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Urban-rural inequalities in health care delivery in South Africa

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  • Frikkie le Booysen

Abstract

Urban-rural inequalities in access to health care services continue to persist in South Africa, and in almost all cases discriminate against the poor. In certain cases disparities are even worse in urban areas, although levels of service delivery admittedly are consistently worse in rural areas. People in rural areas are generally more dependent on public and other health care services than on private services, compared with people living in urban areas. There is limited evidence of substantial intra-urban disparities, with inequality being worse in smaller urban settlements (i.e. towns) as opposed to larger ones (i.e. small cities and metropolitan areas). The article emphasises the important role the envisaged future decentralisation of selected health services to local government is likely to play in addressing these inequalities and the lack of service delivery at this level.

Suggested Citation

  • Frikkie le Booysen, 2003. "Urban-rural inequalities in health care delivery in South Africa," Development Southern Africa, Taylor & Francis Journals, vol. 20(5), pages 659-673.
    • Handle: RePEc:taf:deveza:v:20:y:2003:i:5:p:659-673
    DOI: 10.1080/0376835032000149298
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    Cited by:

    1. Omilola, Babatunde, 2010. "Patterns and trends of child and maternal nutrition inequalities in Nigeria," IFPRI discussion papers 968, International Food Policy Research Institute (IFPRI).
    2. repec:ilo:ilowps:388135 is not listed on IDEAS
    3. Frikkie Booysen & Martine Visser, 2010. "Health Facility Choice In Hiv‐ And Aids‐Affected Households In Two South African Communities," South African Journal of Economics, Economic Society of South Africa, vol. 78(1), pages 89-106, March.

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