Primary healthcare spending : striving for equity under fiscal federalism

Co-published with UCT Press“Fiscal federalism” is the devolution of expenditure responsibilities to sub-national levels of government. This book highlights key factors that can help to achieve equity in the allocation of primary healthcare resources within fiscal federal systems, and in decentralized health systems in general. It explores a range of expenditure methods around the world and how they influence the equitable distribution of primary healthcare resources. Although South Africa is used as a case for discussion, the issues raised in the book are relevant to all countries operating under a fiscal federal system as well as those that operate a decentralized health system