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Primary health care in the era of HIV/AIDS. Some implications for health systems reform

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  • Petersen, Inge
  • Swartz, Leslie

Abstract

In this article it is argued that the current emphasis on third generation reforms to health systems places at risk the empowering comprehensive agenda of second generation reforms. Using the HIV/AIDS epidemic in South Africa as an exemplar, the authors demonstrate the importance of retaining this agenda. They suggest that the emphasis on 'packaged' priority programmes with measurable outcomes, which characterizes third generation reforms, needs to be accompanied by the reorientation of primary health care providers towards an empowering comprehensive approach to care. In addition, using psychodynamic principles, they also show how certain aspects of the health care system need restructuring to provide containment and support for such care.

Suggested Citation

  • Petersen, Inge & Swartz, Leslie, 2002. "Primary health care in the era of HIV/AIDS. Some implications for health systems reform," Social Science & Medicine, Elsevier, vol. 55(6), pages 1005-1013, September.
    • Handle: RePEc:eee:socmed:v:55:y:2002:i:6:p:1005-1013
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    Cited by:

    1. Stein, Joanne & Lewin, Simon & Fairall, Lara, 2007. "Hope is the pillar of the universe: Health-care providers' experiences of delivering anti-retroviral therapy in primary health-care clinics in the Free State province of South Africa," Social Science & Medicine, Elsevier, vol. 64(4), pages 954-964, February.

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