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Promoting equity in primary healthcare expenditure across districts in the North West Province, using a needs-based resource allocation approach
The North West Department of Health requested that research be conducted on ways of addressing the inequity in district Primary Healthcare (PHC) spending. Literature has shown that using a needs- based approach to allocate resources may have a positive effect on equity across geographic areas. This...
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| Format: | Thesis |
| Language: | English |
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Health Economics Unit
2016
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| _version_ | 1867614444919455744 |
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| access_status_str | Open Access |
| author | Maharaj, Yasteel |
| author2 | McIntyre, Di |
| author_browse | Maharaj, Yasteel McIntyre, Di |
| author_facet | McIntyre, Di Maharaj, Yasteel |
| author_sort | Maharaj, Yasteel |
| collection | Thesis |
| description | The North West Department of Health requested that research be conducted on ways of addressing the inequity in district Primary Healthcare (PHC) spending. Literature has shown that using a needs- based approach to allocate resources may have a positive effect on equity across geographic areas. This study aimed to examine inequity in current district PHC expenditure, to examine the effect of using a needs-based methodology on equity in resource allocation (by examining different needs-based formulae) and finally to make recommendations on how to promote equity in PHC spending in the province. Mid-to-senior level district and provincial management were interviewed to gain insights into their views on equity, needs-based resource allocation and the indicators of need to be included in the study. The suggested indicators of need were examined and appropriate data sources for each indicator were identified. Two sets of financial data were interrogated: 2013/2014 district PHC expenditure and the total provincial PHC budget from 2009/10 to 2013/14. Finally four needs-based resource allocation formulae were created and the possible effects on equity investigated. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/20926 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:52:09.069Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2016 |
| publishDateRange | 2016 |
| publishDateSort | 2016 |
| publisher | Health Economics Unit |
| publisherStr | Health Economics Unit |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/20926 Promoting equity in primary healthcare expenditure across districts in the North West Province, using a needs-based resource allocation approach Maharaj, Yasteel McIntyre, Di Health Economics The North West Department of Health requested that research be conducted on ways of addressing the inequity in district Primary Healthcare (PHC) spending. Literature has shown that using a needs- based approach to allocate resources may have a positive effect on equity across geographic areas. This study aimed to examine inequity in current district PHC expenditure, to examine the effect of using a needs-based methodology on equity in resource allocation (by examining different needs-based formulae) and finally to make recommendations on how to promote equity in PHC spending in the province. Mid-to-senior level district and provincial management were interviewed to gain insights into their views on equity, needs-based resource allocation and the indicators of need to be included in the study. The suggested indicators of need were examined and appropriate data sources for each indicator were identified. Two sets of financial data were interrogated: 2013/2014 district PHC expenditure and the total provincial PHC budget from 2009/10 to 2013/14. Finally four needs-based resource allocation formulae were created and the possible effects on equity investigated. 2016-07-28T11:14:26Z 2016-07-28T11:14:26Z 2016 Master Thesis Masters MPH http://hdl.handle.net/11427/20926 eng application/pdf Health Economics Unit Faculty of Health Sciences University of Cape Town |
| spellingShingle | Health Economics Maharaj, Yasteel Promoting equity in primary healthcare expenditure across districts in the North West Province, using a needs-based resource allocation approach |
| thesis_degree_str | Master's |
| title | Promoting equity in primary healthcare expenditure across districts in the North West Province, using a needs-based resource allocation approach |
| title_full | Promoting equity in primary healthcare expenditure across districts in the North West Province, using a needs-based resource allocation approach |
| title_fullStr | Promoting equity in primary healthcare expenditure across districts in the North West Province, using a needs-based resource allocation approach |
| title_full_unstemmed | Promoting equity in primary healthcare expenditure across districts in the North West Province, using a needs-based resource allocation approach |
| title_short | Promoting equity in primary healthcare expenditure across districts in the North West Province, using a needs-based resource allocation approach |
| title_sort | promoting equity in primary healthcare expenditure across districts in the north west province using a needs based resource allocation approach |
| topic | Health Economics |
| url | http://hdl.handle.net/11427/20926 |
| work_keys_str_mv | AT maharajyasteel promotingequityinprimaryhealthcareexpenditureacrossdistrictsinthenorthwestprovinceusinganeedsbasedresourceallocationapproach |