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.
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.
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.
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.
