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.
The head of health in the Northern Cape – Dr Dion Theys – appeared in the Kimberly Magistrate’s Court on Monday. Theys who was appointed as permanent head of health in July this year, along with two co-accused were released on bail of R5 000 each. This was Theys’ second brush with the law – albeit in different courts – in just over a month after his appointment. Despite these developments and an outcry among some health stakeholders, the Northern Cape health department has not yet taken decisive action against Theys. Refilwe Mochoari reports.
Staff say patients at Charlotte Maxeke Johannesburg Academic Hospital in need of vascular surgery face a three-month wait for life-saving surgery because of what some staff are calling “fishy” operational management and bad planning. According to hospital management, however, patients will be diverted to other hospitals during this period. Ufrieda Ho reports.
At an estimated R27 billion per year, the cost of corruption equates to about 10% of the country’s total budget for health in 2022. With procurement understood to be a government’s single greatest corruption risk – health contracts are especially vulnerable. This is why reform related to safeguarding public procurement and resources is now beyond urgent, argues Zukiswa Kota.
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.
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.
President Cyril Ramaphosa has vowed to act strongly against any corruption and profiteering from the COVID-19 crisis but the systems in place to guard against this may be falling short. Spotlight looked at preliminary spending figures and asked some experts about how public money can be safeguarded during this time.
