Dynamics of Policy Change: Health Care Financing in South Africa, 1994-1999. Major Applied Research Paper 1, Technical Paper 1

摘要

This report presents the findings of the South African country study undertaken as part of a two country project called Analysing the process of health sector reform in South Africa and Zambia (also known as the SAZA project). The report presents an analysis of the experience of seeking change in health care financing policy in South Africa over the period 1994-1999, the first term of the countrys first democratic government. Health financing reforms which aim to improve resource availability and use are a central component of the current wave of health sector reforms both in sub-Saharan Africa and in other parts of the world. However, there has been little systematic evaluation of reform experience in any country. This study was, therefore, initiated in order to better understand the process of developing and implementing such reforms and so to generate information which may support policy makers and planners both in the countries of focus and around the world.