Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 220.127.116.11. If your access is via an institutional subscription, please contact your librarian to request reinstatement. If you are using a personal subscription, please contact the Duke University Press using the Contact Us form.
Yogan Pillay; The Impact of South Africa's New Constitution on the Organization of Health Services in the Post-Apartheid Era. J Health Polit Policy Law 1 August 2001; 26 (4): 747–766. doi: https://doi.org/10.1215/03616878-26-4-747
This essay evaluates the transformation of the health care system in South Africa in the five years following the end of apartheid. This period has witnessed dramatic and wide-ranging changes in the roles of the central and provincial governments as well as many of the same problems related to decentralization as have been seen elsewhere in the world. The importance of effective intergovernmental relations to the creation of a national health system is highlighted. Negotiation, contracting, and coordination skills and mechanisms need to be strengthened to ensure a more effective national health system within a decentralized political system.