A coherent "big picture" of the evolving health system in South Africa, along with the ensuing changes and challenges. Attempts to contextualise these developments historically and globally, and to critically assess them. Reviews progress and achievements, but also contemporary constraints and deficiencies in health performance. Aimed at researchers and lecturers, as well as senior and postgraduate students. Also a valuable reference work for practising health professionals, health planners, policy makers and managers. Contents include the following: National health care systems: trends, changes and reforms; the changing biophysical environment: impact on health and health conditions; HIV, AIDS and tuberculosis: trends, challenges and responses; medical ethics and human rights; hospitals and hospital reform; health care expenditure.