SAHR 2007 - Health Systems Trust

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Acknowledgements Editors Stephen Harrison, Rakshika Bhana and Antoinette Ntuli. Editorial Support Josianne Roma-Reardon, Candy Day and Peter Barron. Conceptualisation We would like to thank the SAHR Advisory Committee members and all HST staff who contributed to the conceptualisation and planning process of the Review. Contributing Authors We extend our sincere appreciation to the individual authors and their organisations. This 12th edition of the Review could not have been prepared without your generous contributions within tight deadlines and production schedules. Reviewers We extend our gratitude to the national Department of Health for their input. We express sincere appreciation to the following peer reviewers who provided extremely useful comments, suggestions and inputs on chapters in their areas of expertise: Peter Barron, Andy Gray, Heather McLeod, Mark Blecher, Shan Naidoo, Linda Grainger, Kurt Worral-Clare, Max Price, Boyce Mkhize, Ronel Visser, Kobus Herbst, Nceba Gqaleni, Haroon Wadee, Sheila Themba, William Dachs, Victor Litlhakanyane, Lydia Footman and Dingie Janse van Rensburg. Access to Data We are grateful to the national and provincial Departments of Health for providing access to the various data sets that form the basis of the Review. Other Support We would like to acknowledge the role of the following HST staff who provided support and assistance in producing the Review: Naadira Karrim, Faith Kumalo, Halima Hoosen Preston, Jaine Roberts, Elliot Sello, Ashnie Padarath, Sithandiwe Nyawose, Fiorenza Monticelli, Elizabeth Lutge, Farana Khan, Delene King and Dudu Zondi. Once again Lynda Campbell and her team at The Press Gang have worked tirelessly to meet the production schedules of the Review. We are indebted to them for their determination to maintain the high standard of design and layout that has become associated with the Review. Finally, we extend our gratitude to Desré Stead from Perlego Information Consulting. Cover 'Rural Assertiveness' by Clive Sithole. This painting was inspired by a visit to Mona Market in Nongoma, KwaZulu-Natal. Clive is associated with the Africa Art Centre and has exhibited both art and traditional Zulu ceramics at a number of galleries in the country.
Other Funders for the Health Systems Trust include: National Department of Health (South Africa) Department for International Development (UK) Commission of the European Union Rockefeller Foundation Ford Foundation WK Kellogg Foundation Swedish International Development Agency Royal Danish Embassy / DANIDA Southern African Development Community Nelson Mandela Children’s Fund International Development Research Centre National Development Agency World Health Organization Development Bank of South Africa Centres for Disease Control and Prevention University of the Western Cape Charles Kendall and Partners Ltd Department of Public Service Administration AFRICON AngloGold Ashanti Micronutrient Initiative Nuffield Institute for Health Training and Research Support Centre University Research Co., LLC / USAID Centre for Rural Health, University of KwaZulu-Natal Health and Development Africa Irish Aid iTeach Partners AIDS Research Center African Regional Sexuality Resource Centre Canadian International Development Agency Population Council The Joint United Nations Programme on HIV/AIDS Wemos Foundation Open Society Foundation of South Africa The RAITH Foundation Eastern Cape Department of Health Free State Department of Health Gauteng Department of Health KwaZulu-Natal Department of Health Mpumalanga Department of Health North West Department of Health Western Cape Department of Health Chris Hani District Municipality University of Pretoria Management Science for Health / USAID Henry J. Kaiser Family Foundation (USA) vi
Page 2 and 3: South African Health Review 2007 LI
Page 4: Foreword The 12th edition of South
Page 7: 12 Traditional and Complementary Me
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Page 19 and 20: systems is also critical; worrying
Page 22 and 23: Authors: Laetitia Rispel i Geoffrey
Page 24 and 25: Stewardship: Protecting the Public
Page 36: Stewardship: Protecting the Public
Page 39 and 40: Introduction The importance of the
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Page 49 and 50: References 1 Department of Health.
Page 52: Purchasing of Health Care 33Pooling
Page 55 and 56: Introduction This chapter presents
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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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Indicators 213
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Authors: Candy Day i Andy Gray ii 1
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Health and Related Indicators 15
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Health and Related Indicators 15 Ta
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Health and Related Indicators 15 Th
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Health and Related Indicators 15 Tu
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Health and Related Indicators 15 Fi
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Health and Related Indicators 15 He
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Health and Related Indicators 15 tr
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Health and Related Indicators 15 Nu
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Health and Related Indicators 15 19
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Health and Related Indicators 15 De
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Health and Related Indicators 15 Ma
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Health and Related Indicators 15 Ea
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Health and Related Indicators 15 Fr
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Health and Related Indicators 15 Ga
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Health and Related Indicators 15 Kw
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Health and Related Indicators 15 Li
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Health and Related Indicators 15 Mp
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Health and Related Indicators 15 Pu
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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 Ty
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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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