Health policy

Scaling-up treatment for HIV in South Africa - a way forward.

Although antiretroviral treatment (ART) has been widely available in the so called developed world for the better part of the past decade, the possibility of getting treated for the life threatening HIV-disease in a developing country was far beyond the reach of the majority of people living in the developing world, despite their disproportionate burden of the disease.

About ISDS

The Initiative for Sub-District Support (ISDS) was established as a program of the Health Systems Trust (HST) in 1996. At that time it was recognized that the newly democratic elected government had embarked on major health systems reform with emphasis on the implementation of a National District Health System (DHS) and that whilst there were &lsquogood&rsquo health systems policies, the implementation of these policies to improve quality of care needed support.

The National Primary Health Care Facilities Survey 2003

Series Name: 
Facilities Survey
Published by: 
Health Systems Trust

The public health sector is the main provider of primary health care (PHC) services in South Africa. It is important that these services are provided in an equitable, effective and efficient manner. Good informationand data are essential in making such an assessment. The 2003 PHC Facility Survey (like earlier surveys undertaken in 1997, 1998 and 2000), contributes to this endeavour by describing the status of South Africas PHC services.

Executive Summary

Background and Methodology

Decentralising Health Services in South Africa: Constraints and opportunities

Published by: 
Health Systems Trust
This report integrates the findings of a project monitoring the health decentralisation process in South Africa between 2001 and 2003. It is targeted at senior policy makers and health managers, although the report is also intended to offer middle managers insights into the situation.

An easy-to-read, 16-page, A5 booklet - a brief summary of the more detailed 80 page report is also available.

Primary Health Care Financing and Need Across Health Districts in South Africa

Published by: 
Health Systems Trust
Government health policy emphasises the importance of both decentralisation and equity in the public health sector (NDoH, 2002). The draft National Health Bill establishes a health system with decentralised management (p7) and, in particular, a district health system based on a PHC approach (p38). Concurrently, it states that provinces and municipalities must implement the system with regard to key principles, the foremost being equity (p38). However, it is unclear whether decentralisation and equity exist in harmony particularly in relation to the financing of PHC. This report explores this issue by evaluating the funding of non-hospital PHC services, within the decentralised South African system, against indicators of need. An output of the Local Government and Health Consortium, funded by Health Systems Trust and comprising Health Systems Trust, Centre for Health Policy and Health Economics Unit