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The role of faith-based health providers in the South African health system: a historical case study of their Nationalisation and Privatisation
Faith-based health providers (FBHPs) have been identified as important actors and allies in health service delivery, especially in weak and fragile health systems in sub-Saharan Africa (SSA). Although FBHPs are still present in a number of SSA countries in varying degrees and capacities, in South Af...
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| Format: | Thesis |
| Language: | English |
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Department of Public Health and Family Medicine
2019
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| _version_ | 1867613590594256896 |
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| access_status_str | Open Access |
| author | Maitisa, Dineo Kwena |
| author2 | Olivier, Jill |
| author_browse | Maitisa, Dineo Kwena Olivier, Jill |
| author_facet | Olivier, Jill Maitisa, Dineo Kwena |
| author_sort | Maitisa, Dineo Kwena |
| collection | Thesis |
| description | Faith-based health providers (FBHPs) have been identified as important actors and allies in health service delivery, especially in weak and fragile health systems in sub-Saharan Africa (SSA). Although FBHPs are still present in a number of SSA countries in varying degrees and capacities, in South Africa FBHPs were nationalized in the 1970s with some of these missionary facilities later being entirely closed. This historical case study draws on primary and secondary archival data collection as well as in-depth interviews, and discusses the reasoning and some of the results of nationalizing FBHPs in South Africa. We find that FBHPs were nationalized for financial and political reasons in the Apartheid era with the effects of the decision still being felt in the late 1990s. This has resulted in the shifting of efforts of some faith communities from health service delivery to more ‘health-related development programming’ such as orphanages, old age homes, step-down primary clinics and ‘faith inspired organizations’ that promote health through the provision of food, water and shelter. The story of the nationalization of FBHPs into the South African health system is important, especially for other countries still pondering the presence of these types of faith health providers in their national health systems’ architecture. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/29639 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:38:34.321Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2019 |
| publishDateRange | 2019 |
| publishDateSort | 2019 |
| publisher | Department of Public Health and Family Medicine |
| publisherStr | Department of Public Health and Family Medicine |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/29639 The role of faith-based health providers in the South African health system: a historical case study of their Nationalisation and Privatisation Maitisa, Dineo Kwena Olivier, Jill Health Systems Faith-based health providers (FBHPs) have been identified as important actors and allies in health service delivery, especially in weak and fragile health systems in sub-Saharan Africa (SSA). Although FBHPs are still present in a number of SSA countries in varying degrees and capacities, in South Africa FBHPs were nationalized in the 1970s with some of these missionary facilities later being entirely closed. This historical case study draws on primary and secondary archival data collection as well as in-depth interviews, and discusses the reasoning and some of the results of nationalizing FBHPs in South Africa. We find that FBHPs were nationalized for financial and political reasons in the Apartheid era with the effects of the decision still being felt in the late 1990s. This has resulted in the shifting of efforts of some faith communities from health service delivery to more ‘health-related development programming’ such as orphanages, old age homes, step-down primary clinics and ‘faith inspired organizations’ that promote health through the provision of food, water and shelter. The story of the nationalization of FBHPs into the South African health system is important, especially for other countries still pondering the presence of these types of faith health providers in their national health systems’ architecture. 2019-02-18T11:32:41Z 2019-02-18T11:32:41Z 2018 2019-02-13T12:02:47Z Master Thesis Masters MPH http://hdl.handle.net/11427/29639 eng application/pdf Department of Public Health and Family Medicine Faculty of Health Sciences University of Cape Town |
| spellingShingle | Health Systems Maitisa, Dineo Kwena The role of faith-based health providers in the South African health system: a historical case study of their Nationalisation and Privatisation |
| thesis_degree_str | Master's |
| title | The role of faith-based health providers in the South African health system: a historical case study of their Nationalisation and Privatisation |
| title_full | The role of faith-based health providers in the South African health system: a historical case study of their Nationalisation and Privatisation |
| title_fullStr | The role of faith-based health providers in the South African health system: a historical case study of their Nationalisation and Privatisation |
| title_full_unstemmed | The role of faith-based health providers in the South African health system: a historical case study of their Nationalisation and Privatisation |
| title_short | The role of faith-based health providers in the South African health system: a historical case study of their Nationalisation and Privatisation |
| title_sort | role of faith based health providers in the south african health system a historical case study of their nationalisation and privatisation |
| topic | Health Systems |
| url | http://hdl.handle.net/11427/29639 |
| work_keys_str_mv | AT maitisadineokwena theroleoffaithbasedhealthprovidersinthesouthafricanhealthsystemahistoricalcasestudyoftheirnationalisationandprivatisation AT maitisadineokwena roleoffaithbasedhealthprovidersinthesouthafricanhealthsystemahistoricalcasestudyoftheirnationalisationandprivatisation |