The Ilifa-Resep ECD Working Paper Series is a collaboration between Ilifa Labantwana and Research on Socio-Economic Policy (Resep) at Stellenbosch University. The working paper series aims to promote research that addresses the major systemic issues facing the ECD sector in South Africa.
Citizens ought to hold the state accountable for service delivery. This is usually done through the power of the vote. Literature on democratic governance suggests that theoretically, when good quality public services are provided, citizens would continue to vote for the political party in power. Therefore, it is expected that the inverse would occur should poor quality public services be provided.
Repetition is a serious problem in South Africa, and the Western Cape is no exception. In any given year between 2007 and 2019, repetition has ranged between 72,000 and 100,000, with notable enrolment bulges in grades 1, 4, 9 and 10. An important consequence of repetition—when not cancelled by dropout—is an increase in the proportion of children who are older than what would be considered appropriate for a particular grade. For example, at least a third of grade 12 learners in 2019 were overage.
The remnants of the colonial and apartheid era are evident in the South African health system’s persistently higher levels of injury, mental health problems, disease and mortality amongst the poor and marginalized—mediated through a wide range of social determinants including environmental health factors such as hygiene, access to clean water, clean air and adequate sanitation, violent crime and trauma, occupational risk, alcohol abuse and tobacco dependence.
The HPTN 071 (PopART) trial showed that a combination HIV prevention package including universal HIV testing and treatment (UTT) reduced population-level incidence of HIV compared with standard care. However, evidence is scarce on the costs and cost-effectiveness of such an intervention.