sahr2001 - Health Systems Trust

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272 Despite having a wealth of varied experiences and skills, there is a pressing need for parliamentarians to have the opportunity to further their legal and IT skills. However, the overwhelming sentiment is that regardless of the undoubtable challenges parliamentarians remain committed to ‘making a difference’.
Voices of Health Policy Makers and Public Health Managers: Key Themes 16 Yogan Pillay National Department of Health and The Equity Project “To work in the public sector is a wonderful experience, to help the community in the best way you can with the limited resources you have is a very rewarding experience.” (hospital manager) Why give politicians and managers a voice? According to Merriam-Webster’s dictionary 1 possible meanings of ‘voice’ are: a: wish, choice, or opinion openly or formally expressed or b: right of expression; also: influential power. It may be argued that politicians and managers, by definition, have many spaces to voice their opinions and many ways in which to express themselves. Indeed it may be argued that they are more influential than they should or need to be in society! They determine public policy and they implement it as they see fit using public resources. Managers on the other hand may argue that they are told what to do and do not have sufficient influence into the policy making process or that they are held accountable but not given sufficient responsibility, unlike their private sector counterparts. It is important to give managers and policy makers a voice – to hear what they think are the opportunities and barriers to the making of effective health policies and their implementation. We should also read between their lines about how important they view the opinions, concerns and experiences of those they serve – communities and health service users. The chapter recognises that voices of local councillors (newly elected etc.) have not been heard; only those of provincial and national politicians have been accessed. 273
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NORTHERN PROVINCE GAUTENG MPUMALANG
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Foreword Among significant events t
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14 Voices of National and Provincia
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Preface Listening to ‘Voices’
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an urgent need to improve the curre
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Transformation “Things happen so
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Introduction Health legislation is
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grounds. This was driven by the nee
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statutory powers in terms of the FA
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ecommend that the Minister make reg
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the expansion of their programme to
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Health Services are provided for in
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of a circumcision operation and the
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References 1 Report by the Joint Mo
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Introduction The District Health Sy
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(viz. environmental health services
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district’. This arrangement of su
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To illustrate the progress made tow
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References 1 Department of Health.
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Eastern Cape Category A and C Munic
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Gauteng Category A and C Municipali
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Mpumalanga Category A and C Municip
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Northern Province Category A and C
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Western Cape Category A and C Munic
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2 • The District Health System Ap
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Financing Local Government Health S
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3 • Financing Local Government He
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Private Sector Financing 4 Jane Gou
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4 • Private Sector Financing Fina
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4 • Private Sector Financing Tabl
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4 • Private Sector Financing cons
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4 • Private Sector Financing priv
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Public-Private Partnerships 5 Julia
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5 • Public-Private Partnerships t
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5 • Public-Private Partnerships B
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5 • Public-Private Partnerships P
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5 • Public-Private Partnerships a
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5 • Public-Private Partnerships S
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5 • Public-Private Partnerships E
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5 • Public-Private Partnerships e
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5 • Public-Private Partnerships s
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Using Information for Health 6 Loui
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6 • Using Information for Health
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Annual Reports and the Public Finan
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7 • Annual Reports and the Public
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HIV/AIDS Financing 8 Paul Whelan In
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8 • HIV/AIDS Financing discussed
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8 • HIV/AIDS Financing Provincial
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8 • HIV/AIDS Financing Funds to p
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8 • HIV/AIDS Financing have short
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8 • HIV/AIDS Financing plans requ
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8 • HIV/AIDS Financing district H
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8 • HIV/AIDS Financing The fundin
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8 • HIV/AIDS Financing Gauteng: G
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8 • HIV/AIDS Financing condoms, a
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8 • HIV/AIDS Financing Conditiona
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8 • HIV/AIDS Financing Financial
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Mainstreaming HIV/AIDS Progress and
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9 • Mainstreaming HIV/AIDS magnit
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9 • Mainstreaming HIV/AIDS Figure
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9 • Mainstreaming HIV/AIDS from t
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9 • Mainstreaming HIV/AIDS The sy
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9 • Mainstreaming HIV/AIDS Preven
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9 • Mainstreaming HIV/AIDS Anothe
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9 • Mainstreaming HIV/AIDS Notwit
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9 • Mainstreaming HIV/AIDS the im
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9 • Mainstreaming HIV/AIDS Rememb
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9 • Mainstreaming HIV/AIDS 8 Kiro
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9 • Mainstreaming HIV/AIDS 47 Ken
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Voices of Service Users 10 Precious
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10 • Voices of Services Users acc
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10 • Voices of Services Users Fac
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10 • Voices of Services Users ena
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10 • Voices of Services Users Box
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10 • Voices of Services Users Mor
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10 • Voices of Services Users wit
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10 • Voices of Services Users Con
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Voices of Health Policy Makers and
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• Voices of Health Policy Makers
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Voices of Facility Managers 11 Nata
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11 • Voices of Facility Managers
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Page 233 and 234: Voices of Hospital Superintendents/
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Page 273 and 274: Voices of Parliamentarians 15 Alfre
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Page 295 and 296: Health and Related Indicators 17 Ca
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17 • Health and Related Indicator
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Glossary AIDS Acquired Immune Defic
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• Glossary MEC MINMEC MOU Member
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Index A Abortion (see Termination o
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• Index Condoms .................
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sahr2001 - Health Systems Trust

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