A patient-centred health system will remain an illusion under the NHI unless the public health system is ramped up to better serve users and a clear path is outlined for public-private partnerships, argue Bernard Mutsago and Haseena Majid.
Concerns around corruption and whether or not there would be health coverage for foreign nationals were two of the top talking points at a recent public hearing on the National Health Insurance Bill held in the Eastern Cape. Luvuyo Mehlwana reports.
It is often enlightening to ask how and why certain services differ in the ways they do between the private and public healthcare sectors. By too rigidly focusing on the NHI Bill, argues Spotlight Editor Marcus Low, government risks losing sight of the many other interesting answers to this and other important questions about healthcare reform in South Africa.
Between South Africa’s Public Procurement Bill and the National Health Insurance Bill, health sector procurement in the country is set for a major shake-up – all as a landmark court decision recently reaffirmed the Constitutional imperative that public procurement must be conducted in a transparent way. Alicestine October takes a deep dive into the accelerating currents of procurement reform.
Doing ‘the right thing’ for one’s health, be it eating well, exercising, or going for an annual HIV test or blood pressure check, is easier said than done. One way to nudge people to make these ‘right’ decisions is to offer rewards or incentives. Amy Green asks whether aspects of some popular private-sector incentive schemes might be worth copying in South Africa’s public sector.
One of the most damaging aspects of our public discourse on National Health Insurance (NHI) is the mistaken notion in some quarters that the only two options are NHI and the status quo, argues Marcus Low.
According to the latest report from community-based clinic monitoring group Ritshidze, users of public sector health facilities in Mpumalanga are experiencing shorter waiting times, cleaner facilities, and extended antiretroviral refills compared to previous years. But Ritshidze also reports ongoing staff shortages, problematic staff attitudes, and problems with infrastructure. Nthusang Lefafa unpacks the new findings and asks the province’s health department what they are planning in response.
The Northern Cape Department of Health has for the last three years only had acting heads of department. Despite undertakings from the Office of the Premier last year and again earlier this year that an appointment will be made soon, the department still has no permanent head, something that has opposition political parties and some unions up in arms. Refilwe Mochoari reports.
In a landmark court decision, the Gauteng High Court recently confirmed the rights of all pregnant and lactating women and children under age six to access services for free at all levels of care. The court order sets a good precedent for migrant health rights going forward, writes Mbali Baduza and Kholofelo Mphahlele as they explain the build-up to the court proceedings and why this is significant for re-affirming the right to access to healthcare for all in terms of section27 of the Constitution.
Unless we get ahead of both the climate crisis and the current levels of pervasive injustice, we will never be able to catch up – even if the National Health Insurance Project achieves what it originally intended, argues Professor Louis Reynolds.
Investment in public health facilities is crucial as the country weathers storms on various fronts – from drought (water shortages) and flooding putting strain on health infrastructure to a harsh economic climate that makes private healthcare unaffordable to more and more people. Mbali Baduza and Matshidiso Lencoasa assess the investments in infrastructure in the budget and what it means for the planned National Health Insurance system.
Spending on public sector infrastructure over the 2023 medium-term expenditure framework (MTEF) is estimated at R903 billion and the health sector accounts for 5% of this. The well-documented poor maintenance and oversight of projects, also in the health sector, will require close monitoring of trends across the public sector, particularly where procurement and contracting is concerned, writes Zukiswa Kota.
