Development of the health system in the Western Cape: experiences since 1994

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dc.contributor.authorGilson, Lucy
dc.contributor.authorDavid Pienaar, Tracey
dc.contributor.authorBrady, Leanne
dc.contributor.authorHawkridge, Anthony
dc.contributor.authorNaled, Tracey
dc.contributor.authorVallabhjee, Krish
dc.contributor.authorSchneider, Helen
dc.date.accessioned2018-08-24T08:52:23Z
dc.date.available2018-08-24T08:52:23Z
dc.date.issued2017
dc.description.abstractProvincial governments in South Africa have a critical responsibility in terms of population health, yet few provincial-level analyses of health-system development have been undertaken. This chapter reports on research being conducted in the Western Cape to understand the province’s particular experience of health-system transformation since 1994, set against wider national experience. The research is being undertaken collaboratively by the authors of this chapter, a team of Western Cape provincial health managers and researchers. The chapter is structured to reflect the Western Cape’s 22-year experience. The situation that faced the province in 1994 is outlined briefly, followed by a description of key features of the three health strategies that have driven provincial health-system development over time. An assessment is then presented of the overall nature and patterns of Western Cape health-system change, and the achievements and limitations of this transformation are considered. The chapter concludes with some early lessons from this experience, and relevant, international experience is considered.en_US
dc.description.accreditationDHET
dc.identifier.citationGilson, L. et al. (2017). Development of the health system in the Western Cape: experiences since 1994. South African Health Review, 2017(1): 59 - 69en_US
dc.identifier.issn1025-1715
dc.identifier.urihttp://hdl.handle.net/10520/EJC-c80cad871
dc.identifier.urihttp://hdl.handle.net/10566/3970
dc.language.isoenen_US
dc.privacy.showsubmitterFALSE
dc.publisherHealth Systems Trust (HST)en_US
dc.rightsSouth African Health Review is an open access journal
dc.status.ispeerreviewedTRUE
dc.subjectSouth Africaen_US
dc.subjectPopulation healthen_US
dc.subjectHealth-system developmenten_US
dc.subjectWestern Capeen_US
dc.subjectTransformationen_US
dc.titleDevelopment of the health system in the Western Cape: experiences since 1994en_US
dc.typeArticleen_US

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