Sachs, MichaelAbdullah, FareedMadonko, ThokozileJonas, KimSlingers, NevileneZvawada, TanakaEwinyu, AraboShedi, Olwethu2023-11-162023-11-162023-11Sachs et al., 2023, Financial directions and budget trends in government healthcare, Public Economy Project, SCIS Working Paper 62https://hdl.handle.net/10539/37020This working paper provides evidence and analysis that can assist in taking forward the agenda of the Presidential Health Compact. It does so by reviewing the financial performance of the government healthcare system over the last decade. After assessing the financial management performance, it looks at the “financial health” challenges facing the system, including the problems of accruals and medico-legal claims. The report then examines the budget pressures faced by provincial healthcare departments, as well as the different allocation of resources and levels of care across provinces. It ends with a conclusion and tentative reflections informed by the evidence.enAuthor(s) retain the right to self-archive the final published version or parts of it on an author’s personal website or a not for profit server or repository associated with the institution that employs the author(s).©2023 Southern Centre for Inequality Studies (SCIS)Public HealthHealth FinancingNational Health InsurancePresidential Health CompactFinancial ManagementHealthcare servicesHealth BudgetsMedico-legal claimsPrimary healthcarePublic EconomyWorking Paper