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Title: Systems analysis of Municipal Health Services in South Africa
Authors: Agenbag, Michael. H.A 
Keywords: Municipal health services;Environmental health services;Systems analysis;Determinants of health;Prevention;Preventative health
Issue Date: 2017
Publisher: SALGA
Source: Agenbag Mike, 2017. Systems analysis of Municipal Health Services in SA. In: South African Local Government Association (SALGA) 2017 Summit. Somerset West, Western Cape. South Africa. Conference proceedings 01 February 2017
Abstract: Municipal health services is a component of environmental health services and consequently ‘health services’, which is firmly founded in the Constitution of South Africa and an array of supporting legislation. Environmental health is multi-sectoral in nature and are dependent on the performance of others e.g. sector departments, institutions and individuals, who causes the environmental health risks to also remedy it. The sectoral relationships together with multi-level governance of structures involved render the control of social and environmental determinants of health, among others, very complex. Various sector legislation and regulating authorities are also impacting on MHS, and when not appropriately aligned causing overlaps, confusion, authority clashes and resultant ineffective service delivery with negative environmental health impacts which contribute to the burden of disease. The mandate for MHS provides for the prevention of ill health at source (local government level) through identifying, quantifying and mitigating environmental health risks which originates from among others, social and environmental determinants of health. MHS mandate is not appropriately aligned in sector legislation and programs to ensure the prevention of social and environmental determinants of health. MHS is poorly implemented and supported by government and supporting institution which resulted in a lack of appropriate preventative health outcomes. Therefore this assignment to identify gaps in order to rectify it.
Description: The South African Local Government Association (SALGA) in partnership with the South African Institute of Environmental Health met with institutions of higher learning on the 5th of October 2016 to formalise and implement SALGA conference resolutions which impact on academic institutions. The aim of the meeting was to further involve universities to assist with other work which is affecting the profession and subsequent service delivery agendas. The Cape Peninsula University of Technology (CPUT) were allocated the task to conduct a MHS systems analysis to identify failures and successes impacting on the implementation of MHS in SA.
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