Since 1994 there have been a number of radical changes in the public health care system in South Africa. Budgets have … been reallocated, decision making was decentralised, the clinic network was expanded and user fees for primary health care … and quality of health care. The paper finds that between 1995 and 2003 there have been advances in the pro-poor spending …

This chapter investigates how effective recent changes in the South African public health care system have been in …, decentralisation, the elimination of primary health care user fees and expansion of the network of clinics changed the incidence of … indicate that the distribution of health spending on hospitals and clinics is driven by utilisation patterns. The decision by …