Published: 30 August 2024

District health service delivery and the contribution of family physicians

Significance:
Most health care in South Africa takes place in the district health system. In the public sector, this includes primary health care and district hospitals. Although there have been improvements in health and health care, there are still inequities, many instances of poor quality, and weakness regarding community engagement and multisectoral action. Service delivery is currently challenged by budget cuts and loss of resources. Ongoing reforms are needed to improve performance and accommodate the introduction of national health insurance. The deployment of family physicians is an overlooked reform that can improve the model of care, quality, and resilience.

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Promote optimal health for the people in Southern Africa through advocacy, support and the development of the primary health care team, and the establishment of an equitable, humane and integrated district health care system.

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