Barriers to the equitable funding of primary healthcare in South Africa

Applied Health Economics and Health Policy

Volumn 4, Issue 3, 2005, Pages 183-190

  Thomas, Stephen ^a,b   Okorafor, Okore A ^a   Mbatsha, Sandi ^a  

^a UNIVERSITY OF CAPE TOWN   (South Africa)

^b TRINITY COLLEGE DUBLIN   (Ireland)

Author keywords

[No Author keywords available]

Indexed keywords

DATA ANALYSIS; DECISION MAKING; EXPERIENCE; FINANCE; GOVERNMENT; HEALTH CARE; HEALTH CARE COST; HEALTH CARE PLANNING; HEALTH PROGRAM; HEALTH SERVICE; HUMAN; PRIMARY HEALTH CARE; REVIEW; SOUTH AFRICA;

FINANCING, GOVERNMENT; HEALTHCARE DISPARITIES; HUMANS; POLICY MAKING; POVERTY AREAS; PRIMARY HEALTH CARE; REGIONAL HEALTH PLANNING; RESOURCE ALLOCATION; SOUTH AFRICA;

EID: 28444455220     PISSN: 11755652     EISSN: 11755652     Source Type: Journal    
DOI: 10.2165/00148365-200504030-00007     Document Type: Review

References (39)

