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• W2000457502 abstract "Since its transition to democracy in 1994, South Africa had made some bold moves towards developing a health sector that better meets the needs of its population. The government is committed to reproductive health and women's development, but the challenge of translating these commitments into services on the ground still lies ahead. Based on data from a review of maternal health services and a research and implementation project in three South African provinces, this paper examines the current capacity of the health sector in South Africa to respond to women's reproductive health needs. The studies show that women want better quality from existing services and the opening of services where none exist. Obstacles to providing quality care throughout the provinces were identified, eg. perceived and actual problems with provider-client relations, staff workload, waiting times to be seen, in adequacy of infrastructure, lack ofphones and transport for referrals, and poor management of resources and staff, indicating poor health systems management overall. This paper argues that investing in improving the health care system as a whole is essential to achieving high quality reproductive health services.RésuméSur la base d'un examnn des services de santé maternelle et d'un projet de recherche et mise en oeuvre clans trois provinces du pays, Particle tente de determiner clans quelle mesure le secteur sud-africain de la santé en Afrique du Sud est actuellement capable de répondre aux besoins de santé génésique des femmes. Les études montrent clue les femmes veulent une amélioration des soins dans les services existants, et l'ouverture de services lá oú il n'en existe pas encore. Les obstacles qui s'opposent á la fourniture de soins de qualite dans toutes les provinces ont été identifies : problèmas, perçus et réels, dans les relations entre prestateurs et bénéficiaires de soins, surcharge du personnel, délais d'attente pour une visite, inadéquation de l'infrastructure, manque de telephones et de moyens de transport pour le transport des patientes, mauvaise gestion des ressources humaines et financières, traduisant une insuffisance globale dans la gestion des systèmes de santé. Pour l'auteur, investir clans une amélioration globale du service de santé est indispensable si l'on veut obtenir des services de santé reproductive de haute qualite.ResumenPartiendo de datos obtenidos de una révision de los servicios de salud materna y de un proyecto de investigación e implementación en tres provincias surafricanas, este ensayo examina la capacidad actual den sector de salud surafricano para responder a las necesidades de salud reproductiva de la mujer. Los estudios demuestran clue la mujer quiere clue mejore la calidad de los servicios existentes .y clue se provea servicios en lugares donde no los hay. Se identificó algunos obstáculos clue dificultan el suministro de servicios de calidad en las provincial; por ejemplo, problemas percibidos o reales vinculados a la relación proveedor-usuaria, carga laboral, tiempo de espera, infraestructura inadecuada, falta de teléfonos y medios de transporte para el traslado de pacientes, y una administración deficiente de recursos y personal, clue sugiere una mala administracion de los servicios de salud en general. Este ensayo señala clue para alcanzar un elevado nivel en los servicios de salud reproductiva es esencial invertir en el mejoramiento de los servicios de salud en general." @default.
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• W2000457502 date "1998-01-01" @default.
• W2000457502 modified "2023-09-26" @default.
• W2000457502 title "Reproductive health services in South Africa: From rhetoric to implementation" @default.
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• W2000457502 doi "https://doi.org/10.1016/s0968-8080(98)90079-9" @default.
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