As of 2024, around **** million people in South Africa are living in extreme poverty, with the poverty threshold at **** U.S. dollars daily. This means that ******* more people were pushed into poverty compared to 2023. Moreover, the headcount was forecast to increase in the coming years. By 2030, over **** million South Africans will live on a maximum of **** U.S. dollars per day. Who is considered poor domestically? Poverty is measured using several matrices. For example, local authorities tend to rely on the national poverty line, assessed based on consumer price indices (CPI) of a basket of goods of food and non-food components. In 2023, the domestic poverty line in South Africa stood at ***** South African rand per month (around ***** U.S. dollars per month). According to a survey, social inequality and poverty worried a significant share of the South African respondents. As of September 2024, some ** percent of the respondents reported that they were worried about the state of poverty and unequal income distribution in the country.   Eastern Cape residents received more grants South Africa’s labor market has struggled to absorb the country’s population. In 2023, almost a third of the economically active population was unemployed. Local authorities employ relief assistance and social grants in an attempt to reduce poverty and assist poor individuals. In 2023, almost ** percent of South African households received state support, with the majority share benefiting in the Eastern Cape.

As of 2024, an individual living in South Africa with less than 1,109 South African rand (roughly 62.14 U.S. dollars) per month was considered poor. Furthermore, individuals having 796 South African rand (approximately 44.60 U.S. dollars) a month available for food were living below the poverty line according to South African national standards. Absolute poverty National poverty lines are affected by changes in the patterns of household consumers and fluctuations in prices of services and goods. They are calculated based on the consumer price indices (CPI) of both food and non-food items separately. The national poverty line is not the only applicable threshold. For instance,13.2 million people in South Africa were living under 2.15 U.S. dollars, which is the international absolute poverty threshold defined by the World Bank. Most unequal in the globe A prominent aspect of South Africa’s poverty is related to extreme income inequality. The country has the highest income Gini index globally at 63 percent as of 2023. One of the crucial obstacles to combating poverty and inequality in the country is linked to job availability. In fact, youth unemployment was as high as 49.14 percent in 2023.

South Africa ZA: Poverty Headcount Ratio at National Poverty Lines: % of Population data was reported at 55.500 % in 2014. This records an increase from the previous number of 53.200 % for 2010. South Africa ZA: Poverty Headcount Ratio at National Poverty Lines: % of Population data is updated yearly, averaging 58.800 % from Dec 2005 (Median) to 2014, with 4 observations. The data reached an all-time high of 66.600 % in 2005 and a record low of 53.200 % in 2010. South Africa ZA: Poverty Headcount Ratio at National Poverty Lines: % of Population data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s South Africa – Table ZA.World Bank.WDI: Poverty. National poverty headcount ratio is the percentage of the population living below the national poverty lines. National estimates are based on population-weighted subgroup estimates from household surveys.; ; World Bank, Global Poverty Working Group. Data are compiled from official government sources or are computed by World Bank staff using national (i.e. country–specific) poverty lines.; ; This series only includes estimates that to the best of our knowledge are reasonably comparable over time for a country. Due to differences in estimation methodologies and poverty lines, estimates should not be compared across countries.

Historical dataset showing South Africa poverty rate by year from 1993 to 2014.

South Africa ZA: Income Share Held by Third 20% data was reported at 8.200 % in 2014. This records an increase from the previous number of 8.000 % for 2010. South Africa ZA: Income Share Held by Third 20% data is updated yearly, averaging 8.200 % from Dec 1993 (Median) to 2014, with 7 observations. The data reached an all-time high of 9.900 % in 2000 and a record low of 7.500 % in 2005. South Africa ZA: Income Share Held by Third 20% data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s South Africa – Table ZA.World Bank.WDI: Poverty. Percentage share of income or consumption is the share that accrues to subgroups of population indicated by deciles or quintiles. Percentage shares by quintile may not sum to 100 because of rounding.; ; World Bank, Development Research Group. Data are based on primary household survey data obtained from government statistical agencies and World Bank country departments. Data for high-income economies are from the Luxembourg Income Study database. For more information and methodology, please see PovcalNet (http://iresearch.worldbank.org/PovcalNet/index.htm).; ; The World Bank’s internationally comparable poverty monitoring database now draws on income or detailed consumption data from more than one thousand six hundred household surveys across 164 countries in six regions and 25 other high income countries (industrialized economies). While income distribution data are published for all countries with data available, poverty data are published for low- and middle-income countries and countries eligible to receive loans from the World Bank (such as Chile) and recently graduated countries (such as Estonia) only. See PovcalNet (http://iresearch.worldbank.org/PovcalNet/WhatIsNew.aspx) for definitions of geographical regions and industrialized countries.

