HIV Financing Integration in South Africa: Policy Scenarios and Feasibility Analysis

Over the next 3-5 years, the South African government will finalize the design and implementation of a new national health insurance system. This feasibility study seeks to help identify how to better integrate the financing of HIV and other health services in the new system.

The study characterizes in detail the government’s current health financing system, describes the status quo and four additional scenarios for reconfiguring HIV financing, and evaluates these options for their feasibility and potential impact on the health system. It serves as a discussion document for government officials and other health sector stakeholders and, consequently, does not explicitly endorse or recommend any of the scenarios. Instead, the study strives simply to highlight the opportunities and risks posed by each option and the similarities and tradeoffs between them.

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