The NHI Act is facing a slew of legal challenges from multiple organisations. For this special series, Spotlight combed through court papers, and spoke with legal experts to pin down what specific arguments litigants are betting on.
Since President Cyril Ramaphposa signed the NHI Act into law last year in May, eight different groups have challenged it in court. One common argument is that it is irrational and unreasonable to restructure the health system when there’s no money to do so. In this feature, Spotlight dissects how the argument is being applied, and whether it has any chance of success.
2023 is set to be another tumultuous year for healthcare services, health policy, and governance in South Africa. We’ve picked 13 things to look out for this year arranged under three broad headings: leadership and governance, policy and legislation, and HIV, TB and the NSP.
National Health Insurance (NHI) was one of the hot topics at the 2022 Public Health Association of South Africa Conference recently held in Durban. While several speakers and attendees expressed support for the principles underpinning NHI, many also expressed reservations. Elri Voigt assesses what the conference told us about the views of some of South Africa’s public health experts on NHI.
Unlike regulators in the United States and Europe, the South African Health Products Regulatory Authority has not yet given the green light for any form of mix-and-match COVID-19 vaccine boosting. We take a look at the regulatory issues standing in the way of people in South Africa who received the Johnson & Johnson jab being offered Pfizer boosters.
Just 54% of people in South Africa over the age of 50 have received at least one COVID-19 jab, with significant variation between provinces, as experts warn of the possibility of another wave of COVID-19 in future. Chris Bateman reports.
Little is known about the number of people in South Africa who are living with rare diseases. In fact, there is no recognised definition for rare disease in the country, contributing to inadequate record-keeping and very little data on prevalence, treatment options, and support structures. Laura Owings reports.
Having to collect one’s medicines at overcrowded public sector clinics with long queues can be time-consuming, disruptive, and, these days, may expose one to a risk of contracting SARS-CoV-2. Thabo Molelekwa takes stock of South Africa’s centralised chronic medicines dispensing and distribution programme, the Department of Health’s system for allowing more people to collect their chronic medicines closer to their homes or workplaces.
Dr Nicholas Crisp is a deputy director-general in the National Department of Health and the person responsible for coordinating South Africa’s COVID-19 vaccine rollout. Crisp spoke to Chris Bateman about challenges with the rollout and his wife and daughters getting sick with COVID-19.
Government has been criticised for the slow pace of the country’s vaccine rollout which started on 17 May 2021. Elri Voigt spoke to experts to hear what is being done right in this vaccine rollout and where improvements are needed.
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.
