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Establishing a Health Promotion and Development Foundation in South Africa

A M Perez, O A Ayo-Yusuf, K Hofman, S Kalideen, A Maker, D Mokonoto, N Morojele, P Naidoo, C D H Parry, K Rendall-Mkosi, Y Saloojee

Abstract


South Africa has a ‘quadruple burden of disease’. One way to reduce this burden, and address the social determinants of health and social inequity, could be through health promotion interventions driven by an independent Health Promotion and Development Foundation (HPDF). This could provide a framework to integrate health promotion and social development into all government and civil society programmes. On priority issues, the HPDF would mobilise resources, allocate funding, develop capacity, and monitor and evaluate health promotion and development work. Emphasis would be on reducing the effects of poverty, inequity and unequal development on disease rates and wellbeing. The HPDF could also decrease the burden on the proposed National Health Insurance (NHI) system. We reflect on such foundations in other countries, and propose a structure for South Africa’s HPDF and a dedicated funding stream to support its activities. In particular, an additional 2% levy on alcohol and tobacco products is proposed to be utilised to fund the HPDF.

Authors' affiliations

A M Perez, Faculty of Health Sciences, University of Cape Town

O A Ayo-Yusuf, Department of Community Dentistry and School of Health Systems & Public Health, Faculty of Health Sciences, University of Pretoria

K Hofman, MRC/Wits Rural Public Health and Health Transitions Research Unit, School of Public Health, University of the Witwatersrand, Johannesburg

S Kalideen, Soul City: Institute for Health and Development Communication, Johannesburg

A Maker, Sonke Gender Justice Network, Johannesburg

D Mokonoto, School of Public Health, University of Witwatersrand, Johannesburg

N Morojele, Alcohol & Drug Abuse Research Unit, Medical Research Council, Pretoria

P Naidoo, Population Health, Health Systems and Innovations Programme, Human Sciences Research Council, and Extraordinary Professor, University of the Western Cape

C D H Parry, Alcohol & Drug Abuse Research Unit, Medical Research Council, and Department of Psychiatry, Stellenbosch University

K Rendall-Mkosi, School of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria

Y Saloojee, National Council Against Smoking, Johannesburg

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Keywords

Health promotion, social development, determinants of health, equity, non-communicable diseases, national health insurance, foundation, communicable diseases

Cite this article

South African Medical Journal 2013;103(3):147-149. DOI:10.7196/SAMJ.6281

Article History

Date submitted: 2012-09-07
Date published: 2013-01-14

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