Key challenges to achieving health for all in an inequitable society: The case of South Africa
Key challenges to achieving health for all in an inequitable society: The case of South Africa
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DOI：
10.2105/ajph.2005.062679
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发表时间：
2006-01-01
影响因子：
12.7
通讯作者：
Chopra, M
中科院分区：
文献类型：
--
作者：
Sanders, D;Chopra, M
南非的保健不平等现象正在迅速恶化。自1994年以来，新的民主政府启动了一系列大规模政策和方案，其明确的促进公平目标改善了获得医疗保健和其他社会资源的机会。然而，这些政策和计划受到宏观经济政策的制约，这些宏观经济政策要求财政紧缩，优先考虑技术而不是发展方面的考虑。我们提出一种改善所有人健康的办法，重点是公平分配卫生资源。执行有利于公平的政策，除了需要技术上有效的干预措施外，还需要倡议和与受影响社区的沟通和参与。开普敦公平衡量项目是应对不平等挑战的一个例子。
The health inequalities in South Africa are rapidly worsening. Since 1994, the new democratic government has initiated a number of large-scale policies and programs with explicit pro-equity objectives that have improved access to health care and other social resources. However, these policies and programs have been constrained by macroeconomic policies that dictate fiscal restraint and give priority to technical rather than developmental considerations.We propose an approach to improving health for all that focuses on equity in the allocation of health resources. The implementation of pro-equity policies requires, in addition to technically efficacious interventions, both advocacy initiatives and communication with, and the involvement of, affected communities. The Cape Town Equity Gauge project is presented as one example of a response to the challenge of inequity.