Equity in Health: Zimbabwe Nine Years On

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Periodical article

Title:	Equity in Health: Zimbabwe Nine Years On
Author:	Sanders, David
Year:	1990
Periodical:	Journal of Social Development in Africa (ISSN 1012-1080)
Volume:	5
Issue:	1
Pages:	5-22
Language:	English
Notes:	biblio. refs., ills.
Geographic terms:	Zimbabwe Southern Africa
Subjects:	public health Health and Nutrition Medicine, Nutrition, Public Health social justice Health services health policy
Abstract:	This paper summarizes Zimbabwe's legacy in both health (or disease) and health services. It then examines the changes in the economic environment which have taken place in Zimbabwe since independence in April 1980, concentrating on those which are relevant to health. It also describes the postindependence restructuring of the health sector itself. Access to health care and some aspects of the functioning of the referral system are also briefly dealt with. The questions of community participation in health and accountability of health workers, both central to the primary health care (PHC) approach, are addressed by a brief discussion of the village health worker (VHW) programme. The relevance of this example for the health sector as a whole is briefly examined. Finally, the paper considers some changes which have taken place in health status since independence and analyses the sources of these. Bibliogr.