This study explores reporting heterogeneity in self-rated health in a developing country context, and it thereby contributes to a growing literature which evaluates whether purely subjective indicators of health provide reliable measures of health status that permit inter-personal comparisons. We focus on gender and investigate if reporting patterns on self-rated health vary systematically between women and men. Most studies assess the reliability of self-rated health indicators by incorporating gender as a control variable in the analysis. We extend this research by examining whether gender intersects with a range of social factors to affect health perceptions. We analyse national longitudinal data, using the random effects generalised ordered probit iterative estimation procedure, thereby controlling for unobserved characteristics that may compromise cross-sectional analysis. Overall, our study corroborates other findings on the reliability of subjective health indicators, even in the culturally and economically diverse context of South Africa. However, although reporting styles are largely consistent between women and men, we also identify several differences, which warrant further investigation in other contexts.