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Capital Appraisal Handbook For Health Infrastructure: Limpopo Province


  • Fernando Cossio Munoz-Reyes

    (International Institution for Economics and Business, La Paz, Bolivia)

  • Glenn Jenkins

    (Queen's University, Canada and Eastern Mediterranean University, Cyprus
    Queen's University, Kingston, Canada)


Fragmentation and severe inequalities in health status, health infrastructure and services were among the major problems the Limpopo Provincial Government had to deal with when they took office in 1994. Hence, as part of an intensive program of legislative and policy development to reform the health sector, it is the Government’s priority to allocate scarce resources between building new health facilities and renovating, upgrading and/or revitalizing existing facilities. Given the main focus of Limpopo Province Department of Health and Welfare (DoHW) on improving the existing facilities in order to make a more effective use of them, the main allocation decision is how to select among the existing facilities and types of service improvements for the annual investment budgets. This Handbook describes a methodology of the evaluation of investment possibilities in order to help public officials in the Department to develop investment projects and health policy interventions that maximize economic and social well-being. The methodology outlined represents a state-of-the-art tool for conducting an integrated financial, economic, stakeholder and risk analysis of capital investments in hospitals, clinics and related policy interventions.

Suggested Citation

  • Fernando Cossio Munoz-Reyes & Glenn Jenkins, "undated". "Capital Appraisal Handbook For Health Infrastructure: Limpopo Province," Development Discussion Papers 2004-04, JDI Executive Programs.
  • Handle: RePEc:qed:dpaper:222

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    More about this item


    health infrastructure and policy; cost-benefit analysis; budget allocation; South Africa;

    JEL classification:

    • D61 - Microeconomics - - Welfare Economics - - - Allocative Efficiency; Cost-Benefit Analysis
    • H43 - Public Economics - - Publicly Provided Goods - - - Project Evaluation; Social Discount Rate
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • H75 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Government: Health, Education, and Welfare

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