In 2023, the international poverty (based on 2017 purchasing power parities (PPPs)) and the lower-income poverty rate (3.65 U.S. dollars in 2017 PPP), was highest for Mozambique within the Southern Africa region, with 74.7 percent and 88.7 percent, respectively. However, the upper middle-income poverty rate was highest for Zambia, at 93 percent.

15.1 (%) in 2014. Poverty gap at $3.20 a day (2011 PPP) is the mean shortfall in income or consumption from the poverty line $3.20 a day (counting the nonpoor as having zero shortfall), expressed as a percentage of the poverty line. This measure reflects the depth of poverty as well as its incidence.

South Africa ZA: Income Share Held by Highest 20% data was reported at 68.200 % in 2014. This records a decrease from the previous number of 68.900 % for 2010. South Africa ZA: Income Share Held by Highest 20% data is updated yearly, averaging 68.200 % from Dec 1993 (Median) to 2014, with 7 observations. The data reached an all-time high of 71.000 % in 2005 and a record low of 62.700 % in 2000. South Africa ZA: Income Share Held by Highest 20% data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s South Africa – Table ZA.World Bank.WDI: Poverty. Percentage share of income or consumption is the share that accrues to subgroups of population indicated by deciles or quintiles. Percentage shares by quintile may not sum to 100 because of rounding.; ; World Bank, Development Research Group. Data are based on primary household survey data obtained from government statistical agencies and World Bank country departments. Data for high-income economies are from the Luxembourg Income Study database. For more information and methodology, please see PovcalNet (http://iresearch.worldbank.org/PovcalNet/index.htm).; ; The World Bank’s internationally comparable poverty monitoring database now draws on income or detailed consumption data from more than one thousand six hundred household surveys across 164 countries in six regions and 25 other high income countries (industrialized economies). While income distribution data are published for all countries with data available, poverty data are published for low- and middle-income countries and countries eligible to receive loans from the World Bank (such as Chile) and recently graduated countries (such as Estonia) only. See PovcalNet (http://iresearch.worldbank.org/PovcalNet/WhatIsNew.aspx) for definitions of geographical regions and industrialized countries.

South Africa ZA: Income Share Held by Lowest 10% data was reported at 0.900 % in 2014. This stayed constant from the previous number of 0.900 % for 2010. South Africa ZA: Income Share Held by Lowest 10% data is updated yearly, averaging 1.000 % from Dec 1993 (Median) to 2014, with 7 observations. The data reached an all-time high of 1.300 % in 2000 and a record low of 0.900 % in 2014. South Africa ZA: Income Share Held by Lowest 10% data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s South Africa – Table ZA.World Bank.WDI: Poverty. Percentage share of income or consumption is the share that accrues to subgroups of population indicated by deciles or quintiles.; ; World Bank, Development Research Group. Data are based on primary household survey data obtained from government statistical agencies and World Bank country departments. Data for high-income economies are from the Luxembourg Income Study database. For more information and methodology, please see PovcalNet (http://iresearch.worldbank.org/PovcalNet/index.htm).; ; The World Bank’s internationally comparable poverty monitoring database now draws on income or detailed consumption data from more than one thousand six hundred household surveys across 164 countries in six regions and 25 other high income countries (industrialized economies). While income distribution data are published for all countries with data available, poverty data are published for low- and middle-income countries and countries eligible to receive loans from the World Bank (such as Chile) and recently graduated countries (such as Estonia) only. See PovcalNet (http://iresearch.worldbank.org/PovcalNet/WhatIsNew.aspx) for definitions of geographical regions and industrialized countries.

In 2025, over **** million people in Mozambique lived in extreme poverty (with less than **** U.S. dollars a day), the highest number within Southern Africa. The country also scored the highest share of its overall population living below the poverty line in the region. On the other hand, Botswana had the lowest number of just over ******* people living in impoverished conditions, accounting for ** percent of the overall population.

