(WHO, 2010)

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Several elements, outlined by the WHO building blocks, are necessary for a health system to operate at its best. This includes leadership and governance (Governance and leadership are concerned with making sure that there are effective frameworks for strategic policy, as well as that management, leaders, and the government are held accountable), health financing (Health financing process makes sure that enough money is raised and secured for the health system so that those who require care do not incur additional costs), service delivery (Delivery of services involves providing safe, high-quality interventions for both personal and non-personal health in an efficient manner with minimal to no resource wastage), human resources (Human resources in the health sector are responsible for making sure the best possible health outcomes for patients are achieved through fair, responsive, and efficient work practices), medical products, vaccines and technology (In order for us to live in peace and prosperity, we need affordable, high-quality, and reliable medication, healthcare products, vaccines, and other advanced technology), and health information systems (Systems for collecting, analysing, disseminating, and using health information to ensure that data on health status, system performance, and health determinants are accurate and timely) (WHO, 2010).

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Due to a health system's complexity and dynamic nature, the presence of these components does not always guarantee that it will operate effectively. So, it's critical to regularly evaluate each component to determine where improvements can be made.

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A health system, according to the WHO (2010), is made up of organizations, institutions, resources, and individuals that are committed to improving health. A population can get a variety of services through this system. These services include treatments and care that are curative, preventative, promotive, and rehabilitative (WHO, 2010). 

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A number of stakeholders are involved in the healthcare system, including healthcare professionals, healthcare organizations, regulators, and policymakers (Donaldson et al., 2000). It is essential to establish care procedures that protect patients from unintentional harm in order to build a safer health system, according to Donaldson et al. (2000).

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The administration of the South African health system, in my opinion, is insufficient for the people of our country. 

Poor leadership is a problem. Coovadia, et al. (2009) claim that "poor management and failings in leadership have resulted in insufficient execution of what are frequently effective policies.". Corruption and misuse of funding intended for certain interventions and projects are to blame for the flaws in our health system (Mbunge, 2020). So, in my opinion, the health system is neither efficient nor effective due to a shortage of healthcare workers to help with the workload resulting in a decline in service delivery. An increase in workload forces the country to seek help from other countries, this has been seen during the COVID-19 pandemic, physicians from Cuba were helping our country as a result of financial violations happening in our country (Stiegler and Bouchard, 2020). 

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A ship sails smoothly when the captain is effective. As a result, I am committed to developing my leadership skills and responsive decision-making so that I can lead better and maybe work for the government's Department of Health or as a manager of health systems. I place priority on morals, decency, devotion, empathy, and vision in terms of leadership qualities. I don't think our health system is strong due to the ineffective leadership displayed by individuals in positions of authority, and this is why.

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Poor leadership is to blame for South Africa's inadequate healthcare system. SA is a middle-income nation, but due to ineffective leadership, it exhibits the health outcomes of low-income nations (Coovadia et al., 2009). The unequal distribution of resources in both the public and private sectors leads to poor service delivery (Mbunge, 2020).

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Regardless of financial level, it is critical that all individuals have fair access to healthcare. WHO (2019) states that everyone has the right to receive healthcare, yet there are disparities in accessibility for rural people. According to McLaren, Ardington, and Leibbrandt (2013), health disparities are a problem in areas where health policies have generally provided certain populations more advantages than others. This indicates that non-white communities have traditionally suffered disadvantages and are more likely to reside in rural, underdeveloped regions with limited access to healthcare. Poor people of races would suffer unfairly from a lack of resources or from bad policies. 

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To lessen the consequences of poverty and uneven access to resources and services, health system management must ensure that policies are fair and take into account these disparities. According to the principles of equity, unequal groups should have proportionately more limited access to resources than equal groups (Oliver, 2004). This calls for giving disadvantaged (unequal) groups a proportionately higher priority than groups who are more advantaged.