scholarly journals Consulting the South African experts in physiotherapeutic stroke rehabilitation

2001 ◽  
Vol 57 (2) ◽  
pp. 32-40 ◽  
Author(s):  
L. A. Hale ◽  
C. J. Eales
Keyword(s):  
South Africa ◽  
Health Care ◽  
South African ◽  
Stroke Rehabilitation ◽  
Delphi Technique ◽  
Rehabilitation Services ◽  
The South ◽  
Innovative Methods ◽  
African Health ◽  
South African Health

This paper presents the opinions of expert physiotherapists on what constitutes optimal stroke rehabilitation in South Africa. Data were collected by the use of the Delphi technique. Consensus was reached after two rounds, and the respondents’ views are summarised and discussed within the framework of South African health care. Results showed that physiotherapy was felt to be very important after stroke, and the survey created a profile of the skills that physiotherapists may require in order to work in this field. However, no new or innovative methods by which appropriate rehabilitation services could be delivered in South Africa were generated by the survey.The Delphi technique is described and its use in this survey considered.

scholarly journals Effects of Brain Drain on the South African Health Sector; Analysis of the Dynamics of its Push Factors

2017 ◽  
Vol 9 (4(J)) ◽  
pp. 62-72
Author(s):  
Victor H. Mlambo ◽  
Toyin Cotties Adetiba
Keyword(s):  
South Africa ◽  
South African ◽  
Brain Drain ◽  
Health Professionals ◽  
Health Workers ◽  
Health Sector ◽  
The South ◽  
Push Factors ◽  
African Health ◽  
South African Health

While there has been a plethora of studies that addresses migration in Africa, many have yet to successfully unpack the effects of brain drain on the South African health sector. Using textual analysis of the available literature relevant to the topic under consideration; this work seeks to identify the major structural and socio-economic push factors that drive the migration of health professionals in South Africa, relying on Revestain’s laws of migration and Lee’s push/pull theory of migration. The study also looks at explaining other factors that contribute to the migration of health professionals in South Africa. We argue that for South Africa to retain health professionals, the government needs to increase the training of health workers, improve their working conditions and security, upgrade infrastructure and ensure availability of resources as well as develop a more open immigration policy prioritizing skilled immigration.

scholarly journals Effects of Brain Drain on the South African Health Sector; Analysis of the Dynamics of its Push Factors

2017 ◽  
Vol 9 (4) ◽  
pp. 62 ◽  
Author(s):  
Victor H. Mlambo ◽  
Toyin Cotties Adetiba
Keyword(s):  
South Africa ◽  
South African ◽  
Brain Drain ◽  
Health Professionals ◽  
Health Workers ◽  
Health Sector ◽  
The South ◽  
Push Factors ◽  
African Health ◽  
South African Health

While there has been a plethora of studies that addresses migration in Africa, many have yet to successfully unpack the effects of brain drain on the South African health sector. Using textual analysis of the available literature relevant to the topic under consideration; this work seeks to identify the major structural and socio-economic push factors that drive the migration of health professionals in South Africa, relying on Revestain’s laws of migration and Lee’s push/pull theory of migration. The study also looks at explaining other factors that contribute to the migration of health professionals in South Africa. We argue that for South Africa to retain health professionals, the government needs to increase the training of health workers, improve their working conditions and security, upgrade infrastructure and ensure availability of resources as well as develop a more open immigration policy prioritizing skilled immigration.

South African health decentralisation: requiring contextually intelligent leaders

2017 ◽  
Vol 7 (4) ◽  
pp. 1-23
Author(s):  
Ellenore Meyer ◽  
Leena Thomas ◽  
Selma Smith ◽  
Caren Scheepers
Keyword(s):  
Public Health ◽  
South Africa ◽  
Health Care ◽  
Decision Making ◽  
Health System ◽  
South African ◽  
Decision Space ◽  
Content Type ◽  
African Health ◽  
South African Health

Subject area Public Health; Leadership; Organisational Development; Organisational Behaviour; Public Administration Management. Study level/applicability Postgraduate level for honours or masters programmes in courses on public health; executive leadership and management programmes; MBA level. Case overview The case unpacks decentralisation as a means to promote and improve local decision-making and accountability through community participation and engagements. Ayanda Nkele was a programme manager in a health district in South Africa. He was faced with many challenges when trying to implement his programme, most of which were related to local authority, responsibilities and decision-making abilities at his level. This case describes briefly the South African health system. and how it functions. It describes the proposed changes to the health system and its transformation towards Universal Health Coverage. The decision space analysis as discussed in the case illustrates the types of decentralisation in the country and how this also applies to Nkele’s level. Expected learning outcomes Understanding the concepts and principles of decentralisation within the context of strengthening district health services, the re-engineering of primary health care (PHC) and rolling out a National Health Insurance in South Africa. Applying the “decision space” approach to analyse the extent of decentralisation. Grasping the requirement of leaders to be “contextually intelligent” and identify the important contextual variables to take into account when analysing public health care. Supplementary materials Teaching Notes are available for educators only. Please contact your library to gain login details or email [email protected] to request teaching notes. Subject code CSS 7: Management Science.

scholarly journals Privatisation of South African health care: In whose interest?

