A needs-based approach to equitable allocation of district primary healthcare expenditure in North West Province, South Africa

This paper assessed current spending patterns on primary health care at the district level in North West Province, South Africa, and found inequities in resource allocation and expenditure in both the provincial and district levels. International literature suggests that using a needs-based approach to resource allocation could improve equity. The authors of this paper recommend four needs-based resource allocation formulae, updated when data becomes available.