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.
South Africa is barrelling towards its most consequential and most competitive national and provincial elections since 1994. Spotlight editor Marcus Low asks what is on the line in these elections from a healthcare perspective and argues that the stakes are particularly high when it comes to NHI and the Gauteng and KwaZulu-Natal provincial health departments.
2023 was a busy year for healthcare in South Africa. We saw several promising policy developments, landmark court cases, important pieces of legislation, and some changes in leadership. Yet, take a step back and at facility level little seems to have changed. Shortages of healthcare workers persist, corruption is still rife, budgets tight, and our health governance crisis remains as acute as ever. Marcus Low looks back at the year in health in fewer than 1 000 words.
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.
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.
In May, Dr Magome Masike stepped into the role of CEO and registrar of the Health Professions Council (HPCSA). Eight weeks into the job, Ufrieda Ho sat down to talk to him about his plans for the beleaguered institution.
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.