NHI

5 September 2024

Cabinet welcomes signing of second Presidential Health Compact

Location: News

Cabinet welcomes signing of second Presidential Health Compact

The quest for quality and affordable healthcare for all has moved closer with the signing of the second Presidential Health Compact.

This is according to the Acting Minister in the Presidency, Maropene Ramokgopa, who addressed media on Thursday on the outcomes of the Cabinet meeting held on Wednesday.

Last month, Deputy President Paul Mashatile, in his capacity as Acting President, presided over the signing of the second Presidential Health Compact, an initiative established by President Cyril Ramaphosa in 2019.

READ | A nation's health, is a nation's wealth

The health compact is a framework for cooperation between critical sectors and stakeholders to strengthen the health system. It monitors and evaluates preparations for the implementation of the National Health Insurance (NHI).

The stakeholders include government, business, labour, civil society, health professionals, unions, service users, statutory councils, academia and researchers to develop sustainable and inclusive solutions to challenges in the national health system.

“It seeks to strengthen the health system and monitors and evaluates preparations for implementing the NHI,” Ramokgopa said.

The health compact also seeks to bolster the development of human resources, while improving access to medicine, vaccines and health products, upgrading infrastructure and ensuring private sector engagement.

The Acting President told the delegates during the signing ceremony that a healthy nation is more economically productive and prosperous.

“A healthy population enjoys higher life expectancy, better quality of life and overall wellbeing. As a result, providing quality healthcare is of the utmost importance to all of us,” he said.

Meanwhile, Ramokgopa said Cabinet was appalled that some unscrupulous and greedy lawyers and advocates have attempted to defraud billions of rands from the State through fraudulent and irregular medico-legal claims.

READ | Medico-legal claims a feeding trough for unscrupulous legal practitioners

“These wrongdoings were uncovered in a far-reaching investigation by the SIU [Special Investigating Unit] into alleged fraudulent medico-legal claims against the State since 2017.”

According to the Minister, the ongoing investigation revealed that some legal practitioners are helped by health practitioners working for the State to target the department.

In addition, she said matters completed by the SIU have resulted in at least R3 billion in savings for various provincial health departments. – SAnews.gov.za

Gabisile
Thu, 09/05/2024 - 11:43

242 views

29 August 2024

Competition Commission Briefs Health Committee on Health Market Inquiry

Location: News

Republic of South Africa: The Parliament
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The Portfolio Committee on Health met to discuss the findings of the Competition Commission's Health Market Inquiry (HMI) Report, which investigates the state of competition in the South African healthcare sector.

The HMI was initiated in 2013 to assess features that may impede affordable healthcare access and its final report was published in September 2019.

Responding to the commission's presentation, the committee focused on various concerns with the National Health Insurance (NHI) and the implications for the healthcare system, particularly in light of the HMI's recommendations.

Committee members asked about the origins of current challenges in the healthcare sector, emphasising that many issues stem from historical changes to medical schemes made before the current administration. During the engagement, it was noted that the previous regulatory environment, which guaranteed payment to providers and uniformity in care, has eroded, leading to confusion and instability. Members made a strong call for a return to foundational principles, including statutory tariffs and guaranteed benefits for medical scheme members, to restore order and fairness in the healthcare system.

The economic implications of the NHI were also highlighted. The committee expressed its concern that the transition could exacerbate existing issues within the healthcare sector. Committee members also called for a thorough investigation into potential collusion among major market players and highlighted the importance of ensuring that the NHI implementation does not lead to further monopolisation of healthcare services.

The committee's discussion also focused on potential challenges in implementing the NHI within the current fragmented healthcare environment. Concerns were expressed that without a coherent regulatory framework, the goals of the NHI may be undermined. Members raised questions about how the government plans to engage with existing healthcare providers and stakeholders to incorporate their perspectives into the NHI rollout.

The need for collaboration between the ministries of Health and of Trade and Industry was another issue mentioned as crucial for creating a unified approach to healthcare reform. The committee indicated that such collaboration is essential for addressing both health outcomes and economic impacts, allowing for the development of policies that promote innovation and competition in the healthcare sector.

The role of the private sector within the NHI framework was also discussed, focusing on balancing contributions from private healthcare providers while maintaining a robust public healthcare system. The committee emphasised the necessity of feedback from both the public and private health sectors to create a fair and efficient healthcare system.

Making his contribution on the report, committee Chairperson Dr Sibongiseni Dhlomo, expressed deep concern regarding maternal healthcare outcomes in South Africa, particularly the stark differences in delivery methods between public and private hospitals. He noted that in public hospitals, approximately one million babies are delivered annually, with only three out of 10 mothers opting for caesarean sections. In contrast, in private hospitals seven out of 10 women delivering via caesarean, raising issues about the motivations behind these choices. Dr Dhlomo emphasised the importance of natural deliveries, highlighting that women are capable of delivering safely without unnecessary surgical interventions.

