oa South African Health Review - Improving the performance of the health system : perspectives on a national health insurance

Volume 2010, Issue 1
  • ISSN : 1025-1715



There is sufficient evidence that, for the resources to its avail, the South African health system is performing poorly. Using the World Health Organization Performance Model, this chapter unpacks strategies and mechanisms to improve performance whilst the financing functions of collecting, pooling and purchasing are being worked out. There is a range of immediately applicable inputs that could make an immediate difference to health outcomes. These will, however, require decisive leadership and strengthening of management support systems - as well as additional financial and human resources. The District Health System, as the vehicle to implement Primary Health Care, is key to improving service delivery, with Provincial Departments of Health strengthening such decentralised management while also holding district and hospital managers accountable.

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