The World Health Organization South Africa Country Office (WCO) commissioned study on alcohol affordability and the impact of excise taxes on alcohol consumption in South Africa. The purpose of the study was to increase the evidence base for, and support the development of, country level policies on the reduction of harms related to alcohol consumption. The report focuses on the fiscal aspects related to alcohol policy in South Africa. It consideres trends in alcohol taxation, tax revenues, pricing, affordability, consumption and prevalence, and how these interact with each other.