When Opportunity Beckons: The Impact of the Public Service Accountability Monitor's Work on Improving Health Budgets in South Africa

Abstract

The Eastern Cape Province of South Africa struggles with high poverty, poor public infrastructure, and dysfunctional administrative systems. One result is that the Eastern Cape has the worst health outcomes in the country. This case study illustrates how a South African civil society organization has used its budgetary analysis to advocate for improvements in health service delivery. This case study is part of the Learning Program of the International Budget Partnership’s Partnership Initiative. The PI Learning Program seeks to assess and document the impact of civil society engagement in public budgeting.