Goal 1End poverty in all its forms everywhereTarget 1.1: By 2030, eradicate extreme poverty for all people everywhere, currently measured as people living on less than $1.25 a dayIndicator 1.1.1: Proportion of the population living below the international poverty line by sex, age, employment status and geographic location (urban/rural)SI_POV_DAY1: Proportion of population below international poverty line (%)SI_POV_EMP1: Employed population below international poverty line, by sex and age (%)Target 1.2: By 2030, reduce at least by half the proportion of men, women and children of all ages living in poverty in all its dimensions according to national definitionsIndicator 1.2.1: Proportion of population living below the national poverty line, by sex and ageSI_POV_NAHC: Proportion of population living below the national poverty line (%)Indicator 1.2.2: Proportion of men, women and children of all ages living in poverty in all its dimensions according to national definitionsSD_MDP_MUHC: Proportion of population living in multidimensional poverty (%)SD_MDP_ANDI: Average proportion of deprivations for people multidimensionally poor (%)SD_MDP_MUHHC: Proportion of households living in multidimensional poverty (%)SD_MDP_CSMP: Proportion of children living in child-specific multidimensional poverty (%)Target 1.3: Implement nationally appropriate social protection systems and measures for all, including floors, and by 2030 achieve substantial coverage of the poor and the vulnerableIndicator 1.3.1: Proportion of population covered by social protection floors/systems, by sex, distinguishing children, unemployed persons, older persons, persons with disabilities, pregnant women, newborns, work-injury victims and the poor and the vulnerableSI_COV_MATNL: [ILO] Proportion of mothers with newborns receiving maternity cash benefit (%)SI_COV_POOR: [ILO] Proportion of poor population receiving social assistance cash benefit, by sex (%)SI_COV_SOCAST: [World Bank] Proportion of population covered by social assistance programs (%)SI_COV_SOCINS: [World Bank] Proportion of population covered by social insurance programs (%)SI_COV_CHLD: [ILO] Proportion of children/households receiving child/family cash benefit, by sex (%)SI_COV_UEMP: [ILO] Proportion of unemployed persons receiving unemployment cash benefit, by sex (%)SI_COV_VULN: [ILO] Proportion of vulnerable population receiving social assistance cash benefit, by sex (%)SI_COV_WKINJRY: [ILO] Proportion of employed population covered in the event of work injury, by sex (%)SI_COV_BENFTS: [ILO] Proportion of population covered by at least one social protection benefit, by sex (%)SI_COV_DISAB: [ILO] Proportion of population with severe disabilities receiving disability cash benefit, by sex (%)SI_COV_LMKT: [World Bank] Proportion of population covered by labour market programs (%)SI_COV_PENSN: [ILO] Proportion of population above statutory pensionable age receiving a pension, by sex (%)Target 1.4: By 2030, ensure that all men and women, in particular the poor and the vulnerable, have equal rights to economic resources, as well as access to basic services, ownership and control over land and other forms of property, inheritance, natural resources, appropriate new technology and financial services, including microfinanceIndicator 1.4.1: Proportion of population living in households with access to basic servicesSP_ACS_BSRVH2O: Proportion of population using basic drinking water services, by location (%)SP_ACS_BSRVSAN: Proportion of population using basic sanitation services, by location (%)Indicator 1.4.2: Proportion of total adult population with secure tenure rights to land, (a) with legally recognized documentation, and (b) who perceive their rights to land as secure, by sex and type of tenureSP_LGL_LNDDOC: Proportion of people with legally recognized documentation of their rights to land out of total adult population, by sex (%)SP_LGL_LNDSEC: Proportion of people who perceive their rights to land as secure out of total adult population, by sex (%)SP_LGL_LNDSTR: Proportion of people with secure tenure rights to land out of total adult population, by sex (%)Target 1.5: By 2030, build the resilience of the poor and those in vulnerable situations and reduce their exposure and vulnerability to climate-related extreme events and other economic, social and environmental shocks and disastersIndicator 1.5.1: Number of deaths, missing persons and directly affected persons attributed to disasters per 100,000 populationVC_DSR_MISS: Number of missing persons due to disaster (number)VC_DSR_AFFCT: Number of people affected by disaster (number)VC_DSR_MORT: Number of deaths due to disaster (number)VC_DSR_MTMP: Number of deaths and missing persons attributed to disasters per 100,000 population (number)VC_DSR_MMHN: Number of deaths and missing persons attributed to disasters (number)VC_DSR_DAFF: Number of directly affected persons attributed to disasters per 100,000 population (number)VC_DSR_IJILN: Number of injured or ill people attributed to disasters (number)VC_DSR_PDAN: Number of people whose damaged dwellings were attributed to disasters (number)VC_DSR_PDYN: Number of people whose destroyed dwellings were attributed to disasters (number)VC_DSR_PDLN: Number of people whose livelihoods were disrupted or destroyed, attributed to disasters (number)Indicator 1.5.2: Direct economic loss attributed to disasters in relation to global gross domestic product (GDP)VC_DSR_GDPLS: Direct economic loss attributed to disasters (current United States dollars)VC_DSR_LSGP: Direct economic loss attributed to disasters relative to GDP (%)VC_DSR_AGLH: Direct agriculture loss attributed to disasters (current United States dollars)VC_DSR_HOLH: Direct economic loss in the housing sector attributed to disasters (current United States dollars)VC_DSR_CILN: Direct economic loss resulting from damaged or destroyed critical infrastructure attributed to disasters (current United States dollars)VC_DSR_CHLN: Direct economic loss to cultural heritage damaged or destroyed attributed to disasters (millions of current United States dollars)VC_DSR_DDPA: Direct economic loss to other damaged or destroyed productive assets attributed to disasters (current United States dollars)Indicator 1.5.3: Number of countries that adopt and implement national disaster risk reduction strategies in line with the Sendai Framework for Disaster Risk Reduction 2015–2030SG_DSR_LGRGSR: Score of adoption and implementation of national DRR strategies in line with the Sendai FrameworkSG_DSR_SFDRR: Number of countries that reported having a National DRR Strategy which is aligned to the Sendai FrameworkIndicator 1.5.4: Proportion of local governments that adopt and implement local disaster risk reduction strategies in line with national disaster risk reduction strategiesSG_DSR_SILS: Proportion of local governments that adopt and implement local disaster risk reduction strategies in line with national disaster risk reduction strategies (%)SG_DSR_SILN: Number of local governments that adopt and implement local DRR strategies in line with national strategies (number)SG_GOV_LOGV: Number of local governments (number)Target 1.a: Ensure significant mobilization of resources from a variety of sources, including through enhanced development cooperation, in order to provide adequate and predictable means for developing countries, in particular least developed countries, to implement programmes and policies to end poverty in all its dimensionsIndicator 1.a.1: Total official development assistance grants from all donors that focus on poverty reduction as a share of the recipient country’s gross national incomeDC_ODA_POVLG: Official development assistance grants for poverty reduction, by recipient countries (percentage of GNI)DC_ODA_POVDLG: Official development assistance grants for poverty reduction, by donor countries (percentage of GNI)DC_ODA_POVG: Official development assistance grants for poverty reduction (percentage of GNI)Indicator 1.a.2: Proportion of total government spending on essential services (education, health and social protection)SD_XPD_ESED: Proportion of total government spending on essential services, education (%)Target 1.b: Create sound policy frameworks at the national, regional and international levels, based on pro-poor and gender-sensitive development strategies, to support accelerated investment in poverty eradication actionsIndicator 1.b.1: Pro-poor public social spending

