South Africa: Cross-Programmatic Efficiency Analysis

Overview

As South Africa looks to progress towards universal health coverage (UHC), including the establishment of the National Health Insurance (NHI), the cross-programmatic efficiency analysis sought to examine and address underlying efficiency issues in the current system and support ongoing reform efforts.  It also provided information to policymakers about possible ways to better coordinate and integrate components of the TB, HIV/AIDS, and MNCH health programmes so as to meet population health needs in an efficient manner. This policy brief, which outlines the identified inefficiencies, their implications, and policy options, is written based on that analysis performed in 2016, with recognition that changes in the health system may have taken place since the study was conducted.