scholarly journals Excellence in health care in the next millennium: South African realities and challenges

1998 ◽  
Vol 3 (2) ◽  
pp. 3-10
Author(s):  
Marie Muller

This paper was delivered at an international conference as the closing address with the topic "Excellence in health care in the next millennium." Due to the length of the presentation, it is divided into two articles. Opsomming Hierdie referaat was by 'n internasionale kongres as die afsluitingsreferaat gelewer met die titel "Excellence in health care in the next millennium." Weens die lengte van die referaat, word dit in twee artikels verdeel. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

2005 ◽  
Vol 10 (4) ◽  
pp. 29-40 ◽  
Author(s):  
Johann Beuster ◽  
Gerhard Schwär

Medical and psychological health care professionals are becoming increasingly aware that effective treatment in culturally diverse societies requires sensitivity to the patient’s cultural beliefs and customs (Davidhizar & Giger, 2001:2; Foley & Wurmser, 2004:2; Hickson & Christie, 1989:162; Mkize, 2003:4; Narayanasamy, 2003:1). Opsomming Mediese en sielkundige gesondheidsorgberoepslui word toenemend daarvan bewus dat doeltreffende behandeling in kultureel diverse gemeenskappe sensitiwiteit teenoor die pasiënt se kulturele oortuigings en gebruike vereis (Davidhizar & Giger, 2001:2; Foley & Wurmser, 2004:2; Hickson & Christie, 1989:162; Mkize, 2003:4; Narayanasamy, 2003:1). *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.


2007 ◽  
Vol 12 (2) ◽  
Author(s):  
M Oosthuizen ◽  
V J Ehlers

Although no accurate statistics about the number of South African nurses working in other countries are available, the Organisation of Economic Cooperation and Development estimated that 35 000 South African nurses were working outside South Africa and/or outside the health care system (Horning, 2005:58). Opsomming Alhoewel daar nie akkurate statistiek beskikbaar is oor die aantal Suid-Afrikaanse verpleegkundiges wat in ander lande werk nie, beraam die Organisasie vir Samewerking en Ontwikkeling dat 35 000 Suid-Afrikaanse verpleegkundiges buite Suid-Afrika en/of buite die gesondheidsorgsektor werk (Horning, 2005:58). *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.


2005 ◽  
Vol 10 (2) ◽  
Author(s):  
M Harris

South African health care organisations are faced by enormous challenges. Responsive measures must include employing nurse practitioners who can think critically and creatively and who can make appropriate decisions that do not necessarily fit into theory learned within a formal educational system. Opsomming ’n Opvoedkundige program vir Suid-Afrikaanse verpleegkundiges van verskillende kulture, gebaseer op ’n model vir kritiese ondersoek van taakverrigting (Van Aswegen, 1998), het tot hierdie navorsing aanleiding gegee. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Dhokotera Tafadzwa ◽  
Riou Julien ◽  
Bartels Lina ◽  
Rohner Eliane ◽  
Chammartin Frederique ◽  
...  

Abstract Background Disparities in invasive cervical cancer (ICC) incidence exist globally, particularly in HIV positive women who are at elevated risk compared to HIV negative women. We aimed to determine the spatial, temporal, and spatiotemporal incidence of ICC and the potential risk factors among HIV positive women in South Africa. Methods We included ICC cases in women diagnosed with HIV from the South African HIV cancer match study during 2004–2014. We used the Thembisa model, a mathematical model of the South African HIV epidemic to estimate women diagnosed with HIV per municipality, age group and calendar year. We fitted Bayesian hierarchical models, using a reparameterization of the Besag-York-Mollié to capture spatial autocorrelation, to estimate the spatiotemporal distribution of ICC incidence among women diagnosed with HIV. We also examined the association of deprivation, access to health (using the number of health facilities per municipality) and urbanicity with ICC incidence. We corrected our estimates to account for ICC case underascertainment, missing data and data errors. Results We included 17,821 ICC cases and demonstrated a decreasing trend in ICC incidence, from 306 to 312 in 2004 and from 160 to 191 in 2014 per 100,000 person-years across all municipalities and corrections. The spatial relative rate (RR) ranged from 0.27 to 4.43 in the model without any covariates. In the model adjusting for covariates, the most affluent municipalities had a RR of 3.18 (95% Credible Interval 1.82, 5.57) compared to the least affluent ones, and municipalities with better access to health care had a RR of 1.52 (1.03, 2.27) compared to municipalities with worse access to health. Conclusions The results show an increased incidence of cervical cancer in affluent municipalities and in those with more health facilities. This is likely driven by better access to health care in more affluent areas. More efforts should be made to ensure equitable access to health services, including mitigating physical barriers, such as transportation to health centres and strengthening of screening programmes.


2021 ◽  
pp. 008124632199217
Author(s):  
Yogan Pillay

We are committed to an AIDS free generation by 2030 – nine short years away. This article reflects on the global and South African data on new infections, total number of children and adolescents living with HIV as well as data on vertical transmission. The article includes the voices of key stakeholders in the quest to end HIV in children so that lessons from their experiences can be used by policy makers in strengthening services.


2000 ◽  
Vol 4 (2) ◽  
pp. 111-131 ◽  
Author(s):  
Charles Ngwena

The article considers the scope and limits of law as an instrument for facilitating equitable access to health care in South Africa. The focus is on exploring the extent to which the notion of substantive equality in access to health care services that is implicitly guaranteed by the Constitution and supported by current health care reforms, is realisable for patients seeking treatment. The article highlights the gap between the idea of substantive equality in the Constitution and the resources at the disposal of the health care sector and the country as a whole. It is submitted that though formal equality in access to health care services has been realised, substantive equality is currently unattainable, if it is attainable at all, on account of entrenched structural inequality, general poverty and a high burden of disease.


2003 ◽  
Vol 8 (2) ◽  
Author(s):  
Valerie J Ehlers

In this article data obtained from questionnaires, completed by 91 professional nurses who requested their names to be removed from the South African Nursing Council’s register for the 2000 registration year, are presented and discussed. Opsomming In hierdie artikel word data wat vanaf 91 vraelyste verkry is en deur professionele verpleegkundiges voltooi is wat versoek het dat hulle name van die Suid-Afrikaanse Raad op verpleging se register verwyder word vir die 2000 registrasiejaar, bespreek. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.


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