Faculty of Management Sciences
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Item Performance management and public policy : the case of the health sector in South Africa(ASSADPAM, 2014-03) Brauns, Melody; Wallis, MalcolmThe South African healthcare sector stands at the threshold of major restructuring in an attempt to address inadequacies as a result of fragmentation of health services in apartheid South Africa. The performance of health services, particularly in more remote areas, has decreased and has led to reduced quality and effectiveness of health services. For individuals residing in rural communities, access to health services can be arduous. Delivery of essential services has to meet the needs of marginalised people who live in remote areas. The department of health is faced with growing expectations from citizens to use resources effi ciently and effectively so that healthcare can be afforded and accessed by all. National Health Insurance (NHI) aims to introduce reforms to improve the provision of healthcare. The health sector is reputed to be good at formulating policies, discussing ideas, making recommendations and spending resources, but poor on implementing policies. The government insists that the policy framework is transparent and well-defi ned and that what is needed is effective implementation. Regrettably, the transition of policy into practice is more complex than the perceived judgement of government. The results of this study may be useful not only to the case study institution, but to all District Hospitals, especially the Department of Health and the public management sector and may assist in taking the NHI forward.Item Local economic development in the Commonwealth(DDP (Democracy Development Programme), 2012) Wallis, MalcolmItem Local economics development : a critique of the African experience(Unisa Press, 2012) Reddy, Purshottama; Wallis, MalcolmAbout 30–40 years ago, Local Economic Development (LED) was conceptualised in developing countries and is still gaining momentum in these countries. It has been practised as a development strategy in various forms, more particularly in developed countries. In the African context, LED has been incorporated with local or community development, and these poverty alleviation strategies have focused on social goals over the short term, rather than economic goals that are more broad-based and longer term. Particular emphasis has been placed on survival strategies and remedial measures to address social problems, as opposed to sustainable development over the longer term. Globally, LED strategies seek to enhance economic growth. In the African context, the approach adopted includes the former, but prioritises poverty alleviation and greater inclusion of previously excluded groups. African countries that develop a positive linkage between growth and poverty alleviation are the exception rather than the rule. Only countries that are reasonably well developed, diversified, globally linked and have an urbanised economy would fall into this category; South Africa has managed to bridge this divide and is a rare exception. The African Continent as a whole is experiencing distinct challenges in implementing LED, namely a lack of human resources, and limited financial, institutional and technical capacity. Furthermore, the development environment is not very enabling and this has also proved to be a stumbling block in facilitating LED in many countries.