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Who benefits from health services in South Africa?

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  • Ataguba, John Ele-Ojo
  • McIntyre, Di

Abstract

South Africa is considering major health service restructuring to move towards a universal system. This calls for understanding the challenges in the existing health system. The paper, therefore, comprehensively evaluates an aspect of current health system performance – the benefit incidence of health services. It seeks to understand how the benefits from using health services in South Africa are currently distributed across socio-economic groups. Using a nationally representative household survey, results show that lower socio-economic groups benefit less than their richer counterparts from both public and private sector health services, and that the distribution of service benefits is not in line with their need for care.

Suggested Citation

  • Ataguba, John Ele-Ojo & McIntyre, Di, 2013. "Who benefits from health services in South Africa?," Health Economics, Policy and Law, Cambridge University Press, vol. 8(1), pages 21-46, January.
    • Handle: RePEc:cup:hecopl:v:8:y:2013:i:01:p:21-46_00
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    Citations

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    Cited by:

    1. Steven F. Koch & Naomi Setshegetso, 2021. "Progressivity of out-of-pocket payments and its determinants decomposed over time," Development Southern Africa, Taylor & Francis Journals, vol. 38(5), pages 731-749, September.
    2. John E. Ataguba, 2019. "Socio‐economic inequality in health service utilisation: Does accounting for seasonality in health‐seeking behaviour matter?," Health Economics, John Wiley & Sons, Ltd., vol. 28(11), pages 1370-1376, November.
    3. Monika dos Santos & David Howard & Pieter Kruger & Arnaud Banos & Saul Kornik, 2019. "Climate Change and Healthcare Sustainability in the Agincourt Sub-District, Kruger to Canyons Biosphere Region, South Africa," Sustainability, MDPI, vol. 11(2), pages 1-23, January.
    4. Monika dos Santos & David Howard & Pieter Kruger & Arnaud Banos & Saul Kornik, 2019. "Climate Change and Healthcare Sustainability in the Agincourt Sub-District, Kruger to Canyons Biosphere Region, South Africa," Post-Print hal-01993273, HAL.
    5. Laura Rossouw, 2015. "Poor Health Reporting: Do Poor South Africans Underestimate Their Health Needs?," WIDER Working Paper Series wp-2015-027, World Institute for Development Economic Research (UNU-WIDER).
    6. Laura Rossouw & Teresa Bago d’Uva & Eddy Doorslaer, 2018. "Poor Health Reporting? Using Anchoring Vignettes to Uncover Health Disparities by Wealth and Race," Demography, Springer;Population Association of America (PAA), vol. 55(5), pages 1935-1956, October.
    7. Laura Rossouw, 2015. "Poor health reporting: Do poor South Africans underestimate their health needs?," WIDER Working Paper Series 027, World Institute for Development Economic Research (UNU-WIDER).

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