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Use of clinics in township south africa10/20/2023 ![]() ![]() ![]() To combat these illnesses, the country relied on traditional healers, Europeans trained doctors, missionaries, and other health providers. Since the 17th century, South Africa has faced a significant burden of epidemics such as poverty, smallpox, measles, malaria, and others. However, apartheid policies left an outstanding aftermath that still causes detrimental outcomes for vulnerable populations. Legal discrimination ended and more favorable policies towards the black populations. 14 In 1994, Nelson Mandela became the first black president and ended apartheid policies. In 1952, a segregated medical school was established for black students. Black people were denied citizenship in South Africa and continued to be forcibly removed to the rural labour reserves. The laws were reinforced by state control and repression. The system determined where a person could live, work, and go to school, whom they could marry, whether they could vote, and the resources allocated to education, health care, and pensions based on their racial classification. From 1948, the National Party came to power and created the policy of apartheid, which consolidated the political exclusion, economic marginalization, social separation, and racial injustices of the last 300 years. The lack of proper housing and land led to the creation of overcrowded, unsanitary hostels and slums in the urban black areas. Furthermore, the urban black population grew 94% between 19.There was racial segregation of urban areas as well because the reservation of land was mostly for white people. Disparities in healthcare also arose because there was one doctor for every 308 white people compared with one doctor for 22,000 to 30,000 black people in the reserves. 5 There was a major attempt to restrict black individuals from urban areas to the reserves during this time. 14 South Africa has had racial and ethnic discrimantion laws beginning in colonial times that have dominated the culture of the country until recent decades. The current state of the health system is due to many epidemics and policies from the country’s eras such as colonial subjugation, apartheid, and the post-apartheid period. ![]()
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