SOAS Research Online

A Free Database of the Latest Research by SOAS Academics and PhD Students

[skip to content]

Hull, Elizabeth (2012) 'The renewal of community health under the KwaZulu homeland government.' South African Historical Journal, 64 (1). pp. 22-40.

[img] Text - Draft Version
Restricted to Repository staff only

Request a copy


The 1970s and 80s bore witness both to a consolidation of the controversial Bantustan system in South Africa – accompanied with the notorious neglect of key services such as health care in these areas by the apartheid state – and the revival and development of a radical global vision of primary health care encompassed by the World Health Organisation’s mandate of ‘health for all’. This paper describes the influence of these diverse forces on mission hospitals operating in the ‘homeland’ of KwaZulu, which were eventually taken over by the KwaZulu government. While existing literature about the Bantustans has tended to focus on the enormous financial constraints and the inadequacy of service provision, I argue that the period of homeland rule in fact provided a certain degree of autonomy from the prescriptions of the central state, along with a relative increase of funds which, though inadequate, nonetheless created an opportunity for these hospitals to develop and implement a progressive model of community-based care. By using this example, I do not intend to challenge the many indisputable critiques of homeland rule, but rather to suggest that some of the nuances of its diverse operations may have been overlooked as a result of the polemical approach of earlier scholars.

Item Type: Journal Article
Keywords: South Africa, KwaZulu, Bantustans, health, medical missions, Christianity, Methodism
SOAS Departments & Centres: Departments and Subunits > Department of Anthropology & Sociology
Legacy Departments > Faculty of Arts and Humanities > Department of Anthropology and Sociology
Subjects: D History General and Old World > DT Africa
ISSN: 02582473
DOI (Digital Object Identifier):
Date Deposited: 23 Nov 2011 11:49

Altmetric Data


Download activity - last 12 monthsShow export options
Downloads since deposit
6 month trend
6 month trend
Accesses by country - last 12 monthsShow export options
Accesses by referrer - last 12 monthsShow export options

Repository staff only

Edit Item Edit Item