Perez, A.M.Ayo-Yusuf, O.A.Hofman, K.Kalideen, S.Maker, A.Mokonoto, D.Morojele, N.Naidoo, P.Parry, C.Rendall-Mkosi, K.Saloojee, Y.2016-10-052016-10-052013Perez, A.M. et al. (2013). Establishing a health promotion and development foundation in South Africa. South African Medical Journal, 103(3): 147-1492078-5135http://hdl.handle.net/10566/2440http://dx.doi.org/10.7916/SAMJ.6281South Africa has a 'quadruple burden of disease'. One way to reduce this burden, and address the social determinants of health and social inequity, could be through health promotion interventions driven by an independent Health Promotion and Development Foundation (HPDF). This could provide a framework to integrate health promotion and social development into all government and civil society programmes. On priority issues, the HPDF would mobilise resources, allocate funding, develop capacity, and monitor and evaluate health promotion and development work. Emphasis would be on reducing the effects of poverty, inequity and unequal development on disease rates and wellbeing. The HPDF could also decrease the burden on the proposed National Health Insurance (NHI) system. We reflect on such foundations in other countries, and propose a structure for South Africa's HPDF and a dedicated funding stream to support its activities. In particular, an additional 2% levy on alcohol and tobacco products is proposed to be utilised to fund the HPDF.enThe South African Journal Medical Journal is an Open Access Journal and provides immediate open access to its content on the principle that making research freely available to the public supports a greater global exchange of knowledge.Health Promotion and Development Foundation (HPDF)National Health Insurance (NHI)South AfricaChronic diseasesNon-communicable diseasesArticle