In 2025, nearly 11.7 percent of the world population in extreme poverty, with the poverty threshold at 2.15 U.S. dollars a day, lived in Nigeria. Moreover, the Democratic Republic of the Congo accounted for around 11.7 percent of the global population in extreme poverty. Other African nations with a large poor population were Tanzania, Mozambique, and Madagascar. Poverty levels remain high despite the forecast decline Poverty is a widespread issue across Africa. Around 429 million people on the continent were living below the extreme poverty line of 2.15 U.S. dollars a day in 2024. Since the continent had approximately 1.4 billion inhabitants, roughly a third of Africa’s population was in extreme poverty that year. Mozambique, Malawi, Central African Republic, and Niger had Africa’s highest extreme poverty rates based on the 2.15 U.S. dollars per day extreme poverty indicator (updated from 1.90 U.S. dollars in September 2022). Although the levels of poverty on the continent are forecast to decrease in the coming years, Africa will remain the poorest region compared to the rest of the world. Prevalence of poverty and malnutrition across Africa Multiple factors are linked to increased poverty. Regions with critical situations of employment, education, health, nutrition, war, and conflict usually have larger poor populations. Consequently, poverty tends to be more prevalent in least-developed and developing countries worldwide. For similar reasons, rural households also face higher poverty levels. In 2024, the extreme poverty rate in Africa stood at around 45 percent among the rural population, compared to seven percent in urban areas. Together with poverty, malnutrition is also widespread in Africa. Limited access to food leads to low health conditions, increasing the poverty risk. At the same time, poverty can determine inadequate nutrition. Almost 38.3 percent of the global undernourished population lived in Africa in 2022.

