patcharanarumol ◽  
Warisa Panichkriangkrai ◽  
Viroj Tangcharoensathien ◽  
...  

2020 ◽  
Vol 1 ◽  
pp. 100012 ◽  
Author(s):  
Elisabeth Paul ◽  
Youssoupha Ndiaye ◽  
Farba L. Sall ◽  
Fabienne Fecher ◽  
Denis Porignon

BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e049988
Author(s):  
Sjan-Mari van Niekerk ◽  
Sureshkumar Kamalakannan ◽  
Gakeemah Inglis-Jassiem ◽  
Maria Yvonne Charumbira ◽  
Silke Fernandes ◽  
...  

ObjectivesTo explore the opportunities and challenges within the health system to facilitate the achievement of universal health coverage (UHC) for people with stroke (PWS) in South Africa (SA).SettingSA.DesignScoping review.Search methodsWe conducted a scoping review of opportunities and challenges to achieve UHC for PWS in SA. Global and Africa-specific databases and grey literature were searched in July 2020. We included studies of all designs that described the healthcare system for PWS. Two frameworks, the Health Systems Dynamics Framework and WHO Framework, were used to map data on governance and regulation, resources, service delivery, context, reorientation of care and community engagement. A narrative approach was used to synthesise results.ResultsFifty-nine articles were included in the review. Over half (n=31, 52.5%) were conducted in Western Cape province and most (n=41, 69.4%) were conducted in urban areas. Studies evaluated a diverse range of health system categories and various outcomes. The most common reported component was service delivery (n=46, 77.9%), and only four studies (6.7%) evaluated governance and regulation. Service delivery factors for stroke care were frequently reported as poor and compounded by context-related limiting factors. Governance and regulations for stroke care in terms of government support, investment in policy, treatment guidelines, resource distribution and commitment to evidence-based solutions were limited. Promising supporting factors included adequately equipped and staffed urban tertiary facilities, the emergence of Stroke units, prompt assessment by health professionals, positive staff attitudes and care, two clinical care guidelines and educational and information resources being available.ConclusionThis review fills a gap in the literature by providing the range of opportunities and challenges to achieve health for all PWS in SA. It highlights some health system areas that show encouraging trends to improve service delivery including comprehensiveness, quality and perceptions of care.


2018 ◽  
Vol 3 (Suppl 2) ◽  
pp. e000626 ◽  
Author(s):  
Garrett Livingston Mehl ◽  
Tigest Tamrat ◽  
Sanjana Bhardwaj ◽  
Sean Blaschke ◽  
Alain Labrique

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