SA’s health system needs to grow its management capacity to correct the disjuncture between infrastructure and financial planning, says a report by the Health Systems Trust. Consolidated health expenditure is set to rise 8.3% over the medium term, making it the fastest-growing category of government spend after debt servicing and post-school education. But public health is still marred by poor-quality services and low levels of accountability. The SA Health Report prescribed leadership stability, a change in management strategies and strong managerial capacity to achieve greater efficiencies in the sector. Examples of unfilled key positions abound. The Office of Health Standards Compliance CEO post has been vacant since July 2015. The National Health Laboratory Services has acting personnel filling key positions, including the CEO, chief financial officer and chief procurement officer. Health Minister Aaron Motsoaledi recently blamed the dismal state of the KwaZulu-Natal public heal...

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