oa South African Health Review - National Health Insurance : legal and civil society considerations : perspectives on a national health insurance - profile

Volume 2010, Issue 1
  • ISSN : 1025-1715



The growth in health inequality and the deterioration of health outcomes (evident from numerous indicators that show the lack of progress against key Millennium Development Goals) make it clear that there is a need to unify the health system, so that both public and private health-care providers can contribute to meeting South Africa's public health challenges - particularly HIV, tuberculosis, the provision of primary health care (PHC) to all and management of the growing epidemic of non-communicable diseases.

The extent to which the National Health Insurance (NHI) system will strengthen equality in health, rapidly revitalise health services and ensure sufficient funding for health is still unknown. Given the strong legal architecture in the country, it is important that existing laws and, in particular, the guidance provided by the Constitution, are harnessed towards full and effective implementation of a NHI policy that advances access to quality health services.

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