This article discusses current trends in development planning in South Afri
ca. It is argued that it is important to review the institutional framework
, in particular legal and constitutional factors, to understand the problem
s being faced and the progress made. Public health is analysed as a case st
udy, but there is also a focus on local government. The other feature of th
e argument is that poverty is widespread, especially in rural communities,
and planning has to develop the capacity to respond to this challenge. Desp
ite all sorts of initiatives and some rhetoric, there remains a great deal
to do. An alternative approach is offered in which there is a more radical
shift away from past paradigms which are not appropriate to a development p
lanning geared to poverty alleviation. Then an a number of dimensions to co
nsider, including technical effectiveness, participation (including private
sector involvement and community action) and institutional capacity buildi
ng. Some implications for training and research are also identified. Copyri
ght (C) 2000 John Wiley & Sons, Ltd.