IDEAS home Printed from https://ideas.repec.org/a/wly/jintdv/v18y2006i3p435-446.html
   My bibliography  Save this article

Commercialisation and extreme inequality in health: the policy challenges in South Africa

Author

Listed:
  • Di McIntyre

    (Health Economics Unit, University of Cape Town, South Africa)

  • Lucy Gilson
  • Haroon Wadee

    (Centre for Health Policy, University of Witwatersrand, South Africa)

  • Michael Thiede

    (Health Economics Unit, University of Cape Town, South Africa)

  • Okore Okarafor

    (Health Economics Unit, University of Cape Town, South Africa)

Abstract

This paper presents a South African case study as a contribution to international debates about the policy challenges posed by health sector commercialisation. It shows that the South African health system was highly commercialised before 1994, and fragmented between the private sector, serving the high-income white population and the public sector, serving the low-income, black population. By 2005 little had changed despite efforts to regulate the private sector and strengthen the public sector. Brave leadership and a stronger vision of the relative roles of public and private sectors is required to develop an integrated health system built on income-related cross-subsidies. Copyright © 2006 John Wiley & Sons, Ltd.

Suggested Citation

  • Di McIntyre & Lucy Gilson & Haroon Wadee & Michael Thiede & Okore Okarafor, 2006. "Commercialisation and extreme inequality in health: the policy challenges in South Africa," Journal of International Development, John Wiley & Sons, Ltd., vol. 18(3), pages 435-446.
    • Handle: RePEc:wly:jintdv:v:18:y:2006:i:3:p:435-446
    DOI: 10.1002/jid.1293
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.1002/jid.1293
    File Function: Link to full text; subscription required
    Download Restriction: no
    File URL: https://libkey.io/10.1002/jid.1293?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. McIntyre, Di & Gilson, Lucy, 2002. "Putting equity in health back onto the social policy agenda: experience from South Africa," Social Science & Medicine, Elsevier, vol. 54(11), pages 1637-1656, June.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Eleanor Beth Whyle & Jill Olivier, 2024. "Health system reform and path-dependency: how ideas constrained change in South Africa’s national health insurance policy process," Policy Sciences, Springer;Society of Policy Sciences, vol. 57(3), pages 663-690, September.
    2. Pillay, Timesh D. & Skordis-Worrall, Jolene, 2013. "South African health financing reform 2000–2010: Understanding the agenda-setting process," Health Policy, Elsevier, vol. 109(3), pages 321-331.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Boubou Cissé & Stephane Luchini & Jean-Paul Moatti, 2006. "Equity in health care finance and delivery: what about Africa ?," Working Papers halshs-00409670, HAL.
    2. Raphaëlle Ducrot & Magalie Bourblanc, 2017. "Promoting equity in water access: the limits of fairness of a rural water programme in semi‐arid Mozambique," Natural Resources Forum, Blackwell Publishing, vol. 41(3), pages 131-144, August.
    3. Albino Kalolo & Ntuli A. Kapologwe & Hendry Samky & Stephen M. Kibusi, 2022. "Acceptability of the Direct Health Facility Financing (DHFF) initiative in Tanzania: A mixed methods process evaluation of the moderating factors," International Journal of Health Planning and Management, Wiley Blackwell, vol. 37(3), pages 1381-1401, May.
    4. Cisse, Boubou & Luchini, Stephane & Moatti, Jean Paul, 2007. "Progressivity and horizontal equity in health care finance and delivery: What about Africa?," Health Policy, Elsevier, vol. 80(1), pages 51-68, January.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jintdv:v:18:y:2006:i:3:p:435-446. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: http://www3.interscience.wiley.com/journal/5102/home .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.