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  • Reflections on two decades of violence and unintentional injury prevention: Responses in South Africa

    by Ashley van Niekerk
    Reflections on two decades of violence and unintentional injury prevention: Responses in South Africa
    Violence and unintentional injury make up one of the four major health burdens in South Africa, along with HIV and tuberculosis (TB), chronic illness and mental health, and maternal, neonatal and child health. Despite South Africa’s remarkable political transformation, the country has continued to experience staggering levels of morbidity and mortality arising from violence and injury. National information sources have, however, been plagued by concerns of under-reporting and other inconsistencies, with significant differences highlighted by independent mortality studies. The biggest challenge in reducing the burden of violence and injury lies in its prevention and the concerted development of the science to inform it. read more
  • Getting to the Last Mile – diagonal approach and pathways for improving maternal and child health outcomes in South Africa

    by Sanjana Bhardwaj
    Getting to the Last Mile – diagonal approach and pathways for improving maternal and child health outcomes in South Africa
    South Africa is committed to reaching the Millennium Development Goals (MDGs) for maternal and child health. Over the last few years, the country has made tremendous progress in improving the health outcomes for women and children across the country. However, the country still faces various challenges in reaching the targets as outlined in the Government plans as well as the MDGs. Using a diagonal approach, a strategy in which we use explicit intervention priorities to drive the required improvements into the health system, dealing with such generic issues as human resource development, financing, facility planning, drug supply, rational prescription, and quality assurance, will be important to reach the goals set. read more
  • Re-imagining rural: the state of rural health 20 years into democracy

    by Daygan Eagar
    Re-imagining rural: the state of rural health 20 years into democracy
    While working in rural settings—where the beauty of the landscape is matched by the warmth and humility of its people—is certainly rewarding, I am presented with constant reminders of how far we still have to go to ensure that all people, regardless of the personal circumstance or where they live, have access to the kind of healthcare that our constitution demands. read more
  • The use of roll-your-own cigarettes in South Africa

    by Bukola Olutola
    The use of roll-your-own cigarettes in South Africa
    Between 1993 and 2003, smoking prevalence decreased from 34% to 21.4% in South Africa through the implementation of its various anti-tobacco policies and legislation that have resulted in a ban of all tobacco advertisements, the enforcement of health warnings on cigarette packages, and an increase in excise taxes among a plethora of other interventions. A predictable consequence of cigarette price increases is that some people will switch to cheaper substitutes, like roll-your-own (RYO) tobacco. This may negate the effect of taxation and increases the negative consequences for their health. read more
  • CTCA: A resource centre for advancing tobacco control in Africa

    by Nyamurungi Kellen
    CTCA: A resource centre for advancing tobacco control in Africa
    The Centre for Tobacco Control in Africa (CTCA) was established to build and sustain institutional capacity of African governments in tobacco control. This is done through the provision technical and financial resources to create comprehensive and strong tobacco control bills, policies and regulations. Additionally, the Centre has provided a platform for dialogue among the tobacco control actors including parliamentarians, civil society organizations (CSOs), academia and media fraternity. Furthermore, CTCA has built capacity of African governments and CSOs through training, developing and availing toolkits and orientation of key stakeholders in several countries. read more
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