title: A district health service in Khayelitsha--panacea or pipedream?
abstract: Khayelitsha is an underserviced, largely informal urban settlement on the edge of Cape Town. It is home to some 350,000 people. This paper maintains that a district health service would be beneficial in Khayelitsha. Advantages include (i) the integration and co-ordination of services with coherent management of health care; (ii) the ability to prioritise and act on problems with the full range of preventive and curative measures as well as intersectoral support; and (iii) the accountability of health providers. Some of the steps taken towards the initiation of a district health service are illustrated in a discussion of the recent changes in health service structures in Khayelitsha. There are many obstacles to the implementation of a formal district health service and these are discussed briefly.
authors.affiliation: Western Cape Regional Services Council, Cape Town.
authors.forename: P M
authors.initials: PM
authors.lastname: Barron
authors.forename: S A
authors.initials: SA
authors.lastname: Fisher
mesh_terms: D001291:Attitude of Health Personnel; D003153:Community Health Services / Q000458:organization & administration*; D005260:Female; D006801:Humans; D008507:Medically Underserved Area; D011320:Primary Health Care / Q000458:organization & administration; D013019:South Africa; D014505:Urban Population