Recent developments in the financing of South African health services

  • D. E. McIntyre

Abstract

The points arising from recent health financing policy developments can be summarised as follows: 1. The government sees its responsibility for health care financing as largely resting with service provision for 'indigent persons'; 2. in terms of overall health policy, the financing of PHC services will receive priority; and 3. the commitment of the government to health service financing, even in the case of PHC, remains unclear. With the exception of the March cuts in CPA health services, there has been little or no public debate of important health policy developments. An important factor contributing to this silence has been the apparent reluctance of government to subject their health plans to public scrutiny. At a conference in January of this year, the Deputy Director-General of the DNHPD stated that a ten-point health plan for South Africa had been developed. The ten points were listed but not described in any detail. This was the first public reference to this plan despite the fact that it has apparently been in existence for almost a year. The recent policy changes contain aspects which could arguably be beneficial to public sector health service in South Africa. However, it appears that the full implications of these changes have not been adequately investigated, or discussed with those who will implement them. It is crucial for the successful implementation of policy changes that health care providers be adequately consulted and informed about policy changes. Such consultation is in line with the expressed policy of the State President to create the framework for a 'new South Africa'. The comments of Mr A. Leiman, Dr W. Pick and Dr M. Zwarenstein on earlier drafts of this paper are gratefully acknowledged.

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Published
2020-09-24
How to Cite
McIntyre, D. E. (2020). Recent developments in the financing of South African health services. International Journal of Economics and Business Research, 4(1), 119-130. Retrieved from http://fssh-journal.org/index.php/ebr/article/view/122