THE recent tragedy where a toddler was beaten by a rodent in Alex was cited as a perfect example where access to quality health care is still a struggle for the needy and poor. This was said during a panel debate hosted by the Soul City Institute and their partners in civil society movement; Black Sash, Human Rights Commission and Health Systems Trust. The debate looked into how social determinants of health such as water, sanitation, education and jobs contribute to a healthier society. "This incident will never happen in Sandton; as there is too much inequality between Alex and Sandton," remarked Pregs Govender, Human Rights Commissioner. She said the lack of water and sanitation impacts negatively on health, housing, food, education, safety and security and human dignity. She said a holistic approach is needed to address macro-economic causes of deepening inequality that undermine human rights. "The majority of those who do not enjoy Constitutional rights are poor. Black people in SA's former Apartheid homelands, townships and informal settlements have the least access," she said. Said Kalideen of Soul City Institute said, "We have experienced significant improvements since 1994 with the establishment of free primary health care, gains in service provision and the passing of relevant legislation. But these gains are often overshadowed by the seemingly insurmountable challenges facing the health sector. "Health is an indivisible human right that is central to development. Improving health requires that we tackle the socio-economic determinants of health such as poverty, access to clean water and sanitation, and education through intersectoral collaboration," added Dr Themba Moeti, CEO of Health Systems Trust. Panellists concluded the need for speedy implementation of National Development Plan and National Health Insurance to address social determinants of Health. For more information, Soul City: 27 11 325 5251.