Conceptualizing Community Oriented Primary Care (COPC) - the Tshwane, South Africa, health post model

摘要

Health sector reforms initiated in South Africa in 1994 adopted a primary health care approachto strengthen the health system and achieve public health outcomes through disease preventionand health promotion.1 This led to the building of many new clinics to make health servicesmore accessible, affordable and equitable. However, the pressures of a predominantly hospitalcentrichealth care system and emerging epidemics prevented the successful provision of qualitycomprehensive, integrated primary care to millions of South Africans. Also, little attention wasgiven to community partnerships and multi-sectoral collaboration.