ArticleBMC public health2018
The evolution of non-communicable diseases policies in post-apartheid South Africa.
Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.
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36 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prevalence of obesity, hypertension and diabetes among people living with HIV in South Africa: a systematic review and meta-analysis.BMC infectious diseases · 2023Pooled it
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- Acceptance and adoption determinants of telemedicine in public healthcare institutions.Curationis · 2025Article
- Epidemiological trends and age-period-cohort effects on ischemic stroke burden across the BRICS-plus from 1992 to 2021.BMC public health · 2025Article
- Factors influencing non-communicable disease policy process in Sub-Saharan Africa: a scoping review.BMJ public health · 2025Article
- Time trends in anxiety disorders incidence across the BRICS: an age-period-cohort analysis for the GBD 2021.Frontiers in public health · 2024Article
- Multisectoral action to address noncommunicable diseases: lessons from three country case studies.Frontiers in public health · 2024Review
- The passage and implementation of a Health Promotion Levy in South Africa as a case study of fair financing procedures.Health policy and planning · 2023Review
- The Role of Smallholder Farming on Rural Household Dietary Diversity.Agriculture (Basel, Switzerland) · 2023Article
- Determinants of Deteriorated Self-Perceived Health Status among Informal Settlement Dwellers in South Africa.International journal of environmental research and public health · 2023Article
- Decision makers perceptions and experiences of developing population-level interventions targeting risk factors for hypertension and diabetes in South Africa: a qualitative study.BMC health services research · 2023Article
- Association between socio-economic status and non-communicable disease risk in young adults from Kenya, South Africa, and the United Kingdom.Scientific reports · 2023Article
- 'They have a right to participate as a stakeholder': Article 5.3 implementation and government interactions with the tobacco industry in Ethiopia.Tobacco control · 2022Article
- Multimorbidity patterns in South Africa: A latent class analysis.Frontiers in public health · 2022Article
- Barriers and facilitators to medicine collection through the CCMDD programme at a Durban Hospital.Health SA = SA Gesondheid · 2022Article
- Challenges and enablers for implementation of WHO 'Best buys' interventions targeting risk factors of diabetes and hypertension in South Africa: a mixed methods study.The Pan African medical journal · 2022Article
- Population-level interventions targeting risk factors of diabetes and hypertension in South Africa: a document review.BMC public health · 2021Review
- Ultra-Processed Profits: The Political Economy of Countering the Global Spread of Ultra-Processed Foods - A Synthesis Review on the Market and Political Practices of Transnational Food Corporations and Strategic Public Health Responses.International journal of health policy and management · 2021Review
- Facilitators and barriers in prevention of cardiovascular disease in Limpopo, South Africa: a qualitative study conducted with primary health care managers.BMC cardiovascular disorders · 2021Article
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5 authors.
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Abstract
backgroundRedressing structural inequality within the South African society in the post-apartheid era became the central focus of the democratic government. Policies on social and economic transformation were guided by the government's blueprint, the Reconstruction and Development Programme. The purpose of this paper is to trace the evolution of non-communicable disease (NCD) policies in South Africa and the extent to which the multi-sectoral approach was utilised, while explicating the underlying rationale for "best buy" interventions adopted to reduce and control NCDs in South Africa. The paper critically engages with the political and ideological factors that influenced design of particular NCD policies.
methodsThrough a case study design, policies targeting specific NCD risk factors (tobacco smoking, unhealthy diets, harmful use of alcohol and physical inactivity) were assessed. This involved reviewing documents and interviewing 44 key informants (2014-2016) from the health and non-health sectors. Thematic analysis was used to draw out the key themes that emerged from the key informant interviews and the documents reviewed.
resultsSouth Africa had comprehensive policies covering all the major NCD risk factors starting from the early 1990's, long before the global drive to tackle NCDs. The plethora of NCD policies is attributable to the political climate in post-apartheid South Africa that set a different trajectory for the state that was mandated to tackle entrenched inequalities. However, there has been an increase in prevalence of NCD risk factors within the general population. About 60% of women and 30% of men are overweight or obese. While a multi-sectoral approach is part of public policy discourse, its application in the implementation of NCD policies and programmes is a challenge.
conclusionsNCD prevalence remains high in South Africa. There is need to adopt the multi-sectoral approach in the implementation of NCD policies and programmes.
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