An Overview of Health and Health care in South Africa 1994 2010: Priorities, Progress and Prospects for New Gains
This paper describes progress and challenges in efforts to improve the health of South Africans since 1994. It reviews the state of health and the health care system, identifies major accomplishments and shortcomings, and outlines some opportunities for new gains in national health priorities. The purpose of the paper is to help inform discussion of macro health policy and planning by identifying key riorities and opportunities for consideration.
Although restructuring of the public health sector post-1994 achieved substantial improvements in terms of access, rationalisation of health management and more equitable health expenditure, fifteen years later these early gains have been eroded by a greatly increased burden of disease related to HIV/AIDS, generally weak health systems management and low staff morale. The result is poor health outcomes relative to total health expenditure.
- April 1992 – HST is registered as a Trust and three staff members are employed.
- Our Mission Statement and Deed of Trust are established.
- Founding Trustees are: Christopher Garbers, David Power, Rachel Gumbi, Jocelyne Kane-Berman, Jairam Reddy (Chair), Olive Shisana, Nicky Padayachee, Nkosazana Zuma, Wiseman Nkuhlu
- HST holds 10 regional consultative workshops over a three-month period aimed at shaping and refining its research programme within the brief described by the mission statement.
- Funding is provided by the Kaiser Family Foundation, Kagiso Trust and the National Department of Health of South Africa.
- April 1993 – Health Systems Trust i