An Overview of Health and Healthcare in South Africa 1994-2010: Priorities, Progress and Prospects for New Gains


This paper describes progress and challenges in efforts to improve the health of South Africans since 1994. It reviews the state of health and the health care system, identifies major accomplishments and shortcomings, and outlines some opportunities for new gains in national health priorities. The purpose of the paper is to help inform discussion of macro health policy and planning by identifying key priorities and opportunities for consideration.  Although restructuring of the public health sector post-1994 achieved substantial improvements in terms of access, rationalisation of health management and more equitable health expenditure, fifteen years later these early gains have been eroded by a greatly increased burden of disease related to HIV/AIDS, generally weak health systems management and low staff morale. The result is poor health outcomes relative to total health expenditure.


Evaluation Number:
Report Approval:
Friday, 01 January 2010
Friday, 01 March 2013
Initiated By:
Henry J Kaiser Family Foundation
Undertaken By:
David Harrison, M.D. - Independent Consultant
Evaluation Period:
15 September 2009 - 31 January 2010
Evaluation Area:
National Outcome:
National Outcome 2: A long and healthy life for all South Africans.
National Outcome 12: An efficient, effective and development oriented public service and an empowered, fair and inclusive citizenship.
Commissioned By:
Evaluation Type:
Evaluation Synthesis
Evaluation Subject:
Geographic Scope:

Evaluation Documents

File Name
overview of health and healthcare in SA 1994 to 2010.pdf
9 EQAT 20130317 sh_mb.pdf

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