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Roots, shoots, but too little fruit: Assessing the contribution of COPC in South Africa

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  • Tollman, S.M.
  • Pick, W.M.

Abstract

Community-oriented primary care (COPC) originated in South Africa during the 1940s and 1950s, where it served to inform local church-based and nongovernmental organization-based initiatives during the apartheid years. During the 1990s, COPC played an inspirational role in the process of national health policy formulation. Yet COPC's contribution to current health practice remains more symbolic than substantive. Despite a policy framework that favors the widespread introduction of COPC, various political, structural, managerial, and human resource obstacles constrain its effective implementation. Notwithstanding a rapidly changing health care environment and well-established health transition from infections and nutritional disorders to non-communicable diseases and injury, COPC and its variants remain abidingly relevant to South Africa's - and Africa's - health care reality.

Suggested Citation

  • Tollman, S.M. & Pick, W.M., 2002. "Roots, shoots, but too little fruit: Assessing the contribution of COPC in South Africa," American Journal of Public Health, American Public Health Association, vol. 92(11), pages 1725-1728.
    • Handle: RePEc:aph:ajpbhl:2002:92:11:1725-1728_3
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    Cited by:

    1. van Ginneken, Nadja & Lewin, Simon & Berridge, Virginia, 2010. "The emergence of community health worker programmes in the late apartheid era in South Africa: An historical analysis," Social Science & Medicine, Elsevier, vol. 71(6), pages 1110-1118, September.

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