South Africa ZA: Income Share Held by Highest 10% data was reported at 50.500 % in 2014. This records a decrease from the previous number of 51.300 % for 2010. South Africa ZA: Income Share Held by Highest 10% data is updated yearly, averaging 50.500 % from Dec 1993 (Median) to 2014, with 7 observations. The data reached an all-time high of 54.200 % in 2005 and a record low of 44.900 % in 2000. South Africa ZA: Income Share Held by Highest 10% data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s South Africa – Table ZA.World Bank.WDI: Poverty. Percentage share of income or consumption is the share that accrues to subgroups of population indicated by deciles or quintiles.; ; World Bank, Development Research Group. Data are based on primary household survey data obtained from government statistical agencies and World Bank country departments. Data for high-income economies are from the Luxembourg Income Study database. For more information and methodology, please see PovcalNet (http://iresearch.worldbank.org/PovcalNet/index.htm).; ; The World Bank’s internationally comparable poverty monitoring database now draws on income or detailed consumption data from more than one thousand six hundred household surveys across 164 countries in six regions and 25 other high income countries (industrialized economies). While income distribution data are published for all countries with data available, poverty data are published for low- and middle-income countries and countries eligible to receive loans from the World Bank (such as Chile) and recently graduated countries (such as Estonia) only. See PovcalNet (http://iresearch.worldbank.org/PovcalNet/WhatIsNew.aspx) for definitions of geographical regions and industrialized countries.

During the South African apartheid, Black people were forced to move to homelands during the 1960s and 1970s, resulting in one of history’s largest segregation policy experiments. We examine how and why relocation to the homelands affected human capital attainment. Exploiting the staggered timing of homeland establishment in a cross-cohort identification strategy, we find that moving to the homelands during childhood significantly reduces educational attainment, labor earnings and employment rates in adulthood. The data suggest an important role for place effects. Moving to the homelands in childhood implies greater exposure to poorer neighborhoods and it disproportionally reduces human capital attainment.

South Africa ZA: Poverty Headcount Ratio at $3.20 a Day: 2011 PPP: % of Population data was reported at 37.600 % in 2014. This records an increase from the previous number of 35.800 % for 2010. South Africa ZA: Poverty Headcount Ratio at $3.20 a Day: 2011 PPP: % of Population data is updated yearly, averaging 47.800 % from Dec 1993 (Median) to 2014, with 7 observations. The data reached an all-time high of 53.900 % in 1996 and a record low of 35.800 % in 2010. South Africa ZA: Poverty Headcount Ratio at $3.20 a Day: 2011 PPP: % of Population data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s South Africa – Table ZA.World Bank.WDI: Poverty. Poverty headcount ratio at $3.20 a day is the percentage of the population living on less than $3.20 a day at 2011 international prices. As a result of revisions in PPP exchange rates, poverty rates for individual countries cannot be compared with poverty rates reported in earlier editions.; ; World Bank, Development Research Group. Data are based on primary household survey data obtained from government statistical agencies and World Bank country departments. Data for high-income economies are from the Luxembourg Income Study database. For more information and methodology, please see PovcalNet (http://iresearch.worldbank.org/PovcalNet/index.htm).; ; The World Bank’s internationally comparable poverty monitoring database now draws on income or detailed consumption data from more than one thousand six hundred household surveys across 164 countries in six regions and 25 other high income countries (industrialized economies). While income distribution data are published for all countries with data available, poverty data are published for low- and middle-income countries and countries eligible to receive loans from the World Bank (such as Chile) and recently graduated countries (such as Estonia) only. The aggregated numbers for low- and middle-income countries correspond to the totals of 6 regions in PovcalNet, which include low- and middle-income countries and countries eligible to receive loans from the World Bank (such as Chile) and recently graduated countries (such as Estonia). See PovcalNet (http://iresearch.worldbank.org/PovcalNet/WhatIsNew.aspx) for definitions of geographical regions and industrialized countries.