Curationis ◽  
1988 ◽  
Vol 11 (3) ◽  
Author(s):  
H.C.J Van Rensburg ◽  
A. Fourie
Keyword(s):  
South Africa ◽  
Health Care ◽  
Side Effects ◽  
South African ◽  
Health Care Delivery ◽  
Patient Population ◽  
Care Delivery ◽  
Social Phenomenon ◽  
African Health ◽  
South African Health

In this article, essentially a critique on the privatisation of health care delivery in South Africa, the concept and social phenomenon of privatisation is analysed and evaluated, and the detrimental side-effects and latent consequences thereof dismantled. It is argued that the privatisation of South African health care is a reflection of narrow economistic thinking that will neither contribute to the more efficient functioning of the existing health care system nor alleviate the prevailing problems of shortages of resources and deficiencies in organisation. Privatisation of South African health care is in the last instance and in many respectse not in the interest of the patient population in all its diversity.

scholarly journals Spatiotemporal modelling and mapping of cervical cancer incidence among HIV positive women in South Africa: a nationwide study

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Dhokotera Tafadzwa ◽  
Riou Julien ◽  
Bartels Lina ◽  
Rohner Eliane ◽  
Chammartin Frederique ◽  
...  
Keyword(s):  
South Africa ◽  
Health Care ◽  
Cervical Cancer ◽  
South African ◽  
Access To Health Care ◽  
Health Facilities ◽  
Hiv Positive ◽  
The South ◽  
Hiv Positive Women ◽  
Access To Health

Abstract Background Disparities in invasive cervical cancer (ICC) incidence exist globally, particularly in HIV positive women who are at elevated risk compared to HIV negative women. We aimed to determine the spatial, temporal, and spatiotemporal incidence of ICC and the potential risk factors among HIV positive women in South Africa. Methods We included ICC cases in women diagnosed with HIV from the South African HIV cancer match study during 2004–2014. We used the Thembisa model, a mathematical model of the South African HIV epidemic to estimate women diagnosed with HIV per municipality, age group and calendar year. We fitted Bayesian hierarchical models, using a reparameterization of the Besag-York-Mollié to capture spatial autocorrelation, to estimate the spatiotemporal distribution of ICC incidence among women diagnosed with HIV. We also examined the association of deprivation, access to health (using the number of health facilities per municipality) and urbanicity with ICC incidence. We corrected our estimates to account for ICC case underascertainment, missing data and data errors. Results We included 17,821 ICC cases and demonstrated a decreasing trend in ICC incidence, from 306 to 312 in 2004 and from 160 to 191 in 2014 per 100,000 person-years across all municipalities and corrections. The spatial relative rate (RR) ranged from 0.27 to 4.43 in the model without any covariates. In the model adjusting for covariates, the most affluent municipalities had a RR of 3.18 (95% Credible Interval 1.82, 5.57) compared to the least affluent ones, and municipalities with better access to health care had a RR of 1.52 (1.03, 2.27) compared to municipalities with worse access to health. Conclusions The results show an increased incidence of cervical cancer in affluent municipalities and in those with more health facilities. This is likely driven by better access to health care in more affluent areas. More efforts should be made to ensure equitable access to health services, including mitigating physical barriers, such as transportation to health centres and strengthening of screening programmes.

scholarly journals REGULATORY REQUIREMENTS FOR DRUG PRODUCTS REGISTRATION IN SOUTH AFRICA

2018 ◽  
Vol 3 (4) ◽  
pp. 1-8
Author(s):  
Senthil V. ◽  
L. Srianitha ◽  
R. Baviyapriyadharshini
Keyword(s):  
South Africa ◽  
South African ◽  
Pharmaceutical Market ◽  
Regulatory Body ◽  
Regulatory Requirements ◽  
Drug Products ◽  
Drug Registration ◽  
African Health ◽  
Regulatory Submissions ◽  
South African Health

The South African Pharmaceutical market is one of the emerging markets in the world and it is important to study on how to register a drug in the promising pharmaceutical market in Africa. The MCC is the regulatory body which deals with the quality, safety and efficacy of the medicines in South African market which regulates by approving the medicines by very specific process which is unique to South African health system. They have a specific type of CTD for Regulatory submissions which is generally well known as ZA CTD. This article provides the insight on the Drug Registration process in South Africa, the details of data to be submitted to the agency and the pathways of registration an applicant can avail, categories a drug can be registered by MCC, Application fees to be paid to the agency on various types of applications are also dealt.

scholarly journals Policy-making for real: Politics and progress in South African health care

Curationis ◽  
1993 ◽  
Vol 16 (3) ◽  
Author(s):  
A. Fourie ◽  
H. C. J. Van Rensburg
Keyword(s):  
Health Care ◽  
South African ◽  
Policy Making ◽  
Status Quo ◽  
African Health ◽  
The Status ◽  
Policy Measures ◽  
South African Health

Problems have been accumulating in South African health care for well over three centuries yet when it comes to resolving the crisis by means of appropriate policy measures, one becomes aware of the powers at play and the interests at stake in maintaining the status quo, thus obstructing much initiative in the process of reform.

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