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Health and Health Care in South Africa — 20 Years after Mandela

2014

This article reflects on major health challenges and recent trends in health, wealth, and health care in post-apartheid South Africa. Much of the hope for narrowing disparities in the new South Africa was embedded in the reversal of legislated racial discrimination generally, and in aspirations for more equitable provision of health care specifically. However, this places too much emphasis on legislation and biomedicine as the dominant routes to improved health, without consideration of the social determinants of health and the complexity associated with the effective practical application of new laws and health services.

This article is part of the New England Journal of Medicine (NEJM) Global Health collection, which features articles on population health around the world including a new series of Global Health review articles as well as perspective and research articles.

Source:

Mayosi BM, Benatar SR. Health and Health Care in South Africa — 20 Years after Mandela. The New England Journal of Medicine 2014; 371:1344-1353. DOI: http://dx.doi.org/10.1056/NEJMsr1405012.