scholarly journals Primary health services at district level in South Africa: a critique of the primary health care approach

2012 ◽  
Vol 13 (1) ◽  
Author(s):  
Sunitha Dookie ◽  
Shenuka Singh
Author(s):  
Johannes Ntshilagane Mampane

The chapter explores and describes community participation in the National Development Plan through Primary Health Care by using case studies of LGBT organizations in South Africa. Post-Apartheid and democratic South Africa has endorsed community participation as one of the fundamental pillars of the public Primary Health Care approach in its governance structures. This chapter focuses on the current major health issue in South Africa, the HIV epidemic, which is one of the leading causes of death in the country. Particular attention is paid to members of the LGBT community because of their discrimination in public healthcare facilities on grounds of their sexual orientation. The chapter relies on secondary sources of data collection from extant literature, textbooks, journal articles, and internet sources. Challenges to address LGBT community discrimination in HIV testing, prevention, treatment, care, and support were identified and solutions to uphold their human rights were proffered. These solutions are based on the principles of social justice, inclusion, diversity, and equality.


2022 ◽  
pp. 657-671
Author(s):  
Johannes Ntshilagane Mampane

The chapter explores and describes community participation in the National Development Plan through Primary Health Care by using case studies of LGBT organizations in South Africa. Post-Apartheid and democratic South Africa has endorsed community participation as one of the fundamental pillars of the public Primary Health Care approach in its governance structures. This chapter focuses on the current major health issue in South Africa, the HIV epidemic, which is one of the leading causes of death in the country. Particular attention is paid to members of the LGBT community because of their discrimination in public healthcare facilities on grounds of their sexual orientation. The chapter relies on secondary sources of data collection from extant literature, textbooks, journal articles, and internet sources. Challenges to address LGBT community discrimination in HIV testing, prevention, treatment, care, and support were identified and solutions to uphold their human rights were proffered. These solutions are based on the principles of social justice, inclusion, diversity, and equality.


Curationis ◽  
2000 ◽  
Vol 23 (1) ◽  
Author(s):  
SM Mogotlane ◽  
L Uys

When one explores the health problems of developing countries such as South Africa, the importance of primary health care becomes clear. The multiplicity of the health problems coupled with the lack of resources makes it imperative for government within the primary health care approach to call upon communities to participate in the solution thereof and community participation and development inherent in primary health care become the key objectives to realize and sustain a healthy living. However, without structures and processes to involve the community in their own health, the ideal of health for all embodied in the concept of primary health care will not be realized. One strategy for such participation is for primary health care workers to facilitate the organization of women into development-focused groups in the community.


1988 ◽  
Vol 18 (2) ◽  
pp. 293-299 ◽  
Author(s):  
Debabar Banerji

Short-term, technocentric approaches to health care–“selective primary health care”–in Third World countries, as advocated by UNICEF and other international agencies, threaten to reverse the historic gains made at the Alma-Ata Conference in 1978. The primary health care strategy presented in the Alma-Ata Declaration was the culmination of the struggle for democratization of health services in the Third World. In this article, the author discusses the effects of the selective primary health care approach, as exemplified by the Universal Child Immunization Program, on general health services and its fundamental contradictions with the primary health care approach, and presents the manifesto drawn up at the Meeting on Selective Primary Health Care held in Antwerp in 1985.


Curationis ◽  
1978 ◽  
Vol 1 (3) ◽  
Author(s):  
J.V. Larsen

It has recently been demonstrated that about 56 percent of patients delivering in a rural obstetric unit had significant risk factors, and that 85 percent of these could have been detected by meticulous antenatal screening before the onset of labour. These figures show that the average rural obstetric unit in South Africa is dealing with a large percentage of high risk patients. In this work, it is hampered by: 1. Communications problems: i.e. bad roads, long distances. and unpredictable telephones. 2. A serious shortage of medical staff resulting in primary obstetric care being delivered by midwives with minimal medical supervision.


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