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Primary health care in Swaziland: is it working?

Authors
  • Sukati, N A
Type
Published Article
Journal
Journal of Advanced Nursing
Publisher
Wiley
Publication Date
Apr 01, 1997
Volume
25
Issue
4
Pages
760–766
Identifiers
PMID: 9104672
Source
Medline
Keywords
License
Unknown

Abstract

With the goal of improving the health status of its people, the government of Swaziland, through the Ministry of Health, formally adopted a comprehensive primary health care (PHC) system in 1983. Some services and programs have since been implemented in accordance with the country's commitment to Health for All by 2000. Based upon her literature review of PHC strategy in Swaziland up to 1995, the author presents background information on health and health services, including the education and training of health workers and health status indicators, and identifies successes and areas in which improvement is needed to achieve Health for All. The immunization program has enjoyed particular success, increasing coverage from 14% in 1981 to 89% in 1992. The training of rural health motivators has also progressed well, although some information suggests that some motivators have not been very useful to their communities. Even though the present infant mortality rate of 94 deaths per 1000 live births is considered high, the level of infant mortality has nonetheless declined by 37% since 1983.

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