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2004-12-17
英文文献:Rural health systems in South Africa: local innovation and potential for social inclusion-南非农村卫生系统:地方创新和社会包容的潜力
英文文献作者:Erika Kraemer Mbula,Lindile Ndabeni,Rasigan Maharajh
英文文献摘要:
This article explores innovation in rural health care systems in remote or marginalised areas where limited public health care is available. To overcome this challenge and satisfy the universal demand for health care, populations in remote rural areas often rely on multiple private providers that deliver services based on various sources of knowledge (both traditional and modern sciences). Rural healthcare is thus a versatile and dynamic sector which includes a variety of economic activities. This article presents evidence collected in two marginalised localities: Ingquza Hill Local Municipality and Mbizana Locality; both in the Eastern Cape Province, one of the poorest provinces in South Africa. On the basis of this evidence the paper explores: (1) the key actors that compose rural health systems and, (2) examples of interactions and innovations that emerge amongst these actors in such contexts. It is argued that a better understanding of the solutions that are originated within local systems of innovation constitutes a suitable approach towards sustainable and inclusive development.

本文探讨了公共卫生服务有限的偏远或边缘地区农村卫生保健系统的创新。为了克服这一挑战并满足对卫生保健的普遍需求,偏远农村地区的人口往往依赖多个私营提供者提供基于各种知识来源(包括传统和现代科学)的服务。因此,农村保健是一个多用途和充满活力的部门,包括各种经济活动。本文展示了在两个边缘地区收集的证据:Ingquza山地方自治市和Mbizana地区;这两个地方都位于南非最贫穷的省份之一东开普省。基于这一证据,本文探讨了:(1)构成农村卫生系统的关键行动者,(2)在这种情况下,这些行动者之间出现的互动和创新的例子。有人认为,更好地理解源自当地创新体系的解决办法是实现可持续和包容性发展的合适途径。
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