oa South African Health Review - District health expenditure reviews : chapter 6



This chapter demonstrates the value of a District Health Expenditure Review (DHER) as part of a district manager's tool kit. DHERs provide a picture of how resources are allocated and used and assist district management teams in becoming better planners and spenders. The initial five DHERs conducted in South Africa are compared showing differences across and within provinces, as well as within districts. The most salient features are the under-resourcing of primary health care and poor staff utilisation and deployment in the district health system.


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