South Africa’s total expenditure on health equates to almost 9% of its gross domestic product, which is above the average of other countries classified as middle-income countries. Notwithstanding this investment, indicators of health outcomes remain relatively lower when compared to the same countries. The aim of this paper is to investigate the effectiveness of public health expenditure in improving health outcomes in South Africa. Panel estimations techniques were used using data for the country’s nine provinces over the period 2005 to 2014.
Previous studies in South Africa have not dis-aggregated efficiency analysis across municipalities which are health system components of the broader national health system. The purpose of this paper is therefore to assess whether the relative efficiency of South African municipalities in primary health care and hospital care is different and whether South African municipalities can learn from each other to improve on their efficiency.
This study sets out to investigate how revenue from the Southern African Customs Union (SACU) common revenue pool affect efforts to contain HIV/AIDS in Botswana, Lesotho, Namibia and Swaziland (BLNS countries). Using a panel data set of the BLNS countries covering the period 1990-2007 in annual frequency and a health production function, we show that an increase in either SACU revenue or aggregate government expenditure increases HIV prevalence rates.
A large number of child deaths in developing countries could be averted if ill children received care sooner rather than later. This paper analyses the healthcare treatment pathway that is followed for children under the age of six. The majority of these children receive treatment within 24 hours. However, we find that income affects the probability of any treatment, despite freely available public healthcare, while delayed treatment for severely ill children is more likely to occur in more expensive private facilities.
The ability of the South African government to provide antiretroviral medication to those in need will be determined by the ability of the public health services sector to efficiently provide that medication. If the delivery of other health services can be used as a guide, the goals of the anti-retroviral rollout will not be met. The research presented in this paper provides a preliminary analysis of the delivery of a few health care services by the public sector in Gauteng, South Africa.