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Key challenges to achieving health for all in an inequitable society: The case of South Africa

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  • Sanders, D.
  • Chopra, M.

Abstract

The health inequalities in South Africa are rapidly worsening. Since 1994, the new democratic government has initiated a number of large-scale policies and programs with explicit pro-equity objectives that have improved access to health care and other social resources. However, these policies and programs have been constrained by macroeconomic policies that dictate fiscal restraint and give priority to technical rather than developmental considerations. We propose an approach to improving health for all that focuses on equity in the allocation of health resources. The implementation of pro-equity policies requires, in addition to technically efficacious interventions, both advocacy initiatives and communication with, and the involvement of, affected communities. The Cape Town Equity Gauge project is presented as one example of a response to the challenge of inequity.

Suggested Citation

  • Sanders, D. & Chopra, M., 2006. "Key challenges to achieving health for all in an inequitable society: The case of South Africa," American Journal of Public Health, American Public Health Association, vol. 96(1), pages 73-78.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2005.062679_8
    DOI: 10.2105/AJPH.2005.062679
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    Cited by:

    1. Deumert, Ana, 2010. "'It would be nice if they could give us more language' - Serving South Africa's multilingual patient base," Social Science & Medicine, Elsevier, vol. 71(1), pages 53-61, July.
    2. Rapatsa Mashele, 2016. "‘VIPsm’, A Threat to Social Stability in South Africa: From Apartheid Exclusions to Democratized Inequalities," European Review of Applied Sociology, Sciendo, vol. 9(13), pages 6-14, December.
    3. Flora Mkhonto & Ingrid Hanssen, 2018. "When people with dementia are perceived as witches. Consequences for patients and nurse education in South Africa," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(1-2), pages 169-176, January.

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