Masipa, Rabohwa Phineas2011-11-032011-11-032011-11-03http://hdl.handle.net/10539/10698MM thesis - P&DMDespite heavy infusion of health care resources in many countries in the last 20 years or so, there is still a lack of health care in most areas. Similar experience is not uncommon in several countries, Australia being one of them, even though the causes were somewhat different (www.ruralhealth.org.au/hh/htm) Five main reasons have been identified as the cause of this situation, namely:  Focus on the construction of facilities rather than the provision of services.  Over-sophisticated training, which took place largely in hospitals.  Poor and un-equitable deployment of health staff  A “top-down” health care delivery system.  Unbalanced health budget allocations. In the light of these problems concerning the existing health care system, South Africa is now evolving more “effective” ways of improving health in the communities. It now remains to be seen how successful the government will be in redressing in inequities of the past.enHalegratz management structuresPublic healthThesis