The South African health care market must respond to changing demands that occur due to globalisation, rising customer expectations and growing fiscal demands if it wants to meet future needs of service delivery. Added to these challenges, government has to increase public trust and install confidence towards a health care system that must change to become more productive and effective. Health care reforms are about improving performance. The main drivers for creating change in performance are linked to good governance objectives that search for accountability, responsiveness and responsibility in pursuit of efficiency gains (cost containment) and effective delivery of services (improved accessibility and equality) in health policy outcomes. This article explores future prospects for the contribution e-government (online government and electronic government technologies) makes to policy outcomes and how the use of information communi