[The Conversation Africa] In 1992 a group of academics from the University of the Witwatersrand introduced a health and socio-demographic surveillance system in remote, rural South Africa to track and understand health and wellbeing in these environments. This initiative built on pioneering work by a Wits team to establish a health systems development unit in a typical rural setting. Agincourt, in the Bushbuckridge district in rural north-eastern South Africa adjacent to Mozambique, was a microcosm of the neglected health and