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Biomedical subjects

Y Pillay

Publications and source records attributed to Y Pillay.

5 recordsLinked to original sources

The impact of South Africa's new constitution on the organization of health services in the post-apartheid era.

This essay evaluates the transformation of the health care system in South Africa in the five years following the end of apartheid. This period has witnessed dramatic and wide-ranging changes in the roles of the central and provincial governments as well as many of the same problems related to decentralization as have been seen elsewhere in the world. The importance of effective intergovernmental relations to the creation of a national health system is highlighted. Negotiation. contracting, and coordination skills and mechanisms need to be strengthened to ensure a more effective national health system within a decentralized political system.

Constitution and Bylaws↗

Reconstructing and developing the health system--the first 1,000 days.

This paper attempts to document the successes and failures of the Department of Health during the first 1,000 days of the Government of National Unity. The achievements of the Department are reflected against the backdrop of the legacies inherited by the current Ministry and Department.

Health Care Reform↗

The effects of chronic violence on preschool children living in South African townships.

Violence in South Africa has reached endemic proportions. To date, more than 11,000 people have died in politically related violence. The present study is specifically concerned with researching the psychological sequelae of civil conflict and violence on preschool children. Using a combination of participatory and empirical methods, five creche teachers (also trained as field workers) took a random sample of 148 children in their creches. The Post Traumatic Stress Disorder Questionnaire for Children was completed by the creche teachers for each of the children under their care. Second, the children were asked to draw pictures of things they had experienced in their life. A significant finding of this study was that preschool children exposed to violence suffered from PTSD. Further, children's drawings showed severe emotional indicators. However, an interesting finding was that these drawings were not good predictors of PTSD; the more a child was able to express emotional trauma through drawings, the less likely he/she would suffer from PTSD. This finding has interesting ramifications for trauma intervention programs for preschool children.

Analysis of Variance↗