sector skills plan for the health sector in south africa

2.4.6 LABOUR UNIONS ................................................................................................................. 12
2.5 PROFILE OF EMPLOYEES IN THE SECTOR .................................................................................... 13
2.6 CONCLUSIONS ............................................................................................................................. 18
3 FACTORS INFLUENCING THE HEALTH SECTOR LABOUR MARKET ....................................................... 20
3.1 INTRODUCTION ........................................................................................................................... 20
3.2 HEALTH SPENDING ...................................................................................................................... 20
3.2.1 PUBLIC SECTOR SPENDING.................................................................................................. 21
3.2.2 PRIVATE SECTOR SPENDING ............................................................................................... 22
3.3 THE DEMAND FOR HEALTH SERVICES ......................................................................................... 23
3.3.1 THE PUBLIC-PRIVATE DIVIDE ............................................................................................... 23
3.3.2 THE DEMAND FOR PUBLIC HEALTH CARE ........................................................................... 24
3.3.3 THE DEMAND FOR PRIVATE HEALTHCARE SERVICES .......................................................... 26
3.4 THE MOBILITY OF LABOUR .......................................................................................................... 27
3.5 ECONOMIC DOWNTURN ............................................................................................................. 27
3.6 THE BURDEN OF DISEASE ............................................................................................................ 27
3.7 HUMAN RESOURCES CHALLENGES ............................................................................................. 29
3.8 MANAGEMENT OF THE HEALTH SYSTEM ................................................................................... 31
3.9 THE REGULATORY ENVIRONMENT ............................................................................................. 32
3.9.1 REGULATION OF QUANTITY AND DISTRIBUTION ................................................................ 32
3.9.2 REGULATION OF QUALITY ................................................................................................... 33
3.10 NATIONAL HEALTH POLICIES....................................................................................................... 33
3.10.1 PRIMARY HEALTHCARE ....................................................................................................... 34
3.10.2 COMMUNITY HEALTH WORKERS ........................................................................................ 34
3.10.3 A NATIONAL HEALTH INSURANCE SYSTEM ......................................................................... 36
3.10.4 HIV AND AIDS POLICIES ....................................................................................................... 38
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