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Aluta Continua! Phambili ngemphilo!!

Aluta Continua! Phambili ngemphilo!!. Louis Reynolds. On the meaning of PHC. It is not a level of health care delivery but an approach to health It sees health as a basic human right & a ‘worldwide social goal’ It is therefore not only a technical issue but a social and political one

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Aluta Continua! Phambili ngemphilo!!

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  1. Aluta Continua! Phambili ngemphilo!! • Louis Reynolds

  2. On the meaning of PHC • It is not a level of health care delivery but an approach to health • It sees health as a basic human right & a ‘worldwide social goal’ • It is therefore not only a technical issue but a social and political one • Based on solidarity & collective values rather than the individual • People are active participants rather than ‘clients’ or ‘consumers’ ... • ... and have both rights and duties to participate

  3. Sidney & Emily Kark, 1940s

  4. Migrant labour & the community syndrome[Kark]

  5. The NHS Commission:1944 • Shortages & maldistribution of services; lack of co-ordination; the problem of private practice; and inappropriate emphasis and priorities. • Gluckman H. The Provision of an Organized Health Service for All Sections of the People of the Union of South Africa, 1942–1944. Report of the National Health Services Commission, Chairman Dr. Henry Gluckman. Pretoria, South Africa: Government Printer, 1944.

  6. The NHS Commission:1944 • A single national health service “within reach of all sections of the population, according to their need, and without regard to race, colour, means or station in life"Gluckman H. The Provision of an Organized Health Service for All Sections of the People of the Union of South Africa, 1942–1944. Report of the National Health Services Commission, Chairman Dr. Henry Gluckman. Pretoria, South Africa: Government Printer, 1944.

  7. 1948 - 1994 FORMAL LEGALISED APARTHEID

  8. the last apartheid sign in a public hospital??

  9. The 1970s & 80s: grand apartheid & the pass laws: women forced to remain in ‘bantustans’, while theirfathers, husbands & sons laboured in the cities P Bond, Amandla 20/8/2010

  10. August 1983: civil society unites

  11. State of emergency, militarisation & resistance ...

  12. June 1986, Zolani Centre, KTC

  13. 1978: Alma Ata

  14. 1970s and 1980s: emergence of small-scale community-based health & development projects: SACLA, Philani, HCT, Alexandra Health Center Mostly based in churches or NGOsHigh levels of community participation NPPHCN, SAHSSO

  15. 1990s: Elite transition neoliberalism entrenched

  16. Percentage of total income in 2008 Rand prices Development indicators. http://www.thepresidency.gov.za/learning/me/indicators/2009/indicators.pdf

  17. the health crisis • quadruple disease burden • disastrous social determinants • moribund public sector • wasteful inefficient unsustainable private sector

  18. 2012: the NHI ?

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