Reproductive Health Matters
Volume 11, Issue 21 , Pages 108-119 , May 2003

The Human Face of Decentralisation and Integration of Health Services: Experience from South Africa

  • Di McIntyre

      Affiliations

    • Health Economics Unit, School of Public Health, Health Sciences Faculty, University of Cape Town, South Africa
  • ,
  • Barbara Klugman

      Affiliations

    • Women's Health Project, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa

References 

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  2. Schneider H, Gilson L. The impact of free maternal health care in South Africa. In:  Berer M,  Ravindran TKS editor. Safe Motherhood Initiatives: Critical Issues. London: Reproductive Health Matters; 1999;
  3. Gilson L, Doherty J, McIntyre D, et al.  The Dynamics of Policy Change: Health Care Financing in South Africa 1994-99. Monograph No. 66. Johannesburg: Centre for Health Policy and Health Economics Unit; 1999;
  4. South Africa (Republic). Choice of Termination of Pregnancy Act. 1996.
  5. Fonn S, Klugman B, Dehaeck K. Towards a national screening policy for cancer of the cervix in South Africa. Johannesburg: Women's Health Project, Centre for Health Policy, University of the Witwatersrand; 1993;
  6. Department of Health. 〈www.doh.gov.za/docs/reports/mothers/aimsenquiry.html〉. Accessed 23 January 2003.
  7. Child Health Unit . The national evaluation of the primary school nutrition programme. Durban: Health Systems Trust; 1997;
  8. Mills A, Vaughan J, Smith D, et al.  Health System Decentralisation: Concepts, Issues and Country Experiences. Geneva: World Health Organization; 1990;
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  11. Bossert T. Decentralization. In:  Janovsky K editors. Health Policy and Systems Development: An Agenda for Research. Geneva: World Health Organization; 1996;
  12. Gilson L, Morar R, Pillay Y, et al.  Decentralisation and health system change in South Africa. Johannesburg: Health Policy Co-ordinating Unit; 1996;
  13. McIntyre D, Thomas S, Mbatsha S, et al.  Equity in public sector health care financing and expenditure in South Africa. Durban: Health Systems Trust; 1999;
  14. Klugman B, McIntyre D. From policy, through budgets, to implementation: Delivering quality health care services. In:  Budlender D editors. The Fifth Women's Budget. Cape Town: IDASA; 2000;
  15. Walt G, Gilson L. Reforming the health sector in developing countries: the central role of policy analysis. Health Policy and Planning. 1994;9(4):353–370
  16. McCoy D. Free health care for pregnant women and children under six in South Africa: An impact assessment. Durban: Health Systems Trust; 1996;
  17. McCoy D, Khosa S. “Free health care” policies. In: Health Systems Trust  editors. South African Health Review, 1996. Durban: Health Systems Trust and Henry J Kaiser Family Foundation; 1996;
  18. Klugman B, Varkey S. From policy development to policy implementation: the South African Choice on Termination of Pregnancy Act. In:  Klugman B,  Budlender D editor. Advocating For Abortion Access: Eleven Country Studies. Johannesburg: Women's Health Project, School of Public Health, University of the Witwatersrand; 2001;
  19. Varkey S, Robertson E. Report on the Health Workers for Change—working to improve quality of abortion services workshop to the MCWH directorate in the North West Province. Johannesburg: Women's Health Project, Department of Community Health, University of the Witwatersrand; 2000;
  20. Dickson-Tetteh K, Rees H. Efforts to reduce abortion-related mortality in South Africa. In:  Berer M,  Ravindran TKS editor. Safe Motherhood Initiatives: Critical Issues. London: Reproductive Health Matters; 2000;
  21. Gmeiner A, Wyk SV, Poggenpoel M. Support for nurses directly involved with women who chose to terminate a pregnancy. Hunter Valley Midwives Association Journal. 1999;7(5):30–35
  22. Leon N, Bhunu F, Kenyon C. Voices of facility managers. In: Health Systems Trust  editors. South African Health Review, 2001. Durban: Health Systems Trust and Henry J Kaiser Family Foundation; 2001;
  23. Fonn S, Tint KS. Transforming reproductive health services in South Africa: women's health advocates and government in partnership. In:  Haberland N,  Measham D editor. Responding to Cairo—Case Studies of Changing Practice in Reproductive Health and Family Planning. New York: Population Council; 2002;
  24. McIntyre D, Thomas S, Mbatsha S, et al.  Public sector health care financing and expenditure. In: Health Systems Trust  editors. South African Health Review, 1999. Durban: Health Systems Trust and Henry J Kaiser Family Foundation; 1999;
  25. Mbatsha S, McIntyre D. Financing local government health services. In: Health Systems Trust  editors. South African Health Review, 2001. Kaiser Family Foundation,Durban: Health Systems Trust and the J. Henry; 2001;
  26. Thomas S, Muirhead D. National Health Accounts: The Public Sector Report. Pretoria: Department of Health; 2000;
  27. Masilela T, Molefakgotla P, Visser R. Voices of district managers. In: Health Systems Trust  editors. South African Health Review, 2001. Durban: Health Systems Trust and Henry J Kaiser Family Foundation; 2001;
  28. Harrison-Migochi K. Priority programme implementation. In: Health Systems Trust  editors. South African Health Review, 1998. Durban: Health Systems Trust and Henry J Kaiser Family Foundation; 1998;
  29. Brijlal V, Gilson L, Mahon J, et al.  Key issues in decentralisation. Washington DC: World Bank Institute; 1998;
  30. McIntyre D, Gilson L. Putting equity in health back onto the social policy agenda: experience from South Africa. Social Science and Medicine. 2002;54:1637–1656
  31. Klugman B, Stevens M, van den Heever A, et al.  From Words to Action: Sexual and Reproductive Rights. Health Policies and Programming in South Africa, 1994–1998. Johannesburg: Women's Health Project, Department of Community Health, University of the Witwatersrand; 1998;

PII: S0968-8080(03)02166-9

doi: 10.1016/S0968-8080(03)02166-9

Reproductive Health Matters
Volume 11, Issue 21 , Pages 108-119 , May 2003