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A case for further strengthening of the national health system in South Africa.

March 2005, Vol. 95, No. 3 SAMJ There is growing international agreement on the need to strengthen health systems in all countries and that financing of health care should be seen as an investment rather than merely expenditure. The recent World Health Organization (WHO)hosted Ministerial Summit on Health Systems Research held in Mexico City on 16 20 November 2004, attended by a delegation from the Department of Health led by the Minister of Health, Dr Manto Tshabalala-Msimang, was the latest forum to urge countries to take steps to strengthen their health systems as part of the strategy to achieve the Millennium Development Goals (MDGs) for health.