What SA’s COVID-19 experience tells us about NHI

What SA’s COVID-19 experience tells us about NHI

For all the suffering and death the COVID-19 pandemic has caused over the last 12 months, it has arguably also provided a unique opportunity to test some of the mechanisms behind South Africa’s proposed National Health Insurance (NHI) system. The centralised procurement of vaccines and the contracting of doctors, for example, are probably not dissimilar from the arrangements we might see under NHI. Kathryn Cleary asks three leading health experts what lessons, for NHI, we should learn from the COVID-19 response.

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Reimagining health in the Eastern Cape: A dysfunctional public health system is not inevitable

Reimagining health in the Eastern Cape: A dysfunctional public health system is not inevitable

The persistent challenges in public health in the Eastern Cape, highlight the critical role of leadership. Prof Helen Schneider argues if we are to reimagine a future of access, equity and justice in health and health care in the Eastern Cape, we need bottom-up institution-building involving civil society and not just top-down legislative, budgetary and other reforms.

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Dire conditions at Mthatha General and Nessie Knight hospitals

Dire conditions at Mthatha General and Nessie Knight hospitals

The dire state of health infrastructure and services in the Eastern Cape has made headlines during the COVID-19 pandemic and triggered promises of government intervention, but in some hospitals those providing and receiving healthcare note little to no improvement. Luvuyo Mehlwana reports.

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SA is facing a healthcare worker crisis – What to do?

SA is facing a healthcare worker crisis – What to do?

Many healthcare workers are rightly identified as heroes of South Africa’s COVID-19 response. Yet, often healthcare workers are given very little support in the public healthcare system, something that may get worse as healthcare worker shortages get more acute in the coming years. Kathryn Cleary investigates.

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Opinion: What PPE graft means for NHI

Opinion: What PPE graft means for NHI

Even as the need for a more equitable health system is being demonstrated, news has broken of large-scale corruption in the procurement of PPE. This makes it difficult for a population worn down by corruption to envisage the transformation of the health system into a system of contracting and procurement under National Health Insurance, writes Sasha Stevenson.

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