| Summary |
Government health policy emphasises the importance of both decentralisation and equity in the public health sector (NDoH, 2002). The draft National Health Bill establishes a health system with decentralised management (p7) and, in particular, a district health system based on a PHC approach (p38). Concurrently, it states that provinces and municipalities must implement the system with regard to key
principles, the foremost being equity (p38). However, it is unclear whether decentralisation and equity exist in harmony particularly in relation to the financing of PHC. This report explores this issue by evaluating the funding of non-hospital PHC services, within the decentralised South African system, against indicators of need.
An output of the Local Government and Health Consortium, funded by Health Systems Trust and comprising Health Systems Trust, Centre for Health Policy and Health Economics Unit |
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Keywords: local government and health. |
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