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Health in South Africa: changes and challenges since 2009

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Author: 
Bongani M Mayosi,
Other Authors: 
Joy E Lawn, Ashley van Niekerk, Debbie Bradshaw, Salim S Abdool Karim, Hoosen M Coovadia
Publication Year: 
2012
Published by: 
The Lancet
Non HST
Journal

Since the 2009 Lancet Health in South Africa Series, important changes have occurred in the country, resulting in an
increase in life expectancy to 60 years. Historical injustices together with the disastrous health policies of the previous
administration are being transformed. The change in leadership of the Ministry of Health has been key, but new
momentum is inhibited by stasis within the health management bureaucracy. Specific policy and programme changes
are evident for all four of the so-called colliding epidemics: HIV and tuberculosis; chronic illness and mental health;
injury and violence; and maternal, neonatal, and child health. South Africa now has the world’s largest programme of

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