Health care

Hospital Restructuring and Laboratory Services

Published by: 
Health Systems Trust
Public hospitals continue to account for over 60% of public health sector expenditure. The rationalisation of hospitals has been high in the Department of Healths priorities and this chapter reviews some of the changes that have occurred with respect to expenditure, hospital beds and general efficiency gains with the public sector hospitals. There have been reductions in the number of beds in use in most provinces, and in particular in the Western Cape and Gauteng. These reductions have not been accompanied by significant increases in bed occupancy rates. Expenditure on hospitals since 1992/93 has increased at a rate slower than that of the public health sector as a whole, but in the last three years increases in funding to tertiary hospitals have outstripped those for other hospitals. There continue to be large inter-provincial variations in spending, bed availability and staffing of hospital services.

Social Health Insurance

Published by: 
Health Systems Trust
Social health insurance was first proposed in the 1980s. It was seen as a key mechanism for extending health care coverage and promoting equity in South Africa. Lack of policy action has meant that the SHI has not been implemented and wide disparities between health care in the public and private sectors remain untouched. This summary brief explains why consensus was never reached on the exact form social health insurance should take, and suggests strategies for building support amongst important stakeholders. The chapter critiques features of the governments most recent proposal, published in 1997.

Improving health care to the farming community in the Bothaville district

Published by: 
Health Systems Trust
The Centre for Health Systems Research & Development (CHSR&D) was approached by the Health Systems Trust (HST) to assist with research to improve the delivery of health care to the farm community in the Bothaville magisterial district.

Introducing the Initiative for Sub-District Support

Published by: 
Health Systems Trust
The Initiative for Sub-District Support (ISDS) aims to demonstrate improved standards of primary health care by providing sustained, systematic and comprehensive support to selected sub-districts. In other words, ISDS hopes to improve service delivery by identifying those factors which affect health care at local level, and developing practical ways of changing these factors for the better.

Local Government Transformation - A guide for health workers

Volume: 
1
Series Name: 
Kwik Skwiz
Published by: 
Health Systems Trust
This Kwik-Skwiz aims to provide an overview of the current situation and future changes in local government. This will assist anyone working within the health sector to understand the changes and to contribute to the transformation process. The overview describes the new responsibilities allocated to local government, the methods being developed to enable local government to function more efficiently, the demarcation process, the new types of municipalities to be introduced, and the changing relationship between local government and the health sector.