Explaining health inequalities in South Africa: A political economy perspective

Development Southern Africa

Volumn 29, Issue 5, 2012, Pages 756-764

  Ataguba, John Ele Ojo ^a   Alaba, Olufunke ^a  

^a UNIVERSITY OF CAPE TOWN   (South Africa)

Author keywords

health inequalities; power structures; social determinants of health

Indexed keywords

HEALTH CARE; HEALTH SERVICES; HEALTH STATUS; POLITICAL ECONOMY; POLITICAL POWER; POWER RELATIONS;

SOUTH AFRICA;

EID: 84868705279     PISSN: 0376835X     EISSN: 14703637     Source Type: Journal    
DOI: 10.1080/0376835X.2012.730962     Document Type: Article

References (62)

1. ADB, UNECA, AU & UNDP (African Development Bank, UN Economic Commission for Africa, African Union & United Nations Development Programme), 2011. Assessing progress in Africa toward the Millennium Development Goals: MDG Report 2011. http://web.undp.org/africa/mdg/report.pdf Accessed 24 August 2012.
2. Ataguba, J E and Goudge, J. 2012. The impact of health insurance on health care utilisation and out-of-pocket payments in South Africa. The Geneva Papers on Risk and Insurance: Issues and Practice, 37(4): 633-654. (doi:10.1057/gpp.2012.35)
3. Ataguba, J E and McIntyre, D. 2012. Who benefits from health services in South Africa?. Health Economics, Policy and Law, advance online publication 2 April, doi: 10.1017/S1744133112000060
4. Ataguba, J E, Akazili, J and McIntyre, D. 2011. Socioeconomic-related health inequality in South Africa: Evidence from General Household Surveys. International Journal for Equity in Health, 10(1): 48 (doi:10.1186/1475-9276-10-48)
5. Baker, P A. 2010. From apartheid to neoliberalism: Health equity in post-apartheid South Africa. International Journal of Health Services, 40(1): 79-95. (doi:10.2190/HS.40.1.e)
6. Bond, P, Pillay, Y G and Sanders, D. 1997. The state of neoliberalism in South Africa: Economic, social, and health transformation in question. International Journal of Health Services, 27(1): 25-40. (doi:10.2190/6RRJ-NYGL-X8LE-7UC5)
7. Carrin, G, Mathauer, I, Xu, K and Evans, D B. 2008. Universal coverage of health services: Tailoring its implementation. Bulletin of the World Health Organization, 86(11): 857-63. (doi:10.2471/BLT.07.049387)
8. Coburn, D. 2000. Income inequality, social cohesion and the health status of populations: The role of neo-liberalism. Social Science & Medicine, 51(1): 135-46. (doi:10.1016/S0277-9536(99)00445-1)
9. Coburn, D. 2004. Beyond the income inequality hypothesis: Class, neo-liberalism, and health inequalities. Social Science & Medicine, 58(1): 41-56. (doi:10.1016/S0277-9536(03)00159-X)
10. Coovadia, H, Jewkes, R, Barron, P, Sanders, D and McIntyre, D. 2009. The health and health system of South Africa: Historical roots of current public health challenges. The Lancet, 374(9692): 817-34. (doi:10.1016/S0140-6736(09)60951-X)
11. CSDH (Commission on Social Determinants of Health), 2008. Closing the gap in a generation: Health equity through action on the social determinants of health. Final Report of the Commission on Social Determinants of Health, World Health Organization, Geneva.
12. Deaton, A. 2002. Policy implications of the gradient of health and wealth. Health Affairs, 21(2): 13-30. (doi:10.1377/hlthaff.21.2.13)
13. Deaton, A. 2003. Health, inequality, and economic development. Journal of Economic Literature, 41(1): 113-58. (doi:10.1257/002205103321544710)
14. DoH (Department of Health). 2011. National Health Insurance in South Africa, Pretoria: National Department of Health.
15. Domhoff, G W and Webber, MJ. 2011. Class and Power in the New Deal: Corporate Moderates, Southern Democrats, and the Liberal-Labour Coalition, Stanford: Stanford University Press.
16. Drèze, J and Sen, A K. 1989. Hunger and Public Action, Oxford: Oxford University Press.
17. Eyob, Z and McIntyre, D. 2003. Inequities in under-five child malnutrition in South Africa. International Journal for Equity in Health, 2: e7 (doi:10.1186/1475-9276-2-7)
18. Garrett, L, Chowdhury, A and Pablos-Méndez, A. 2009. All for universal health coverage. The Lancet, 374(9697): 1294-99. (doi:10.1016/S0140-6736(09)61503-8)
