scholarly journals Ethnic Disparities in Access to Care in Post-Apartheid South Africa

2008 ◽  
Vol 98 (12) ◽  
pp. 2272-2277 ◽  
Author(s):  
Zeida R. Kon ◽  
Nuha Lackan
Keyword(s):  
South Africa ◽  
Access To Care ◽  
Ethnic Disparities

Reducing Racial and Ethnic Disparities in Access to Care: Has the Affordable Care Act Made a Difference?

2017 ◽  
Author(s):  
Douglas McCarthy McCarthy ◽  
David C. Radley Radley ◽  
Pamela Riley Riley ◽  
Susan L. Hayes Hayes
Keyword(s):  
Access To Care ◽  
Affordable Care Act ◽  
Ethnic Disparities ◽  
Racial And Ethnic Disparities ◽  
The Affordable Care Act

South Africa’s hybrid care regime: The changing and contested roles of individuals, families and the state after apartheid

2018 ◽  
Vol 66 (4) ◽  
pp. 602-616 ◽  
Author(s):  
Kirsty Button ◽  
Elena Moore ◽  
Jeremy Seekings
Keyword(s):  
South Africa ◽  
Access To Care ◽  
The State ◽  
Ordinary People ◽  
Social Democratic ◽  
Patriarchal Ideology ◽  
Family Balancing ◽  
The Family ◽  
Widespread Belief ◽  
Women And Children

The post-apartheid state in South Africa inherited a care regime that historically combined liberal, social democratic and conservative features. The post-apartheid state has sought to deracialise the care regime, through extending to the African majority the privileges that hitherto had been largely confined to the white minority, and to transform it, to render it more appropriate to the needs and norms of the African majority. Deracialisation proved insufficient and transformation too limited to address inequalities in access to care. Reform also generated tensions, including between a predominant ideology that accords women and children rights as autonomous individuals, the widespread belief in kinship obligations and an enduring if less widespread conservative, patriarchal ideology. Ordinary people must navigate between the market (if they can afford it), the state and the family, balancing opportunities for independence with the claims made on and by kin. The care regime thus remains a contested hybrid.

scholarly journals An analysis of the services provided by Community Health Workers within an urban district in South Africa: a key contribution towards universal access to care.

2021 ◽  
Author(s):  
Leena Susan Thomas ◽  
Eric Buch ◽  
Yogan Pillay
Keyword(s):  
South Africa ◽  
Access To Care ◽  
Community Health ◽  
Health Worker ◽  
Social Services ◽  
Community Health Workers ◽  
Community Health Worker ◽  
Health Workers ◽  
Urban Setting ◽  
Early Screening

Abstract Introduction: Community health worker teams are potential game-changers in ensuring access to care in vulnerable communities. Who are they? What do they actually do? Can they help South Africa realize universal health coverage? As the proactive arm of the health services, community health workers teams provide household and community education, early screening, tracing and referrals for a range of health and social services. There is little local or global evidence on the household services provided by such teams, beyond specific disease-oriented activities such as for HIV and TB. This paper seeks to address this gap.Methods: Descriptive secondary data analysis of community health worker team activities in the Ekurhuleni health district, South Africa covering approximately 280 000 households with one million people. Results: Study findings illustrated that community health workers in these teams provided early screening and referrals for pregnant women and children under five. They distributed condoms and chronic medication to homes. They screened and referred for hypertension, diabetes mellitus, HIV and TB. The teams also undertook defaulter and contact tracing, the majority of which was for HIV & TB clients. Psychosocial support provided was in the form of access to social grants, access to child and gender-based violence protection services, food parcels and other services.Conclusion: Community Health Workers form the core of these teams and perform several health and psychosocial services in households and poor communities in South Africa, in addition to general health education. The teams studied provided a range of activities across many health conditions (mother & child related, HIV & TB, non-communicable diseases), as well as social services. These teams provided comprehensive care in a large-scale urban setting and can improve access to care.

The Impact of Perceptions of Tribalism and Ethnicity on Public Administration in South Africa: A Case Study of the Vuwani in the Vhembe District

Politeia ◽  
2021 ◽  
Vol 39 (2) ◽  
Author(s):  
Mavhungu Elias Musitha ◽  
Mavhungu Abel Mafukata
Keyword(s):  
South Africa ◽  
Public Administration ◽  
Ethnic Disparities ◽  
Primary Data ◽  
National Unity ◽  
Policy Makers ◽  
Local Municipality ◽  
Vhembe District ◽  
The Impact

This study investigated the impact of perceptions of ethnicity and tribalism on public administration in South Africa with reference to the protests of Vuwani communities in 2016 against their area being re-demarcated to fall under the LIM 345 municipality (later named the Collins Chabane Local Municipality) dominated by Xitsonga speakers. The study adopted qualitative and exploration designs and used a literature review and key informant interviews in order to obtain secondary and primary data respectively. This study revealed that Vuwani communities feared domination by the Xitsonga-speaking majority in the proposed new municipality. The council of the proposed new municipality consisted of 72 councillors, 74 per cent of which were Xitsonga-speaking councillors and a mere 26 per cent were Tshivenda-speaking councillors. It also found that perceptions of ethnicity and tribalism in Vuwani had rendered public administration ineffective, thus bringing service delivery to a halt for several months. The study recommended that policy-makers should abolish majority representation based solely on regionalism and should seek to forge national unity. It concluded that the establishment of public institutions based on ethnic homogeneity had the potential of bringing about peace and stability in areas characterised by ethnic disparities.

scholarly journals An Analysis of the Services Provided by Municipal Ward Based Primary Health Care Outreach Teams in an Urban District in South Africa: A Key Contribution Towards Universal Access to Care.

2020 ◽  
Author(s):  
Leena Susan Thomas ◽  
Eric Buch ◽  
Yogan Pillay
Keyword(s):  
South Africa ◽  
Access To Care ◽  
Social Services ◽  
Large Scale ◽  
Health Workers ◽  
Universal Access ◽  
Urban Setting ◽  
Contact Tracing ◽  
Potential Game ◽  
Urban District

Abstract Introduction: Municipal Ward based PHC Outreach Teams are potential game-changers in ensuring access to care in vulnerable communities. Who are they? What do they actually do? Can they help South Africa realize universal health coverage?Methods:Descriptive secondary data analysis of team activities in the Ekurhuleni health district, South Africa covering approximately 280 000 households with one million people. This was part of a larger study exploring the effectiveness of these teams.Results:Study findings illustrated that CHWs in these teams provided early screening and referrals for pregnant women and malnourished children. They distributed condoms and chronic medication to homes. They screened and referred for hypertension, diabetes mellitus, HIV and TB. The teams also undertook defaulter and contact tracing, the majority of which was for HIV & TB clients. Psychosocial support provided was in the form of access to social grants, access to child and gender based violence protection services, food parcels and other services.Conclusion:Community Health Workers form the core of these teams and perform several health and psychosocial services in households and to poor communities in South Africa, in addition to general health education. The teams studied provided a range of activities across many health conditions (mother & child related, HIV & TB, non-communicable diseases), as well as social services. Ward based outreach teams provided comprehensive care in a large-scale urban setting and can improve access to care.

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