Mixed re­port on South Africa’s health stats

Grocott's Mail - - SOUL FOOD - STAFF RE­PORTER

Lead­ing pub­lic health or­gan­i­sa­tion Health Sys­tems Trust this week launched the 20th edi­tion of the South African Health Re­view (SAHR) at an event at­tended by pub­lic health work­ers, aca­demics and pol­icy mak­ers to cel­e­brate two decades of the pub­li­ca­tion, which is widely recog­nised as one of the most au­thor­i­ta­tive sources on the South African health sys­tem.

“The 20th edi­tion of the South African Health Re­view pro­vides a unique anal­y­sis of progress and chal­lenges in pri­or­ity ar­eas re­lated to health pol­icy im­ple­men­ta­tion, health ser­vice de­liv­ery and ac­cess over the past two decades,” said Dr Themba Moeti, CEO of HST, on Mon­day. “It clearly links cur­rent health sec­tor chal­lenges, re­form ini­tia­tives and their im­pli­ca­tions for trans­for­ma­tion of our health sys­tem.”

The key find­ings and con­clu­sions of the Re­view in­clude: • Sig­nif­i­cant im­prove­ments in key health out­comes: death rates have de­clined from 2006 peaks partly due to HIV treat­ment trends, although HIV is still the sin­gle big­gest cause ac­count­ing for 29% of deaths; the av­er­age life ex­pectancy in South Africa has in­creased by nine years to 63 since 2005; in­sti­tu­tional ma­ter­nal mor­tal­ity ra­tio has de­creased in five prov­inces with in­creases noted in two. • Im­proved ac­cess to medicines through the Cen­tral Chronic Medicines Dis­pens­ing and Dis­tri­bu­tion Pro­gramme: in 2015/16 about 400 000 pa­tients re­ceived their med­i­ca­tion from 1000 pick-up-points closer to their homes and places of work. • Health ex­pen­di­ture in the pub­lic sec­tor has in­creased to R183 bil­lion over the past 20 years with a lev­el­ling off of per capita spend­ing at prov­ince level. • Recog­nis­able progress in the Ideal Clinic Re­al­i­sa­tion and Main­te­nance Pro­gramme: 322 Ideal Clin­ics were ac­cred­ited in 2016, and the num­ber of clin­ics scor­ing over 70% in­creased from 139 to 445 while those Photo: Sup­plied scor­ing be­low 40% re­duced from 213 to 90. How­ever, con­sid­er­ing that there are 3477 fa­cil­i­ties across the coun­try, the pro­gramme still faces nu­mer­ous chal­lenges in­clud­ing in the area of sup­ply-chain man­age­ment. • The grow­ing bur­den of non­com­mu­ni­ca­ble dis­eases is in­creas­ingly im­pact­ing on an al­ready stretched health sys­tem. While great strides have been made to­wards man­age­ment and con­trol of NCDs, more em­pha­sis should be placed on com­mu­nity-level fac­tors that in­flu­ence health. • Breast and cer­vi­cal can­cer are the most com­monly di­ag­nosed can­cer among women in South Africa, call­ing for in- creased ac­cess to treat­ment and screen­ing ser­vices. • The need for early iden­ti­fi­ca­tion of DR-TB pa­tients, screen­ing for house­hold con­tacts and ed­u­cat­ing house­hold mem­bers about DR-TB were iden­ti­fied as im­por­tant com­mu­nity-level in­ter­ven­tions to curb com­mu­nity trans­mis­sion of DR-TB Said the Man­ag­ing Edi­tor of the South African Health Re­view, Ash­nie Padarath: “This year’s Re­view paints a mixed pic­ture and shows ev­i­dence of progress in many of the pro­grammes that are needed to en­sure the suc­cess­ful im­ple­men­ta­tion of NHI but also iden­ti­fies ar­eas where sus­tained and con­certed ac­tion is re­quired.”

The gar­den ded­i­cated to the late Dr Celia Jame­son Rose.

Newspapers in English

Newspapers from South Africa

© PressReader. All rights reserved.