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Have Pro-Poor Health Policies Improved the Targeting of Spending and the Effective Delivery of Health Care in South Africa?

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 were a...

Fixing Health Systems

The challenges that face Africa in the sphere of health care are formidable and often daunting. After decades of stagnant or worsening poverty and health indicators across the continent, the Millennium Development Goals (MDGs) — adopted by the U...

Local Initiatives in the African Great Lakes Region: Community Voices and Sustainable Development

The research for this study was undertaken in Rwanda, Burundi and the Democratic Republic of Congo during the latter part of 1997, three years after the crisis in Rwanda. The study is not an analysis of the crisis of 1994, despite the fact that ...

Universal Health Coverage in Uganda: The Critical Health Infrastructure, Healthcare coverage and equity

This study aims to analyse the status of the critical health infrastructure which is needed to attain sustained progress towards UHC, and to review Uganda’s progress towards UHC. Some of the recent studies that have assessed UHC in Uganda have pri...

SADC and UNASUR Health Policies

In Southern Africa, social exclusion and inequity remain leading obstacles to inclusive human development. They pose barriers to poverty reduction strategies, and hinder social unity and improved health conditions of populations. Social exclusio...

Southern Regionalisms, Global Agendas: Innovating Inclusive Access to Health, Medicines and Social Protection in a Context of Social Inequity

This Policy Brief highlights key findings from an international social policy research project examining the scope for enhancing the contributions of Southern multilateral regional organisations to inclusive social development in low-income cont...

Monitoring Pro-Poor Health-Policy Success in the SADC Region

Monitoring pro-poor health policies at the regional level can support both the countries and the regional bodies themselves by identifying gaps in addressing poverty and health, strengthening the link between regions and member states, holding ...

Multi-Level Pro-Poor Health Governance, Statistical Information Flows, and the Role of Regional Organizations In South America and Southern Africa

In the past decades, health governance has become multi-layered as the combined result of decentralisation, regional integration and the emergence of new actors nationally and internationally. Whereas this has –in principle – enhanced the instal...

Comparing SADC and UNASUR Regional Health Governance and Policy

For many years regional organisations were regarded as entities driven mainly by the goals of trade liberalisation, market creation, and in certain instances security communities. After the 1990s many regional organisations widened their mandate...

Global Constitutionalism in Global Health Governance and Regional Responses: Exploring African and Latin American Compulsory License Regimes

This paper discusses conditions under which a regional compulsory license (CL) regime can be feasible and useful for African and Latin (especially) South American regional organizations. We focus on the African Union (AU), the Southern African D...

Health and Economic Growth in Sub-Saharan Africa

It is generally acknowledged that health is a form of human capital and a critical factor in the economic growth process. In turn, health production is a major determinant of health outcomes. While the former relationship has been explored exten...

Fiscal Decentralization and Social Services in Nigeria

This study examines the linkages between fiscal decentralization and social services in Nigeria. It is based on a panel of the 36 states and federal capital territory. Social services in health and education are measured by outcomes such as infant...

Opportunities and Policy Actions to Maximise the Demographic Dividend in Botswana

Botswana’s socio-economic development aspirations as spelt out in its current long-term development strategy, Vision 2036, is to graduate from being an upper-middle-income country (UMIC) to a high-income country (HIC) with prosperity for all. Demo...

Using Taxation to Control Tobacco Consumption in Uganda

This brief explores the trends in tobacco taxation in Uganda and highlights the importance of addressing factors that contribute to affordability when using taxation as a tobacco control tool. Drawn from a recent study by EPRC which simulates the ...

Food Trade Policy and the Dietary Transition

The irony facing many developing countries today is that increased food trade and the implications of globalization has created a situation where certain segments of the population are simply put, eating too much, while just in their proximity lie...

Ill-prepared? Health Care Service Delivery in Zimbabwe

As Zimbabwe struggled to contain a deadly cholera outbreak in September-October 2018, questions focused again on failures of infrastructure and leadership that continue to leave the country vulnerable to such a preventable, “medieval” disease. Z...

Multidimensional Poverty Dynamics in Ethiopia: How do they differ from Consumption-based Poverty Dynamics?

Poverty can take many different forms, ranging widely over dimensions both monetary, such as consumption or income, and non monetary, such as health and education. One large class of non monetary measures of poverty is the multidimensional poverty...

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