This paper provides an overview of key reforms and organisational
development initiatives currently underway within the South African
public health sector at the national level.
South Africa has made significant progress establishing certain aspects.
For example: progressive public health legislation and policies, a
unified national health system, increased infrastructure at primary care
level, removed user fees for maternal and child health services, a
system of social support grants, steady increase of immunisation
coverage, and supporting the world's largest HIV/AIDS treatment
The paper discusses the appropriateness, potential synergies and
sequencing of these reforms, as well as potential gaps and risks.
Overall, the health reforms analysed are appropriate to most of the
identified priorities. There are potential risks or gaps, particularly
in relation to the sequencing of interventions. Some Key issues are
The report highlights the need for strengthening engagement with
stakeholders, commentators and civil society on the NHI reform process,
and for better articulation of the distinction and linkages between the
'Primary Health Care Re-engineering' initiative and the NHI
Schaay, N.; Sanders, D.; Kruger, V. Assignment Report: Overview of Health Sector Reforms in South Africa. HDRC, UK (2011) 48 pp.
Assignment Report: Overview of Health Sector Reforms in South Africa