The South African Constitution guarantees each citizen’s right to basic health care services. In an effort to better realize this right, the National Department of Health (NDoH) has recently embarked on efforts to reengineer the primary health care (PHC) system in the country. In addition to rolling out the National Health Insurance program to strengthen financial protection, NDoH is expanding access to three streams of PHC services: i) district-based clinical specialist services, focused particularly on maternal and child health; ii) community-based outreach services, with referrals to clinics when appropriate; and iii) school-based preventive and curative services for school-going children. HE2RO and partners from Boston University are involved in efforts to strengthen the evidence-base for the reengineering, with ongoing evaluations of various PHC interventions in regions throughout the country.
Assessing the Impact of Integration of HIV and TB Services into Primary Health Services in the Public Sector in South Africa: An Evaluation of Resource Utilisation at Facility LevelEarly in the HIV epidemic, in South Africa and other low income countries, HIV and TB services were provided in vertical programs as a result of disease-specific funding or approaches to service provision. Provision of separate services for speciﬁc health problems or specialisation usually means that patients need to visit separate and specialised clinics for their different health problems or needs, and can result in “missed opportunities” for service provision, fragmented and
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