There has been a notable expansion in routine health care in sub-Saharan Africa. While heath care is nominally free in many contexts, the time required to access services reflects an opportunity cost that may be substantial and highly gendered, reflecting the gendered nature of health care guidelines and patterns of use. The time costs of health care use, however, have rarely been systematically assessed at the population-level.
In this five-minute video, Vuyiseka Dubula-Majola – director at Stellenbosch University’s Africa Centre for HIV/AIDS, who is well recognized for her activism to ensure affordable access to health services for people living with HIV – gives her perspective on what it will take for Afri
Age-of-consent laws can be a barrier to adolescents accessing relevant HIV/AIDS services. This study provides new evidence that a lower legal age of consent could address this barrier, especially in countries with more restrictive legislation, and increase HIV testing and counselling uptake.
This article reflects on the social, political, and structural factors that shape risk and influence access to prevention and care. It calls for the use of a collection of indicators that incorporate principles of human rights, gender equality, and participation, recognizing that without equity, epidemic transition cannot truly be achieved or sustained.
The South African Health Review 2018 is now available. This year’s edition focuses on human resources for health - particularly innovative and practical solutions for ensuring adequate human resources in preparation for National Health Insurance (NHI) - and emphasises the need for sustainable progress in staffing the health sector if we are to achieve universal health coverage. Download the Review in its entirety or by individual chapter from the Health Systems Trust’s website.