WMJ 05 2011 - World Medical Association

Public Health
SOUTH AFRICA
of the citizens cannot afford basic healthcare
facilities. Also the province like the
Eastern Cape has a higher concentration of
residents who live in remote or rural areas.
Residents who live in rural areas at times
travel greater distances to access different
points of the health care delivery system. In
most instances health care facilities in these
areas are limited or there are just not enough
healthcare work-forces. The Government
should implement a focused programme
to improve operational efficiencies including
clear devolution of district and hospital
authorities, simplification and better use of
management information, and better financial
and performance accounting. If the
provision of health and medical services is
isolated and not seen in the context of poverty
reduction, then poor will continue to
experiences problems and the current trends
will still be maintained.
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Michael Mncedisi Willie,
Council for Medical Schemes,
Research and Monitoring,
E-mail: m.willie@medicalschemes.com
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