02051nas a2200421   4500000000100000008004100001260001600042653001000058653002000068653002100088653001000109653002600119653001100145653003400156653003200190653001800222653001900240653001000259653001100269653002100280653002000301653000900321653002200330653001200352653001400364100001300378700001300391700001400404700001600418700001100434700001500445245004300460300001200503490000800515050001600523520107600539022001401615       2006                            d  c2006 Jun 1010aAdult10aAfrica, Central10aAfrica, Southern10aChild10aCommunicable Diseases10aFemale10aHealth Services Accessibility10aHealth Services, Indigenous10aHealth Status10aHIV Infections10aHIV-110aHumans10aInfant Mortality10aInfant, Newborn10aMale10aPopulation Groups10aPoverty10aPrejudice1 aOhenjo N1 aWillis R1 aJackson D1 aNettleton C1 aGood K1 aMugarura B00aHealth of Indigenous people in Africa.  a1937-460 v367  aOHENJO 20063 a<p>Our paper is part of a series focusing on Indigenous peoples' health in different world regions. Indigenous peoples worldwide are subject to marginalisation and discrimination, systematically experiencing poorer health than do majority groups. In Africa, poor health in the general population is widely recognised, but the consistently lower health position and social status of Indigenous peoples are rarely noted. Disputed conceptual understandings of indigeneity, a history of discriminatory colonial and post-colonial policies, and non-recognition of Indigenous groups by some governments complicate the situation. We discuss two case studies, of the central African Pygmy peoples and the San of southern Africa, to illustrate recurring issues in Indigenous health in the continent. We make recommendations for the recognition of Indigenous peoples in Africa and improvements needed in the collection of health data and the provision of services. Finally, we argue that wider changes are needed to address the social determinants of Indigenous peoples' health.</p>  a1474-547X