sahr2001 - Health Systems Trust

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D Decentralisation ....................................................................................... 17-48, 66 Dentists .............................................................................................73, 78, 319-322 Department Education (see Education, Department of) Finance ............................................................................................................. 90, 95 District council ................................................................................ 18, 21, 22, 27 District financing (see also Budget, district health) .............................. 19, 25, 49-67 District health expenditure review .......................................................... 24 District health system ................................................................11, 17-48, 65 Doctors Foreign ..................................................................................................................... 226 Limited private practice ............................................................................ 91 Primary health care .........................................................................86, 227 Distribution of .......................................................................................320-322 Remunerative Work outside of the Public Service (RWOPS) ........................................................................... 91 Drugs E Antiretroviral (ARV) (see also nevirapine) .......................... 3, 161, 173-175, 177, 286 Compulsory licensing of ..............................................................................7 Essential ..................................................................................................... 187, 255 Generic ............................................................................................................................7 National drug policy.................................................................................. 262 Parallel importation of ............................................................................... 7, 8 Private sector expenditure on ....................... 78, 79, 323-327 Public sector expenditure on .................................. 55, 323-330 Rational use of .................................................................................................... 56 Reference pricing ............................................................................................ 7-9 Education Continuing medical education ......................................................... 80 Department of ...................................................................................... 145, 165 In HIV ................................................................................................140, 192, 200 Life skills ................................................................ 145, 146, 166-167, 179 Socio-economic indicator .....................................................292-295 Employment (see also Unemployment) ................................................................ 131, 241, 292-295 Environmental health ............................................... 47, 50, 54, 110, 313 Equity ................................................................................ 20, 24, 84-87, 91, 262, 269, 279, 316, 323 Essential (minimum) data set ...............104, 105, 108, 110, 112 Essential Drugs List (EDL) ........................................................................... 198 European Union (EU) ............................................................................................ 22 Expanded Programme on Immunisation (EPI) ......... 110, 317 Expenditure (see also Budget) ....................................................... 24, 69 F Control ........................................................ 118-135, 143-144, 149, 159 Drugs ..........................................................................................78-79, 323-330 Health services ....................................................................... 49-67, 70, 71, 118-135, 173, 323-327 Out-of-pocket expenditure on health services ........................................................................................... 69-71 Percentage of GDP expenditure on health .................................................................................................. 324, 332 Fertility rate ......................................................................... 286-290, 303, 332 Financing (see Budget, Expenditure) Foreign doctors (see Doctors, foreign) G Gross Domestic Product (GDP) ................. 292-295, 324, 332 H Health indicators ........................................................................ 106, 283-333 Health information system ................................................. 101-115, 237 Health insurance .................................................................. 5-6, 72, 84, 287 Health Professions Council (HPC) ..................................................... 168 Health rights ............................................................................................6, 176, 227 HIV/AIDS .............................................................. 1-3, 10, 137-183, 303-306 And STDs ................................................................................................................ 168 And TB ................................................................................. 164, 170, 174, 189 Antenatal Survey ................................................... 108, 109, 162, 163, 284, 296, 303, 304, 306 346
• Index Condoms .................................................................................................. 150, 167 Financing .....................................................................................................137-160 Knowledge of ..................................................................................................... 166 National HIV/AIDS and STD Strategic Plan ......................................................................................... 161-183 Orphans ..................................................................................................... 303-306 Prevalence of ............................................................. 162-163, 303-306 Prevention of mother-to-childtransmission ................................. 1, 9-11, 140, 147, 148, 154, 171 Voluntary counselling and testing ................................. 140, 144-147, 153, 154, 169-170 Home based care ............................................. 138, 140, 144-147, 153, 154, 174-175, 262 Hospital information system.......................................................................112 Human Development Index (HDI) ...............292-295, 331-332 Human resources (see also doctors, dentists, pharmacists) ............................................... 3, 46, 47, 131, 237, 243, 318-323, 332 Human rights ....................................................................................................................6 I Immunisation .................................................................................... 109, 313, 314 Infant Mortality Rate (IMR) ............................................... 109, 296-298 Integrated development plan/planning ................................. 60-65 L Legislation Provincial (see also individual Acts and Bills)............................................... 13 Local government .................................................. 11, 20-27, 49-67, 143, 211, 218, 239, 264, 278 M Malnutrition ........................................................................................................ 310-312 Managed care .......................................................................... 5, 69, 76-81, 94 Maternal Mortality Ratio (MMR) ............................................... 296-297 Medical Schemes ................................................................... 4, 70,71, 74-81 Council for .................................................................................................................... 5 Coverage ............................................................................... 71, 72, 324-325 Registrar of ..................................................................................................................4 Risk rating ........................................................................................................... 3, 74 Medicines Control Council ................................................................................8 Medium Term Expenditure Framework (MTEF) .................................................................. 132-134, 144, 147, 153, 157 Mental health ....................................................................................................... 1, 2, 6 Minister of Health ................................................................................................ 8-11 MinMec ............................................................................................ 11, 17, 20, 21, 25 Municipal Demarcation Board..................................................106, 107 Municipalities ........................................................................................................ 17-48 N Financing of ...........................................................................................12, 51-67 Health services of ................................................................. 11, 12, 19, 60 National Assembly Portfolio Committee on Finance ................................................................................... 5, 6 National Assembly Portfolio Committee on Health .................................................. 2, 6, 14, 261, 264 National Council of Provinces (NCOP) ............................................................................................................... 7, 14, 261 National Drug Policy (NDP) ....................................................................... 262 National Health Accounts ................. 69, 70, 80, 284, 316, 323 National Integrated Plan (NIP) .................................................... 138-183 Nevirapine (see also Drugs and antiretrovirals) ................................. 9, 10, 171 Non-governmental organisations ............................. 9, 15, 127, 138, 148, 149, 154-157 O October Household Survey (OHS) ....................... 109, 283, 323 P Parliamentarians .......................................................................... 204, 261-272 Patients’ rights (see Health Rights) People with AIDS ....................................................................................... 138, 194 Pharmaceutical industry ............................................................................... 8, 9 Pharmaceutical Manufacturers Association (PMA)........................................................................................................ 8 Pharmacists .................................................................................... 7, 79, 319-322 347
