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The utilisation of public-private partnership: Fiscal responsibility and options to develop intervention strategies for HIV/AIDS in South Africa
Thesis (PhD (Public Affairs))--University of Pretoria, 2007.
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University of Pretoria
2013
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| _version_ | 1867613656080973824 |
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| access_status_str | Open Access |
| author2 | Fourie, D.J. (David Johannes) |
| author_browse | Fourie, D.J. (David Johannes) |
| author_facet | Fourie, D.J. (David Johannes) |
| collection | Thesis |
| dc_rights_str_mv | © 2007, University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. |
| description | Thesis (PhD (Public Affairs))--University of Pretoria, 2007. |
| format | Thesis |
| id | oai:repository.up.ac.za:2263/25854 |
| institution | University of Pretoria (South Africa) |
| last_indexed | 2026-06-10T12:39:35.842Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository |
| publishDate | 2013 |
| publishDateRange | 2013 |
| publishDateSort | 2013 |
| publisher | University of Pretoria |
| publisherStr | University of Pretoria |
| record_format | dspace |
| source_str | UPSpace — University of Pretoria Institutional Repository |
| spelling | oai:repository.up.ac.za:2263/25854 The utilisation of public-private partnership: Fiscal responsibility and options to develop intervention strategies for HIV/AIDS in South Africa Fourie, D.J. (David Johannes) lindaschoeman@imaginet.co.za Schoeman, Linda Public-private partnership (PPP) Health care reforms Sustainable development HIV/AIDS interventions Fiscal responsibility UCTD Thesis (PhD (Public Affairs))--University of Pretoria, 2007. Strengthening health care systems in government meant cost containment and improved equity. Escalating costs and poorly constructed strategies are weakening the efficiency and effectiveness of service delivery in health care. This has a negative impact on value creation and internal processes as critical elements such as human capital, information and organisational capital are not aligned with strategies and roll-out plans for HIV/Aids interventions. This research study therefore questioned the extent to which these strategies have impacted on the roll-out plans for HIV/Aids interventions, and investigated if the utilisation of public-private partnerships (PPP) resulted in applying fiscal reponsible mechanisms in health care reforms (effectively, efficiently, economically and equitably (4Es)). Trends in the new public management (NPM) movement inspired a shift towards business-like reforms and saw PPP as a mechanism that improved efficiency and effectiveness in service delivery as it offered the promise to strengthen the capacity of government policy. The study aimed to put forward value-creating strategies and develop a best practice model that strengthened government’s policy capacity by providing efficient, effective, economical and quitable service in health care and thereby improving strategies that impact on the roll-out plans for HIV/Aids. This comparative study comprised four international case studies (developed and developing countries) which presented benchmarks against which the performance of the national case study was measured. A better understanding of the influence which different ideologies had on the architecture of international and global governance structures was gained as it highlighted and compared the key issues that influenced strategies for HIV/Aids intervention between the developed and developing countries. Results of the study indicated that there are conflicting views between government departments in how to achieve value-for-money outcomes and their application of risk allocation. The conflicting views widened the gap between public and private governance structures and relations. The focus of the PPP definition as applied in the national context of health care is not percieved as being health-specific or effective as it excludes some forms of interactions occurring in the health sector. PPP goals emphasised efficiency, affordability and value-for-money approaches, while health care goals emphasised the interest of the “patient” and public health. School of Public Management and Administration (SPMA) unrestricted 2013-09-07T01:02:48Z 2007-06-26 2013-09-07T01:02:48Z 2007-04-13 2007-06-26 2007-06-26 Thesis Schoeman, L 2007, The utilisation of public-private partnership: Fiscal responsibility and options to develop intervention strategies for HIV/AIDS in South Africa, PhD thesis, University of Pretoria, Pretoria, viewed yymmdd < http://hdl.handle.net/2263/25854 > http://hdl.handle.net/2263/25854 http://upetd.up.ac.za/thesis/available/etd-06262007-184020/ © 2007, University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf application/pdf University of Pretoria |
| spellingShingle | Public-private partnership (PPP) Health care reforms Sustainable development HIV/AIDS interventions Fiscal responsibility UCTD The utilisation of public-private partnership: Fiscal responsibility and options to develop intervention strategies for HIV/AIDS in South Africa |
| title | The utilisation of public-private partnership: Fiscal responsibility and options to develop intervention strategies for HIV/AIDS in South Africa |
| title_full | The utilisation of public-private partnership: Fiscal responsibility and options to develop intervention strategies for HIV/AIDS in South Africa |
| title_fullStr | The utilisation of public-private partnership: Fiscal responsibility and options to develop intervention strategies for HIV/AIDS in South Africa |
| title_full_unstemmed | The utilisation of public-private partnership: Fiscal responsibility and options to develop intervention strategies for HIV/AIDS in South Africa |
| title_short | The utilisation of public-private partnership: Fiscal responsibility and options to develop intervention strategies for HIV/AIDS in South Africa |
| title_sort | utilisation of public private partnership fiscal responsibility and options to develop intervention strategies for hiv aids in south africa |
| topic | Public-private partnership (PPP) Health care reforms Sustainable development HIV/AIDS interventions Fiscal responsibility UCTD |
| url | http://hdl.handle.net/2263/25854 http://upetd.up.ac.za/thesis/available/etd-06262007-184020/ |