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This study compares traditional poverty lines with a living income benchmark using data from two rural farming communities. Findings show household incomes fall significantly below the 11.79 USD PPP/AE/day benchmark, with food costs making up nearly two-thirds of the required income. Unlike traditional poverty lines, which reflect survival thresholds, the living income benchmark offers a more comprehensive view of rural poverty by accounting for food, housing, education, and healthcare. The results highlight the inadequacy of on-farm income and the need for off-farm earnings and social protection. The study advocates using the living income benchmark to inform rural poverty policy.

Mapping poverty and electricity access data using 2011 Census and 2013 General Household Survey data

BackgroundOf the total 56 million deaths worldwide during 2012, 38 million (68%) were due to noncommunicable diseases (NCDs), particularly cardiovascular diseases (17.5 million deaths) cancers (8.2 million) which represents46.2% and 21.7% of NCD deaths, respectively). Nearly 80 percent of the global CVD deaths occur in low- and middle-income countries. Some of the major CVDs such as ischemic heart disease (IHD) and stroke and CVD risk conditions, namely, hypertension and dyslipidaemia share common modifiable risk factors including smoking, unhealthy diets, harmful use of alcohol and physical inactivity. The CVDs are now putting a heavy strain of the health systems at both national and local levels, which have previously largely focused on infectious diseases and appalling maternal and child health. We set out to estimate district-level co-occurrence of two cardiovascular diseases (CVDs), namely, ischemic heart disease (IHD) and stroke; and two major risk conditions for CVD, namely, hypertension and dyslipidaemia in South Africa.MethodThe analyses were based on adults health collected as part of the 2012 South African National Health and Nutrition Examination Survey (SANHANES). We used joint disease mapping models to estimate and map the spatial distributions of risks of hypertension, self-report of ischaemic heart disease (IHD), stroke and dyslipidaemia at the district level in South Africa. The analyses were adjusted for known individual social demographic and lifestyle factors, household and district level poverty measurements using binary spatial models.ResultsThe estimated prevalence of IHD, stroke, hypertension and dyslipidaemia revealed high inequality at the district level (median value (range): 5.4 (0–17.8%); 1.7 (0–18.2%); 32.0 (12.5–48.2%) and 52.2 (0–71.7%), respectively). The adjusted risks of stroke, hypertension and IHD were mostly high in districts in the South-Eastern parts of the country, while that of dyslipidaemia, was high in Central and top North-Eastern corridor of the country.ConclusionsThe study has confirmed common modifiable risk factors of two cardiovascular diseases (CVDs), namely, ischemic heart disease (IHD) and stroke; and two major risk conditions for CVD, namely, hypertension and dyslipidaemia. Accordingly, an integrated intervention approach addressing cardiovascular diseases and associated risk factors and conditions would be more cost effective and provide stronger impacts than individual tailored interventions only. Findings of excess district-level variations in the CVDs and their risk factor profiles might be useful for developing effective public health policies and interventions aimed at reducing behavioural risk factors including harmful use of alcohol, physical inactivity and high salt intake.

Introduction/objectivesMore than half of South Africa’s population lives in poverty, with significant health disparities across different regions. This study investigates the effects of regional poverty and historical economic factors on the efficacy of public health expenditure to understand how socioeconomic contexts influence overall public health outcomes.MethodsOur study utilized annual data from 2005 to 2019 for 9 provinces, drawing from the General Household Survey, Health Systems Trust database, and National Treasury’s Intergovernmental Fiscal Review. The primary health outcome was life expectancy at birth, while public health expenditure per capita was the main independent variable. We developed the Provincial Index of Multiple Deprivation to assess poverty, incorporating dimensions such as health, education, and living standards. We employed a two-way fixed effects model to examine the complex relationships between regional poverty, public health spending, and health outcomes.ResultsThe study found that poverty levels moderate the impact of public health spending on health outcomes, as evidenced by varying results across different provincial regions. Health outcomes in poorer provinces were less influenced by public health spending than wealthier regions. Additionally, the study established that income per capita, along with its lagged values and the lagged values of public health expenditure per capita, did not significantly affect health outcomes as measured by life expectancy.Conclusion/recommendationsThe impact of health expenditure in South Africa is influenced by regional poverty levels. To maximize the effectiveness of health spending, equitable, region-specific interventions tailored to address the unique health challenges of each area should be implemented.