Academy of Science of South Africa (ASSAf)2024-06-272024-06-272024Academy of Science of South Africa (ASSAf), (2024). Achieving Good Governance and Management in the South African Health System http://dx.doi.org/10.17159/assaf.2024/95https://hdl.handle.net/20.500.11911/408122 pagesASSAf recognises the societal mandate to contribute evidence-based solutions to national and global priority challenges. Through rigorous consensus studies, we strive to achieve science-to-policy advice to government, to support decision making in the formulation and implementation of policies. In September 2020, ASSAf appointed a voluntary seven-member consensus study panel, comprising expert practitioners from various disciplines within South African public health and health systems, to comprehensively examine the pillars which support Achieving Good Governance and Management in the South African Health System. This report encapsulates the culmination of the panel’s work, offering a detailed study of governance challenges within the South African health system, underscoring the multifaceted nature of governance deficiencies and their profound implications as well as highlighting the possibilities for positive action. The recommendations address the key governance elements of strategic vision and policy design, participation and consensus, accountability, transparency and protection against corruption. Commitment to the recommendations will strengthen governance and leadership of the current health system and move us closer toward achieving quality Universal Health Coverage (UHC).enPublic HealthGovernanceHealth SystemsNational Health InsuranceManagementSDG 3SDG 10Reporthttp://dx.doi.org/10.17159/assaf.2024/95