South African Health Review - Volume 2010, Issue 1, 2010
Volume 2010, Issue 1, 2010
Private sector perspectives on National Health Insurance : perspectives on a national health insuranceSource: South African Health Review 2010, pp 179 –194 (2010)More Less
In this chapter, private sector stakeholders are identified and categorised according to their respective roles in revenue collection, pooling, purchasing and delivery of health care. Representatives of key stakeholder organisations were contacted to elicit information on their organisation's responses to NHI and a desktop search was conducted. An overview of the key concerns of and arguments raised by the private sector regarding the rationale for reform, the goals of reform, the reform process as well as responses to the various ANC proposals are provided. The various models and proposals that the private sector have mooted in response to the NHI proposals are set out, and the role that the private sector could play in a future mandatory system is considered. It is clear that the debate cannot be clearly defined in the absence of official government policy. Concerns about the lack of consultation and transparency have been broadly expressed. However, it is clear that there remains substantial goodwill from all stakeholders to see reform and to participate in the reforms. Statements from stakeholders reveal a commitment to the goals of achieving universal access to quality health care for all South Africans as well as a commitment to open engagement and debate.
Source: South African Health Review 2010, pp 195 –204 (2010)More Less
There is sufficient evidence that, for the resources to its avail, the South African health system is performing poorly. Using the World Health Organization Performance Model, this chapter unpacks strategies and mechanisms to improve performance whilst the financing functions of collecting, pooling and purchasing are being worked out. There is a range of immediately applicable inputs that could make an immediate difference to health outcomes. These will, however, require decisive leadership and strengthening of management support systems - as well as additional financial and human resources. The District Health System, as the vehicle to implement Primary Health Care, is key to improving service delivery, with Provincial Departments of Health strengthening such decentralised management while also holding district and hospital managers accountable.
National Health Insurance : legal and civil society considerations : perspectives on a national health insurance - profileAuthor Adila HassimSource: South African Health Review 2010, pp 205 –208 (2010)More Less
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.
Source: South African Health Review 2010, pp 211 –364 (2010)More Less
The South African Health Review (SAHR) 2010 focuses on the degree to which the South African health system is contributing to local achievement of the eight sets of global economic and social development priorities set at the United Nations Millennium Summit in 2000. These goals - referred to as the Millennium Development Goals (MDGs) - have galvanised action worldwide and have increased pressure on United Nations member states to ensure that they can demonstrate progress towards, if not achieve, the targets set by 2015. Like all UN member states, South Africa submitted an official 3rd interim progress report on progress towards achieving the MDGs in time for the UN summit held in New York from 20-22 September 2010 [MDG SA 2010]. There are only 5 years left, so any country that has not achieved significant improvements in the MDG indicators by 2010 will not be expected to meet the targets set for 2015.