Leadership and Governance within the South African health system

Abstract

The importance of health management has long been noted in South Africa (SA). Most recently, the 2010-2014 Negotiated Service Delivery Agreement identified health management strengthening as a core element of health system strengthening, and the 2010 health management competency assessment was an important first step in this effort. However, there has so far been limited open discussion about the nature of leadership required within the South African health system, or sustained engagement about how to develop leadership across the system. Both sets of issues are addressed in this chapter. Leadership is a necessary element of strong health systems, and so it is vital that SA nurtures and sustains leaders who can work strategically within their complex environments to develop a rights-based health system that promotes health equity.

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