The Human Sciences Research Council (HSRC)

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Social exclusion is a dynamic, multi-dimensional phenomenon. Driven by unequal power relationships, it works to exclude groups of people in particular contexts from engaging fully in community or social life. Many of South Africa's post-apartheid policies and programmes have been directed at correcting historical injustices responsible for social exclusion, yet inequalities remain rampant.

Based on a review of local and international literature on the social determinants of health and on interviews with key individuals in civil society, academics and senior officials in national ministries, this study explores factors that enable or constrain the implementation of policies and programmes that address social exclusion.

Three government programmes were investigated and analysed in detail: free health care, child support grants and the Gauteng Bana Pele (Children First) Programme. The insightful analysis and clear recommendations presented here are of particular interest to social scientists, international agencies and government ministries whose work concerns health equity.

This study was done under the auspices of the World Health Organization's Commission on Social Determinants of Health, as part of the Social Exclusion Knowledge Network (SEKN). The research was conducted by the Social Aspects of HIV/AIDS and Health research programme of the Human Sciences Research Council.

Open Access

Product information

Format : 280mm x 210mm (Soft Cover)
Pages : 56
ISBN 10 : 0-7969-2231-4
ISBN 13 : 978-07969-2231-1
Publish Year : 2008
Rights : World Rights

Chapter 1: The global and national context
Global response to health inequities
South African case study
Country profile
The current context

Chapter 2: Aims and methodology
Aims and focus
Methodology

Chapter 3: Social exclusion: constructs and policies
Constructs of social exclusion
Affected groups
The impact of social exclusion
Social inclusion policies

Chapter 4: Appraising South African policies
Free healthcare
Cash transfers and support grants
Bana Pele
Summary

Chapter 5: Conclusion and recommendations
Key issues
Recommendations

References

Dr Laetitia Rispel is currently with the Centre for Health Policy in the School of Public Health at the University of the Witwatersrand. Dr Rispel is also a former executive director of the Social Aspects of HIV/AIDS and Health research programme at the Human Sciences Research Council (HSRC). Prior to joining the HSRC, Dr Rispel was the head of the Gauteng Health Department. She has extensive academic and research experience, and her research interests include HIV/AIDS, health systems, public health, and gender.

Boitumelo Molomo is a former intern in the Social Aspects of HIV/AIDS and Health research programme at the Human Sciences Research Council. She is currently with ESKOM.

Sellinah Dumela is a former Research Manager in the Social Aspects of HIV/AIDS and Health research programme at the Human Sciences Research Council. She is currently with the Limpopo Department of Health.

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