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The health and health system of South Africa: historical ...

Vol 374 September 5, 2009 817 health in South africa 1 The health and health system of South africa : historical roots of current public health challengesHoosen Coovadia, Rachel Jewkes, Peter Barron, David Sanders, Diane McIntyreThe roots of a dysfunctional health system and the collision of the epidemics of communicable and non-communicable diseases in South africa can be found in policies from periods of the country s history, from colonial subjugation, apartheid dispossession, to the post-apartheid period.

South Africa has four concurrent epidemics, a health profi le found only in the Southern African Development Community region.1 Poverty-related illnesses (table), such as infectious diseases, maternal death, and malnutrition, remain widespread, and there is a growing

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