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Health Sector Policy Options for Independent Namibia

出版	United Nations Institute for Namibia, 1984
URL	http://books.google.com.hk/books?id=7XGn_27ndYAC&hl=&source=gbs_api

註釋Commissioned by the UN Institute for Namibia, this is a pioneering study on the existing state of health and health services and policy options for independent Namibia. The first part concentrates on the major health problems and the historical origins of inequalities both in health status and health care, documenting the "production of ill-health" through economic exploitation, occupational disease, malnutrition and the policy of apartheid. A large number of tables, drawn mainly from official sources (especially Municipality of Windhoek reports, SWA Administration White Papers and Anglo American Corporation medical reports), document the disease and death patterns as well as diseases and accidents in the diamond mines. The author's careful analysis of the present health care infrastructure shows the extent to which the services mostly benefit a small minority, are biased towards the towns and have a distinct curative orientation. This system contrasts sharply with the proposals for a "peoples' health program", based on the health experience of the liberation movement, the primary health approach and the experiences of other Third World countries striving for radical transformation. The primary health care approach embodies three basic ideas: firstly, that the promotion of health depends fundamentally on improving socio-economic conditions; secondly, that in this process the mass of people should be both activists and the main beneficiaries; and thirdly, that the entire health care system should be restructured to support health activities at the primary level. The final chapters comprise a detailed outline of the institutional framework for the health sector, health personnel development, the primary health care implications for resource allocations and budgets, health legislation and the need for a pharmaceutical policy. The appendices contain information on existing hospitals and clinics, health sector personnel requirements, budget estimates for the first year of independence and an essential drugs list. (Eriksen/Moorsom 1989).