Health and Health Care in South Africa — 20 Years after Mandela

Twenty years after the fall of apartheid, social and economic disparities persist in South Africa and have a profound effect on the health of the population. HIV infection and tuberculosis remain major health problems, and there are not enough health care workers. In the 20 years since South Africa...

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Published inThe New England journal of medicine Vol. 371; no. 14; pp. 1344 - 1353
Main Authors Mayosi, Bongani M, Benatar, Solomon R
Format Journal Article
LanguageEnglish
Published United States Massachusetts Medical Society 02.10.2014
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Summary:Twenty years after the fall of apartheid, social and economic disparities persist in South Africa and have a profound effect on the health of the population. HIV infection and tuberculosis remain major health problems, and there are not enough health care workers. In the 20 years since South Africa underwent a peaceful transition from apartheid to a constitutional democracy, considerable social progress has been made toward reversing the discriminatory practices that pervaded all aspects of life before 1994. 1 – 5 Yet the health and well-being of most South Africans remain plagued by a relentless burden of infectious and noncommunicable diseases, persisting social disparities, and inadequate human resources to provide care for a growing population with a rising tide of refugees and economic migrants. 4 , 6 Appropriate responses to South African health care challenges would be to address the social determinants of health (which lie . . .
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ISSN:0028-4793
1533-4406
DOI:10.1056/NEJMsr1405012