Reproductive Health Matters
Volume 15, Issue 30 , Pages 38-49 , November 2007

Making Systems Work: The Hard Part of Improving Maternal Health Services in South Africa

  • Leena Susan Thomas

      Affiliations

    • Gender and Health Division, School of Public Health, University of Witwatersrand, Johannesburg, South Africa
    • Chief Directorate: Human Resource Development, Gauteng Health Department, Johannesburg, South Africa
    • ,
  • Ruxana Jina

      Affiliations

    • Gender and Health Division, School of Public Health, University of Witwatersrand, Johannesburg, South Africa
    • Gender and Health Research Unit, Medical Research Council, Pretoria, South Africa
    • ,
  • Khin San Tint

      Affiliations

    • Gender and Health Division, School of Public Health, University of Witwatersrand, Johannesburg, South Africa
    • ,
  • Sharon Fonn

      Affiliations

    • Gender and Health Division, School of Public Health, University of Witwatersrand, Johannesburg, South Africa

References 

  1. World Health Organization. World Health Report 2003: Shaping the Future. Geneva: WHO; 2003;
  2. World Health Organization. World Health Report 2004: Changing History. Geneva: WHO; 2004;
  3. World Health Organization. World Health Report 2005: Make Every Mother and Child Count. Geneva: WHO; 2005;
  4. Maine D, Rosenfield A. The Safe Motherhood Initiative: why has it stalled?. American Journal of Public Health. 1999;89(4):480
  5. In:  Chalmers I,  Enkin M,  Keirse M editor. Effective Care in Pregnancy and Childbirth. New York: Oxford University Press; 1989;p. 3–38
  6. Effective Health Care Alliance Programme. Better Births Initiative. Liverpool School of Tropical Medicine. 29 September 2003. At: < www.liv.ac.uk/evidence/BBI/home.htm>. Accessed 2 July 2007
  7. Bill and Melinda Gates Foundation, McKinsey and Company. Global Health Partnerships: Assessing Country Consequences. Florham Park: McKinsey & Company; 2005;At: < www.who.int/entity/healthsystems/gf16.pdf>. Accessed 11 May 2007
  8. World Health Organization. World Health Report 2006: Working Together for Health. Geneva: WHO; 2006;
  9. United Nations Children's Fund. South Africa: Statistics. At: < www.unicef.org/infobycountry/southafrica_statistics.html>. Accessed 2 July 2007
  10. World Health Organization. World Health Statistics 2007. Geneva: WHO; 2007;
  11. In:  Pattinson RC editors. Saving Mothers 2002-2004: Third Report on Confidential Enquiries into Maternal Deaths in South Africa. Pretoria: Government Printer; 2006;
  12. In:  Pattinson RC editors. Saving Babies: A Perinatal Care Survey of South Africa 2000. Pretoria: Medical Research Council; 2000;
  13. South African Demographic and Health Survey 2003. Department of Health. < www.doh.gov.za/facts/sadhs2003/part1.pdf>. Accessed 2 July 2007
  14. South African Demographic Health Survey 1998. Department of Health. Pretoria: Government Printer; 1999;
  15. South African Department of Health. Guidelines for Maternity Care in South Africa: A Manual for Clinics, Community Health Centres and District Hospitals. 2nd edition. March 2002;
  16. Vlassoff C, Fonn S. Health Workers for Change as a health systems management and development tool. Health Policy and Planning. 2001;16(Suppl.1):47–52
  17. Fonn S, Xaba M. Health Workers for Change. Geneva: World Health Organization, Women's Health Project; 1996;
  18. LeRoux E, Pattinson RC, Tsaku W, et al. Does successful completion of the Perinatal Education Programme result in improved obstetric practice?. South African Medical Journal. 1998;88(2 Suppl.):180–182
  19. Schneider H, Barron P, Fonn S. The promise and the practice of transformation in South Africa's health system. In:  Buhlungu S,  Daniel J,  Southall R, et al. editor. State of the Nation South Africa 2007. Cape Town: Human Sciences Research Council; 2006;p. 289–311
  20. Schneider H, Blaauw D, Gilson L, et al. Health systems and access to antiretroviral drugs for HIV in southern Africa: service delivery and human resources challenges. Reproductive Health Matters. 2006;14(27):12–23
  21. Schneider H, Coetzee D. Strengthening the health system and ensuring equity in the widescale implementation of an antiretroviral therapy programme in South Africa. South African Medical Journal. 2003;93(10):772–773

PII: S0968-8080(07)30314-5

doi: 10.1016/S0968-8080(07)30314-5

Reproductive Health Matters
Volume 15, Issue 30 , Pages 38-49 , November 2007

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