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Periodical article Periodical article Leiden University catalogue Leiden University catalogue WorldCat catalogue WorldCat
Title:Health Care in the New South Africa: Surveying the More Radical Options
Author:Luiz, John M.ISNI
Year:1994
Periodical:Africa Insight
Volume:24
Issue:2
Pages:127-132
Language:English
Geographic term:South Africa
Subjects:health policy
public health
Health and Nutrition
Economics and Trade
Abstract:The WHO regards health as 'a state of complete physical, mental and social well-being, and not merely the absence of disease or infirmity'. The South African health system has not viewed health in this holistic framework, preferring to concentrate on costly First World medical and technological advances, which were available to the white population only. This article first describes current expenditure on health services in South Africa. Then it highlights a number of critical weaknesses in the country's health services: structural, socioeconomic and political weaknesses, and problems in relation to resource distribution and utilization. Next, it outlines South Africa's future health service as conceptualized, amongst others, by the ANC and the National Party (NP). The two most important issues of future health care are that of primary health and that of a national health service (NHS). On primary health care, which includes such things as the provision of clean water, basic sanitation and immunization, there is little disagreement. The question of a NHS is more complex. A national health insurance, run by the State but financed primarily by private contributions, seems to be the most likely alternative even though it may entail extensive corruption. Ref.
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