Have Pro-Poor Health Policies Improved the Targeting of Spending and the Effective Delivery of Health Care in South Africa?
AbstractAbstract: Since 1994 there have been a number of radical changes in the public health care system in South Africa. Budgets have been reallocated, decision making was decentralised, the clinic network was expanded and user fees for primary health care were abolished. The paper examines how these recent changes have affected the incidence of spending and the accessibility and quality of health care. The paper finds that between 1995 and 2003 there have been advances in the pro-poor spending incidence of both clinics and hospitals. The increased share of the health budget allocated to the more pro-poor clinic services has contributed further to the improvement in the targeting of overall health spending. Also, it appears that the elimination of user fees for clinics and the expansion of the clinic network have helped to make health services more affordable and geographically accessible to the poor and were associated with a notable rise in health service utilisation for individuals in the bottom two expenditure quintiles.
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Bibliographic InfoPaper provided by University of Cape Town, Development Policy Research Unit in its series Working Papers with number 07122.
Length: 29 pages
Date of creation: Jun 2007
Date of revision:
Publication status: Published in Working Paper Series by the Development Policy Research Unit, June 2007, pages 1-29
fiscal incidence; South Africa; health;
Other versions of this item:
- Ronelle Burger & Christelle Swanepoel, 2006. "Have pro-poor health policies improved the targeting of spending and the effective delivery of health care in South Africa?," Working Papers 12/2006, Stellenbosch University, Department of Economics.
- H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
- I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Roy Havemann & Servaas van der Berg, 2002. "The demand for health care in South Africa," Working Papers 06/2002, Stellenbosch University, Department of Economics.
- David E. Sahn & Stephen D. Younger, 2000. "Expenditure incidence in Africa: microeconomic evidence," Fiscal Studies, Institute for Fiscal Studies, vol. 21(3), pages 329-347, September.
- Magnus Lindelow, 2005. "The Utilisation of Curative Healthcare in Mozambique: Does Income Matter?," Journal of African Economies, Centre for the Study of African Economies (CSAE), vol. 14(3), pages 435-482, September.
- Ronelle Burger, 2007. "Policy Brief: How pro-poor is the South African Health System?," Working Papers 06/2007, Stellenbosch University, Department of Economics.
- Steven F. Koch, 2012.
"The Abolition of User Fees and the Demand for Health Care: Re-evaluating the Impact,"
301, Economic Research Southern Africa.
- Steven F. Koch, 2012. "The Abolition Of User Fees And The Demand For Health Care: Re-Evaluating The Impact," Working Papers 201219, University of Pretoria, Department of Economics.
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