19. Gilson, L and McIntyre, D. 2005. Removing user fees for primary care in Africa: The need for careful action. British Medical Journal, 331(7519): 762-5. (doi:10.1136/bmj.331.7519.762)
20. Grossman, M. 1972. On the concept of health capital and the demand for health. Journal of Political Economy, 80(2): 223-55. (doi:10.1086/259880)
21. Gwatkin, D R. 2000. Health inequalities and the health of the poor: What do we know? What can we do?. Bulletin of the World Health Organization, 78(1): 3-18.
22. Halfon, N, Larson, K and Russ, S. 2010. Why social determinants?. Healthcare Quarterly, 14: 9-20.
23. Hallowes, D and Munnik, V. 2007. Peak Poison: The Elite Energy Crisis and Environmental Justice, Pietermaritzburg: groundWork.
24. Harris, B, Goudge, J, Ataguba, J E, McIntyre, D, Nxumalo, N, Jikwana, S and Chersich, M. 2011. Inequities in access to health care in South Africa. Journal of Public Health Policy, 32(Suppl. 1): S102-23. (doi:10.1057/jphp.2011.35)
25. Ichoku, H E, Fonta, WM and Ataguba, J E. 2012. Political economy and history: Making sense of health financing in sub-Saharan Africa. Journal of International Development, advance online publication 10 May, doi: 10.1002/jid.2842
26. Kale, R. 1995. Impressions of health in the new South Africa: A period of convalescence. British Medical Journal, 310(6987): 1119-22. (doi:10.1136/bmj.310.6987.1119)
27. Kawachi, I and Kennedy, B P. 1997. Health and social cohesion: Why care about income inequality?. British Medical Journal, 314(7086): 1037-40. (doi:10.1136/bmj.314.7086.1037)
28. Kawachi, I, Kennedy, B P, Lochner, K and Prothrow-Stith, D. 1997. Social capital, income inequality, and mortality. American Journal of Public Health, 87(9): 1491-8. (doi:10.2105/AJPH.87.9.1491)
29. Klasen, S. 1997. Poverty, inequality and deprivation in South Africa: An analysis of the 1993 SALDRU survey. Social Indicators Research, 41(1): 51-94. (doi:10.1023/A:1006892216864)
30. Krech, R. 2011. Social determinants of health: Practical solutions to deal with a well-recognized issue. Bulletin of the World Health Organization, 89(10): 703 (doi:10.2471/BLT.11.094870)
31. Lam, D, Ardington, C and Leibbrandt, M. 2011. Schooling as a lottery: Racial differences in school advancement in urban South Africa. Journal of Development Economics, 95(2): 121-36. (doi:10.1016/j.jdeveco.2010.05.005)
32. Lynch, J, Smith, G D, Harper, S and Hillemeier, M. 2004a. Is income inequality a determinant of population health? Part 2. US national and regional trends in income inequality and age- and cause-specific mortality. Milbank Quarterly, 82(2): 355-400. (doi:10.1111/j.0887-378X.2004.00312.x)
33. Lynch, J, Smith, G D, Harper, S, Hillemeier, M, Ross, N, Kaplan, G A and Wolfson, M. 2004b. Is income inequality a determinant of population health? Part 1. A systematic review. Milbank Quarterly, 82(1): 5-99. (doi:10.1111/j.0887-378X.2004.00302.x)
34. Macinko, J A, Shi, L, Starfield, B and Wulu, J T. 2003. Income inequality and health: A critical review of the literature. Medical Care Research and Review, 60(4): 407-52. (doi:10.1177/1077558703257169)
35. Mackenbach, J. 1992. Socio-economic health differences in the Netherlands. A review of recent empirical findings. Social Science & Medicine, 34(3): 213-26. (doi:10.1016/0277-9536(92)90264-Q)
36. Mackenbach, J P, Stirbu, I, Roskam, AJ R, Schaap, MM, Menvielle, G, Leinsalu, M and Kunst, A E. 2008. Socioeconomic inequalities in health in 22 European countries. New England Journal of Medicine, 358(23): 2468-81. (doi:10.1056/NEJMsa0707519)
37. Marmot, M. 2011. Global action on social determinants of health. Bulletin of the World Health Organization, 89(10): 702 (doi:10.2471/BLT.11.094862)
38. McGregor, S. 2001. Neoliberalism and health care. International Journal of Consumer Studies, 25(2): 82-9. (doi:10.1111/j.1470-6431.2001.00183.x)
39. McIntyre, D and Gilson, L. 2002. Putting equity in health back onto the social policy agenda: Experience from South Africa. Social Science & Medicine, 54(11): 1637-56. (doi:10.1016/S0277-9536(01)00332-X)