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NORTHERN PROVINCE GAUTENG MPUMALANG
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Foreword Among significant events t
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14 Voices of National and Provincia
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Preface Listening to ‘Voices’
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an urgent need to improve the curre
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Transformation “Things happen so
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Introduction Health legislation is
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grounds. This was driven by the nee
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statutory powers in terms of the FA
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ecommend that the Minister make reg
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the expansion of their programme to
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Health Services are provided for in
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of a circumcision operation and the
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References 1 Report by the Joint Mo
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Introduction The District Health Sy
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(viz. environmental health services
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district’. This arrangement of su
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To illustrate the progress made tow
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References 1 Department of Health.
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Eastern Cape Category A and C Munic
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Gauteng Category A and C Municipali
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Mpumalanga Category A and C Municip
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Northern Province Category A and C
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Western Cape Category A and C Munic
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2 • The District Health System Ap
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Financing Local Government Health S
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3 • Financing Local Government He
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Private Sector Financing 4 Jane Gou
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4 • Private Sector Financing Fina
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4 • Private Sector Financing Tabl
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4 • Private Sector Financing cons
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4 • Private Sector Financing priv
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Public-Private Partnerships 5 Julia
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5 • Public-Private Partnerships t
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5 • Public-Private Partnerships B
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5 • Public-Private Partnerships P
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5 • Public-Private Partnerships a
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5 • Public-Private Partnerships S
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5 • Public-Private Partnerships E
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5 • Public-Private Partnerships e
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5 • Public-Private Partnerships s
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Using Information for Health 6 Loui
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6 • Using Information for Health
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Annual Reports and the Public Finan
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7 • Annual Reports and the Public
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HIV/AIDS Financing 8 Paul Whelan In
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8 • HIV/AIDS Financing discussed
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8 • HIV/AIDS Financing Provincial
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8 • HIV/AIDS Financing Funds to p
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8 • HIV/AIDS Financing have short
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8 • HIV/AIDS Financing plans requ
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8 • HIV/AIDS Financing district H
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8 • HIV/AIDS Financing The fundin
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8 • HIV/AIDS Financing Gauteng: G
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8 • HIV/AIDS Financing condoms, a
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8 • HIV/AIDS Financing Conditiona
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8 • HIV/AIDS Financing Financial
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Mainstreaming HIV/AIDS Progress and
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9 • Mainstreaming HIV/AIDS magnit
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9 • Mainstreaming HIV/AIDS Figure
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9 • Mainstreaming HIV/AIDS from t
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9 • Mainstreaming HIV/AIDS The sy
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9 • Mainstreaming HIV/AIDS Preven
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9 • Mainstreaming HIV/AIDS Anothe
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9 • Mainstreaming HIV/AIDS Notwit
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9 • Mainstreaming HIV/AIDS the im
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9 • Mainstreaming HIV/AIDS Rememb
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9 • Mainstreaming HIV/AIDS 8 Kiro
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9 • Mainstreaming HIV/AIDS 47 Ken
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Voices of Service Users 10 Precious
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10 • Voices of Services Users acc
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10 • Voices of Services Users Fac
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10 • Voices of Services Users ena
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10 • Voices of Services Users Box
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10 • Voices of Services Users Mor
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10 • Voices of Services Users wit
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10 • Voices of Services Users Con
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Voices of Health Policy Makers and
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• Voices of Health Policy Makers
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Voices of Facility Managers 11 Nata
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11 • Voices of Facility Managers
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Voices of Hospital Superintendents/
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12 • Voices of Hospital Superinte
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Voices of District Managers 13 Thul
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13 • Voices of District Managers
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Voices of National and Provincial M
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14 • Voices of National and Provi
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Voices of Parliamentarians 15 Alfre
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15 • Voices of Parliamentarians D
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15 • Voices of Parliamentarians
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15 • Voices of Parliamentarians d
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15 • Voices of Parliamentarians T
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15 • Voices of Parliamentarians T
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Voices of Health Policy Makers and
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16 • Voices of Health Policy Make
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Health and Related Indicators 17 Ca
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17 • Health and Related Indicator
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Page 307 and 308: 17 • Health and Related Indicator
Page 353 and 354: Glossary AIDS Acquired Immune Defic
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