Health in South Africa 6 Achieving the health Millennium Development Goals for South Africa: challenges and priorities

被引：161

作者：

Chopra, Mickey ^{[1
,3
]}

Lawn, Joy E. ^{[1
,4
]}

Sanders, David ^{[3
]}

Barron, Peter ^{[5
]}

Karim, Salim S. Abdool ^{[7
,9
]}

Bradshaw, Debbie ^{[2
]}

Jewkes, Rachel ^{[5
,10
]}

Karim, Quarraisha Abdool ^{[7
,9
]}

Flisher, Alan J. ^{[11
,12
]}

Mayosi, Bongani M. ^{[13
]}

Tollman, Stephen M. ^{[5
]}

Churchyard, Gavin J. ^{[14
]}

Coovadia, Hoosen ^{[6
,8
]}

机构：

[1] MRC, Hlth Syst Res Unit, Cape Town, South Africa

[2] MRC, Burden Dis Unit, Cape Town, South Africa

[3] Univ Western Cape, Sch Publ Hlth, Cape Town, South Africa

[4] Saving Newborn Lives Save Children, Cape Town, South Africa

[5] Univ Witwatersrand, Sch Publ Hlth, Johannesburg, South Africa

[6] Univ Witwatersrand, Reprod Hlth & HIV Res Unit, Johannesburg, South Africa

[7] Univ Kwazulu Natal, Ctr AIDS Programme Res S Africa, Durban, South Africa

[8] Univ Kwazulu Natal, Nelson Mandela Sch Med, Durban, South Africa

[9] Columbia Univ, Dept Epidemiol, New York, NY USA

[10] MRC, Gender & Hlth Res Unit, Pretoria, South Africa

[11] Univ Cape Town, Div Child & Adolescent Psychiat, ZA-7925 Cape Town, South Africa

[12] Univ Cape Town, Adolescent Hlth Res Unit, ZA-7925 Cape Town, South Africa

[13] Univ Cape Town, Dept Med, ZA-7925 Cape Town, South Africa

[14] Aurum Inst Hlth Res, Johannesburg, South Africa

来源：

LANCET | 2009年 / 374卷 / 9694期

基金：

比尔及梅琳达.盖茨基金会;

关键词：

PRIMARY-CARE; ANTIRETROVIRAL THERAPY; PUBLIC-HEALTH; HIV; TRANSITION; MANAGEMENT; SYSTEMS; ACCESS;

D O I：

10.1016/S0140-6736(09)61122-3

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

15 years after liberation from apartheid, South Africans are facing new challenges for which the highest calibre of leadership, vision, and commitment is needed. The effect of the unprecedented HIV/AIDS epidemic has been immense. Substantial increases in mortality and morbidity are threatening to overwhelm the health system and undermine the potential of South Africa to attain the Millennium Development Goals (MDGs). However The Lancet's Series on South Africa has identified several examples of leadership and innovation that point towards a different future scenario. We discuss the type of vision, leadership, and priority actions needed to achieve such a change. We still have time to change the health trajectory of the country, and even meet the MDGs. The South African Government, installed in April, 2009, has the mandate and potential to address the public health emergencies facing the country-will they do so or will another opportunity and many more lives be lost?

引用

页码：1023 / 1031

页数：9

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