Kayelitsha is an underserviced, largely informal urban settlement on the edge of Cape Town.
It is home to some 350 000 people.
This paper maintains that a district health service would be beneficial in Khayelitsha.
Advantages include (i) the integration and co-ordination of services with coherent management of health care; (ii) the ability to prioritise and act on problems with the full range of preventive and curative measures as well as intersectoral support; and (iii) the accountability of health providers.
Some of the steps then towards the initiation of a district health service are illustrated in a discussion of the recent changes in health service structures in Kayelitsha.
There are many obstacles to the implementation of a formal district health service and these are discussed briefly.
Mots-clés Pascal : Système santé, Soin santé primaire, Politique sanitaire, Organisation, Homme, Résultat, République Sud Africaine, Afrique
Mots-clés Pascal anglais : Health system, Primary health care, Health policy, Organization, Human, Result, South Africa, Africa
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 93-0653614
Code Inist : 002B30A01B. Création : 199406.