1. Declaration of Alma-Ata. International Conference on Primary Health Care; 1978 Sep 6-12; Alma-Ata [online]. Available from URL: http://www.who.int/hpr/ NPH/docs/declaration_almaata.pdf [Accessed 2005 Oct 20]
2. Tejada de Rivero DA. Alma-Ata revisited. Perspect Health 2003; 8 (2): 3-7
3. Bengoa R, Adams O, Kawar R. Primary health care: a framework for future strategic directions. Global Report. Geneva: World Health Organization, 2003
4. Werner D, Sanders D. Questioning the solution: the politics of primary health care and child survival with an in-depth critique of oral rehydration therapy. Palo Alto (CA): Health Wrights, 1997
5. Mills A, Palmer N, Gilson L, et al. The performance of different models of primary care provision in Southern Africa. Soc Sci Med 2004; 59 (5): 931-43
6. Segall M. From cooperation to competition in national health systems and back? Impact on professional ethics and quality of care. Int J Health Plann Manage 2000 Jan-Mar; 15 (1): 61-79
7. Obimbo EM. Primary health care, selective or comprehensive, which way to go? East Afr Med J 2003; 80 (1): 7-10
8. Franks P, Nutting PA, Clancy CM. Health care reform, primary care, and the need for research. JAMA 1993 Sep 22-29; 270 (12): 1449-53
9. African National Congress. A national health plan for South Africa: prepared by the ANC Health Department, with support and technical assistance of WHO and UNICEF. Maseru: Baar Mapping and Printing, 1994
10. Republic of South Africa. White Paper for the Transformation of the Health System in South Africa: towards a National Health System. Government Gazette 1997; 382 (17910): Notice 667
11. Department of Health. Conference report of Celebrating the achievements of Alma Ata: strengthening primary health care in South Africa; 2003 Aug 24-26; Kopanong. Pretoria: Department of Health, 2003
12. Okorafor O, Thomas S, McIntyre D. An evaluation of public PHC financing 1992/93-2002/03. Prepared for The Valley Trust. Cape Town: Health Economics Unit, University of Cape Town, 2003
13. Thomas S, Mbatsha S, Okorafor O, et al. Primary health care financing and need across health districts in South Africa. A product of the Local Government and Health South African Consortium. Cape Town: Health Economics Unit, University of Cape Town, 2003
14. Mooney GH. Equity in health care: confronting the confusion. Eff Health Care 1983; 1 (4): 179-84
15. Mooney G. And now for vertical equity? Some concerns arising from Aboriginal health in Australia. Health Econ 1996; 5: 99-103
16. McIntyre D, Baba L, Makan B. Equity in public sector health care financing and expenditure in South Africa: an analysis of trends between 1995/96 to 2000/01. In: Ntuli A, editor. South African health review 1998. Durban: Health Systems Trust, 1998: 29-43
17. McIntyre D. Health care financing and expenditure in South Africa: towards equity and efficiency in policy making [PhD dissertation]. Cape Town: University of Cape Town, 1997
18. McIntyre D, Muirhead D, Gilson L. Geographic patterns of deprivation in South Africa: informing health equity analyses and public resource allocation strategies. Health Policy Plan 2002; 17 Suppl. 1: 30-9
19. Statistics South Africa. Census 2001. Pretoria: Statistics South Africa [online]. Available from URL: http://www.statssa.gov.za/census01/html/default. asp [Accessed 2005 May 5]
20. Griffiths A, Mills M. Health sector financing and expenditure surveys. In: Lee K, Mills A, editors. The economics of health in developing countries. Oxford: Oxford University Press, 1983: 43-63
21. National Treasury. Intergovernmental fiscal review 1999. Pretoria: National Treasury, Republic of South Africa, 1999
22. National Treasury. Intergovernmental fiscal review 2001. Pretoria: National Treasury, Republic of South Africa, 2001
23. National Treasury. Intergovernmental fiscal review 2003. Pretoria: National Treasury, Republic of South Africa, 2003
24. Thomas S, Muirhead D. National health accounts project: the public sector report. Funded by the European Union and the National Department of Health. Cape Town: NHA Project Team, 2000
25. Blecher M, Thomas S. Health care financing. In: Ijumba P, editor. The South African health review 2003. Durban: Health Systems Trust, 2004: 269-88
26. Bowling A. Research methods in health: investigating health and health services. Buckingham (PA): Open University Press, 1997
27. Miles MB, Huberman AM. Qualitative data analysis: an expanded sourcebook. London: Sage, 1994
28. Department of Finance. Growth, employment and redistribution: a macro-economic framework. Pretoria: Department of Finance, 1996
29. Thomas S, Thiede M. Globalisation, health policy and the exercise of power: a second opinion on Gilbert and Gilbert. Health Policy 2005; 72 (3): 261-4
30. Gilson L, Doherty J, McIntyre D, et al. The dynamics of policy change: health care financing in South Africa 1994-1999. Johannesburg: Centre for Health Policy, University of the Witwatersrand and the Health Economics Unit, University of Cape Town, 1999: monograph 66
31. Doherty J, Thomas S, Muirhead D. Health financing and expenditure in post-apartheid South Africa 1996/97-1998/99. Johannesburg: National Health Accounts Project Team, 2002
32. Financial and Fiscal Commission. The Financial and Fiscal Commission's recommendations for the allocation of financial resources to the national and provincial governments for the 1997/98 financial year. Midrand: Financial and Fiscal Commission, 1996
33. Mooney G, Houston S. An alternative approach to resource allocation: weighted capacity to benefit plus MESH infrastructure. Appl Health Econ Health Policy 2004; 3 (1): 29-33
34. Walsh JA. Selectivity within primary health care. Soc Sci Med 1988; 26 (9): 899-902
35. Thomas S. Introduction: health sector reform in Africa and its impact on sexual rights and reproductive health. In: The Right Reforms? Health sector reforms and implications for sexual and reproductive health services in Africa. Johannesburg: Initiative for Sexual and Reproductive Rights in Health Reforms, 2004
36. Nabyonga J, Munguti N, Thomas S, et al. National Health Accounts (NHA) in East and Southern Africa (ESA): a comparative analysis. Cape Town: East and Southern African National Health Accounts Network, 2002
37. Stiglitz J. Globalization and its discontents. London: Penguin, 2002
38. Collins C. Decentralisation. In: Janovsky K, editor. Health policy and systems development: an agenda for research. Geneva: World Health Organization, 1996: 161-78
39. Ter-Minassian T. Fiscal federalism in theory and practice. Washington, DC: International Monetary Fund, 1997