SAHR 2007 - Health Systems Trust

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Health and Related Indicators 15 Nutrition Globally, obesity is considered to be a major health problem. Data from a survey of South African school children aged between 6 and 13 years, selected from 5 provinces during the Health of the Nation Survey (2001-2004) were published in 2006 [SAMJ 96(439-44)]. The study showed that “[o]n average, South African children showed very similar overweight and obesity values to children from the USA between 1976 and 1980, with South African boys slightly below reported USA values and South African girls slightly above”. White children were, however, “within less than 3% of all of the USA values for the 1988-1994 sample”. The authors concluded that “South African children in this sample show Health Status – Nutrition relatively high levels of overweight and obesity, similar to the international patterns in developed countries of a decade ago”. Increased urbanisation would be expected to exacerbate this problem in coming years. Some indication of the possible impact of poor nutrition on adult health can be gathered from the StatsSA Adult Mortality report. Overall, death rates from non-communicable diseases increased between 1997 and 2004 (Figure 17). The report also showed that, for both males and females, death rates from diabetes and obesity have increased over time in every age group above 25 (Figure 18). Figure 17: Death rates by age and sex per 100 000 population from non-communicable diseases, 1997 and 2004 3 000 2 500 Deaths per 100 000 2 000 1 500 1 000 500 0 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 Male 1997 Male 2004 Female 1997 Female 2004 Source: StatsSA Adult mortality. Figure 18: Death rates by age and sex per 100 000 from diabetes and obesity, 1997 and 2004 350 300 Deaths per 100 000 250 200 150 100 50 0 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 Male 1997 Male 2004 Female 1997 Female 2004 Source: StatsSA Adult mortality. 261
Table 23: Nutrition indicators by province EC FS GP KZN LP MP NC NW WC SA Anaemia prevalence 1995 20.6 17.1 16.3 10.4 34.2 27.7 21.5 24.5 28.6 21.4 a Iodine deficiency 1998 children
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South African Health Review 2007 LI
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Foreword The 12th edition of South
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12 Traditional and Complementary Me
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Other Funders for the Health System
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This response raises a number of qu
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ucts are currently sold without reg
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The authors conclude that mandatory
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servicing and inappropriate hospita
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systems is also critical; worrying
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Authors: Laetitia Rispel i Geoffrey
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Stewardship: Protecting the Public
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Introduction The importance of the
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diseases such as tuberculosis and t
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17 of 2002). This Act entirely repl
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(d) and any other matter relating t
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Year Act No. Title Objects 1997 90
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References 1 Department of Health.
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Purchasing of Health Care 33Pooling
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Introduction This chapter presents
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Medical schemes are the largest fin
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per person dependent on the public
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An increase in hospital expenditure
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private pharmacy do so for self-tre
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References 1 McIntyre D, Thiede M,
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Policy and legislative framework In
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Medical schemes and revenue collect
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There is evidence that when faced w
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are thus contributing factors to th
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Figure 2: Historic membership of me
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Solvency of the risk pools has beco
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Figure 4: 100 Proportion of risk be
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will retain that benefit for their
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There is a general sense (but often
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From a benefit design perspective t
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and towards competition based on ef
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37 Du Preez L. Registrar wants cura
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Introduction There has long been co
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an element of cream-skimming which
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Table 1: Distribution of health car
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isk equalisation mechanism were imp
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once the cost spiral in medical sch
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Revenue collection: Collecting orga
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Current debates A key area of ongoi
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References 1 Gluckman H. The Provis
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Authors: Patrick Matshidze i Lyn Ha
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Health Information Systems in the P
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Authors: Shahieda Adams i Reno Mora
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Health and Health Care in the Workp
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Author: Bettina Taylor i 8 Rationin
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Rationing of Medicines and Health C
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Health Care Delivery 139
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Authors: Haroon Wadee i Farzana Kha
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Human Resources for Health 9 Table
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Human Resources for Health 9 Table
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Human Resources for Health 9 source
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Human Resources for Health 9 Refere
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Authors: Shadrack Shuping i Sipho K
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Public-Private Partnerships 10 Alth
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Public-Private Partnerships 10 Tabl
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Public-Private Partnerships 10 Conc
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Authors: Thulani Matsebula i Michae
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Private Hospitals 11 Table 1: Priva
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Private Hospitals 11 Table 3: Distr
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Private Hospitals 11 Human resource
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Private Hospitals 11 Figure 3: 16 T
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Private Hospitals 11 Figure 4: 2 50
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Private Hospitals 11 Monitoring qua
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Private Hospitals 11 Recommendation
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Authors: Nceba Gqaleni i Indres Moo
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Traditional and Complementary Medic
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Authors: Myles Mander i Lungile Ntu
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Economics of the Traditional Medici
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Authors: Marion Stevens i Edina Sin
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HIV and AIDS, STI and TB in the Pri
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Health and Related Indicators 15 Di
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Health and Related Indicators 15 In
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Health and Related Indicators 15 In
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Health and Related Indicators 15 Ch
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Health and Related Indicators 15 MD
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Health and Related Indicators 15 St
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Glossary AFA AIDS ALP AMA ANC ART A
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Glossary KZN LFS LIMS LP LPP MAR MC
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Glossary SAPC SARS SASIM SASSA SEP
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Index A Acts (Legislation and Bills
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Index N and O National Health Refer
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SAHR 2007 - Health Systems Trust

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