40. McIntyre, D, Doherty, J E and Ataguba, J E. 2012. "Health care financing and expenditure: Post-1994 progress and remaining challenges". In Health and Health Care in South Africa, Edited by: Van Rensburg, HC J. Pretoria: Van Schaik.
41. McIntyre, D, Thiede, M, Nkosi, M, Mutyambizi, V, Castillo-Riquelme, M, Gilson, L, Erasmus, E and Goudge, J. 2007. "A critical analysis of the current South African health system". In Health Economics Unit, University of Cape Town and Centre for Health Policy, Cape Town: University of the Witwatersrand.
42. Mooney, G. 2009. Challenging Health Economics, New York: Oxford University Press.
43. Mudge, S L. 2008. What is neo-liberalism?. Socio-Economic Review, 6(4): 703-31. (doi:10.1093/ser/mwn016)
44. Narayan, D, Patel, R, Schafft, K, Rademacher, A and Koch-Schulte, S. 2000. Voices of the Poor: Can Anyone Hear Us?, New York: Oxford University Press.
45. Navarro, V. 2007. Neoliberalism, Globalization, and Inequalities: Consequences for Health and Quality of Life. Baywood New York
46. Navarro, V. 2011. Why we don't spend enough on public health: An alternative view. International Journal of Health Services, 41(1): 117-20. (doi:10.2190/HS.41.1.h)
47. Navarro, V and Shi, L. 2001. The political context of social inequalities and health. Social Science & Medicine, 52(3): 481-91. (doi:10.1016/S0277-9536(00)00197-0)
48. Ross, C E and Wu, C. 1995. The links between education and health. American Sociological Review, 60: 719-45. (doi:10.2307/2096319)
49. Seekings, S and Nattrass, N. 2002. Class, distribution and redistribution in post-apartheid South Africa. Transformation, 50: 1-30. (doi:10.1353/trn.2003.0014)
50. Thomas, D. 1996. Education across generations in South Africa. The American Economic Review, 86(2): 330-4.
51. Wagstaff, A. 1993. The demand for health: An empirical reformulation of the Grossman model. Health Economics, 2(2): 189-98. (doi:10.1002/hec.4730020211)
52. Wagstaff, A. 2002. Poverty and health sector inequalities. Bulletin of the World Health Organization, 80: 97-105.
53. Wagstaff, A and Van Doorslaer, E. 2000. Income inequality and health: What does the literature tell us?. Annual Review of Public Health, 21(1): 543-67. (doi:10.1146/annurev.publhealth.21.1.543)
54. Whitehead, M. 1992. The concepts and principles of equity and health. International Journal of Health Services, 22(3): 429-45. (doi:10.2190/986L-LHQ6-2VTE-YRRN)
55. Wilkinson, R G. 1992. Income distribution and life expectancy. British Medical Journal, 304(6820): 165-8. (doi:10.1136/bmj.304.6820.165)
56. Wilkinson, R G and Pickett, KE. 2006. Income inequality and population health: A review and explanation of the evidence. Social Science & Medicine, 62(7): 1768-84. (doi:10.1016/j.socscimed.2005.08.036)
57. Williams, P and Taylor, I. 2000. Neoliberalism and the political economy of the 'new' South Africa. New Political Economy, 5(1): 21-40. (doi:10.1080/13563460050001961)
58. WHO (World Health Organization). 2008. Social determinants of health: Key concepts, Geneva: WHO. www.who.int/social_determinants/final_report/key_concepts_en.pdf Accessed 24 August 2012
59. WHO (World Health Organization). 2009. "World Health Assembly 62.9". In Commission on Social Determinants of Health, Geneva: WHO. http://apps.who.int/gb/ebwha/pdf_files/A62/A62_9-en.pdf Accessed 9 January 2012
60. WHO (World Health Organization). Rio political declaration on social determinants of health. Presented at WHO World Conference on Social Determinants of Health. 19-21 October. Rio de Janeiro. www.who.int/sdhconference/declaration/Rio_political_declaration.pdf Accessed 15 January 2012
61. Young, A R. 2010. Perspectives on the changing global distribution of power: Concepts and context. Politics, 30(s1): 2-14. (doi:10.1111/j.1467-9256.2010.01390.x)
62. Zere, E and McIntyre, D. 2003. Equity in self-reported adult illness and use of health service in South Africa: Inter-temporal comparison. Journal of Health, Population and Nutrition, 21(3): 205-15.