Table of Contents

Introduction and overview; Demographic and health trends: 2009-2014; Service delivery through the lens of strategic health programmes; Primary health care and universal health coverage in South Africa; Improving quality; Health systems financing; Reforming public hospitals; Human resources for universal health coverage; Medicines, health products and technology; Health information systems in the public health sector; Community participation in the post-apartheid era: progress and challenges; Health governance; Responding to the challenges.

About the Author

Ms Malebona Precious Matsoso is South Africa's director-general, national department of health. Ms Matsoso holds a degree in pharmacy from the University of Western Cape, a postgraduate diploma in health management from the University of Cape Town, and a master's degree in law and ethics (LLM) from the University of Dundee. As a pharmacist she has worked in both the public and private sector at management level. Ms Matsoso was a director in public health innovation and intellectual property (PHI) in the office of the director-general of the World Health Organisation (WHO), serving as WHO secretariat on public health, innovation and intellectual property. Dr Robert John Fryatt is an international public health specialist with twenty-four years of experience working in public health and international development in low, middle and high income countries across Asia, Africa and Europe. He worked as an adviser to the ministry of health in South Africa from November 2009 until July 2013, and has carried on as part-time adviser working on the roll-out of primary health-care reforms in the country. Prior to working in South Africa he worked in the World Health Organisation, Geneva, where he established the international health partnership, in partnership with the World Bank. He is a physician and a fellow of the UK faculty of public health medicine. Dr Gail Andrews is a public health specialist with extensive senior management experience. Her policy, programming and research expertise is broadly in public health, and specifically the intersection of health systems research and strengthening with women's health, maternal health and HIV and AIDS. She is currently senior technical adviser to the director-general: National department of health.