Summary

This book explores the implications of a wide range of intergovernmental fiscal arrangements found in fiscal federal systems and how they impact on the equitable distribution of primary health care resources. It also highlights how equity can be promoted within a fiscal federal system. The issues raised in the book are relevant to all countries operating under a fiscal federal system and those that operate a decentralised health system. Fiscal federalism is followed by Australia, India, Canada and Nigeria, as well as South Africa. Although this title focuses on South Africa and Nigeria, the impact of this economic approach on primary health care in the above countries is also discussed and predicted.