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.