A triple burden for health sector reform: 'post'-conflict rehabilitation in Uganda

While conflict continues to threaten health development in many countries; relative peace has been secured in others. The transition from war to peace carried important political and economic opportunities for the reappraisal of social policy in general; and of health policy in particular. The health systems of countries recovering from prolonged periods of conflict often carry a double burden: the inheritance of an inappropriate and unaffordable health system developed in the pre-conflict era; and the particular policies designed to rehabilitate the Ugandan health system; and argues that they exacerbated; rather than alleviated; the health crisis inherited in 1986. In this way they posed a third burden. By anlayzing the context an process of policy formulation in the immediate post-conflict period; it explorers the rationale which lay behind the adoption of these policies and identifies potential strategies for strengthening policy development in this unstable; resource-poor and health-deprived situations

Governmental Relationships and HIV/AIDs Service Delivery

This research project examined inter-governmental relations in the health sector in South Africa. It focused on HIV/AIDS services but the intention was to use HIV/AIDS as a tracer or probe of broader health system functioning. The main objectives of the research were to describe what HIV/AIDS services are provided; how the different functions are allocated between government actors; and how they are then coordinated. The study was conducted in two parts. Phase 1 was completed in the second half of 2002 and provided a broad National Overview of HIV/AIDS activities in the national; provincial and local spheres of government. Phase 2 was done in early 2003 and consisted of detailed Case Studies from three different tracer municipalities. The research methodology was mainly qualitative and exploratory and included literature review; document analysis and key informant interviews

Public-Private Interactions in the South African Health Sector: Experience and Perspectives from National; Provincial and Local Levels

This report is an introductory analysis and overview of Public-Private Interactions (PPIs) in the South African health system. It forms part of a broader programme of work looking at decentralisation and health. An output of the Local Government and Health Consortium; funded by Health Systems Trust and comprising Health Systems Trust; Centre for Health Policy and Health Economics Unit