Mr Boikanyo made his presentation and gave a background and context of the district health system. He mentioned that the White Paper for the Transformation of the Health System in South Africa (1997) firmly positioned Primary Health Care as a strategic approach for developing a unified health system capable of delivering health care to all citizens of South Africa efficiently in a caring environment. This emphasizes the need to decentralise the management of health services with an emphasis on the District Health System (DHS) to increase access to Primary Health Care (PHC), in ensuring safe and good quality outcomes and to rationalise health financing through budget re-prioritisation. He also noted that post 2009 elections, government ushered in two key developments namely; the Green Paper on the National Strategic Planning by the Ministry of Planning towards the development of the National Plan 2030 and a Monitoring and Evaluation competency framework in the Presidency which not only gave impetus to the strategic planning process but also led to the development of the National Development Plan 2030 and the signing of the Negotiated Service Delivery Agreement by Cabinet.