He criticised the practice of prolonging hospital stays for women who have undergone caesarean sections, pointing out that many are required to remain in the hospital for several days post-delivery, which incurs additional costs and may not be medically justified. He argued that the standard of care should allow for early discharge, particularly for women who meet health criteria within six hours after delivery. Dr Dhlomo called for a revaluation of these practices, advocating for a healthcare system that prioritises the well-being and autonomy of mothers, rather than financial gain.

He urged the Department of Health to respond proactively to these concerns, emphasising the need for systemic changes that support equitable and high-quality maternal care across both public and private sectors.

In his concluding remarks, Dr Dhlomo asked the Department of Health to take note of all the questions and concerns raised during the discussions. He said the department would be given the opportunity to respond in detail when the committee convenes for its next meeting. “This approach ensures that the Department of Health can provide comprehensive answers and engage in meaningful dialogue regarding the issues surrounding the National Health Insurance and the findings of the Health Market Inquiry Report,” said Dr Dhlomo.

Distributed by APO Group on behalf of Republic of South Africa: The Parliament.

28 August 2024

Bara’s burn unit gets a much-needed upgrade

Location: News

Bara's burn unit gets a much-needed upgrade

The upgrading of the Wits Roy McAlpine Burns Unit at Chris Hani Baragwanath Academic Hospital (CHBAH) will go a long way in positioning the facility as one of the leading centres in Africa, focusing on the treatment of burns.

This is according to Gauteng MEC for Health and Wellness, Nomantu Nkomo-Ralehoko, who opened the new extended wing together with Vice-Chancellor and Principal of Wits University, Professor Zeblon Vilakazi, and the Roy McAlpine Foundation.

The additional wing is expected to enhance critical care and specialist training.

Since its establishment 33 years ago, the burns unit at the hospital has admitted over 30 000 patients and performed more than 40 000 burn-related surgical procedures.

“The opening of this new wing is more than just an expansion of physical space; it represents a crucial step forward in our ability to provide lifesaving world-class care to the hundreds of patients who depend on the public health system.

“This centre of excellence will go a long way in ensuring that more patients, both adults and children, can be counted among those whose dignity was restored post severe burns,” explained Nkomo-Ralehoko.

According to the CHBAH Head of Burns Unit, Professor Adelin Muganza, the facility’s expansion includes 12 newly- equipped intensive care unit (ICU) beds and a new operating theatre to reduce delays in surgical procedures - a critical factor in treating severe burns.

The unit also boasts office space, a large outpatient service area ensuring that more patients receive timely follow-up care, and rehabilitation spaces for occupational therapy, physiotherapy, speech therapy, and recreational activities.

According to Muganza, all these are essential for the holistic recovery of burn victims, including a skin substitute laboratory to improve the training of specialists and patient outcomes through cutting-edge research.

The impact of this expansion is already being felt by patients such as 29-year-old Nontleko Sithole from George Goch in Johannesburg who suffered burns to her body and face.

She was admitted to the Wits Roy McAlpine Burns Unit earlier this month after a devastating fire at her home, which sadly claimed her grandmother.

“I am impressed and happy with how the hospital treated my wounds and amazed about the progress I am making so far. I never thought I was going to recover so quickly, but now I am positive because of the work done on me by the healthcare workers,” she said.

Another patient, Bafana Alex Ntombela from Pimville, Soweto, was severely burned after collapsing onto a hotplate stove, causing significant injuries to the lower part of his body.

“I thought my life was over after seeing how badly I was burned. I underestimated Bara and its staff, but they surprised me with the treatment they gave me. They counselled me, and I have hope that I will recover. The progress of my healing is amazing.”

The facility is set to recruit additional specialists, medical officers, and nurses, further strengthening its capacity to meet the growing healthcare needs of the community.

This milestone underlines the GDoH’s commitment to enhancing healthcare infrastructure and preparing for the National Health Insurance (NHI) by expanding and upgrading facilities to meet the increasing demand for healthcare services.

The facility will also significantly improve burns services not only in Gauteng but also across South Africa and the broader Southern African Development Community region. – SAnews.gov.za

Gabisile
Wed, 08/28/2024 - 10:23

363 views

22 August 2024

A nation’s health, is a nation’s wealth

Location: News

A nation's health, is a nation's wealth

South Africa’s health system is too essential to development to be weakened by mismanagement, funding crises, and other problems.

“We expect all stakeholders to bring solutions and work with the Departments of Health and Science and Innovation to implement them,” said Acting President Paul Mashatile on Thursday.

The Acting President was speaking at the Union Buildings in Pretoria, where he presided over the signing of the second Presidential Health Compact, an initiative established by President Cyril Ramaphosa in 2019.

The health compact is a framework for cooperation between critical sectors and stakeholders to strengthen the health system and monitors and evaluates preparations for implementing the National Health Insurance (NHI).

The stakeholders include government, business, labour, civil society, health professionals, unions, service users, statutory councils, academia, and researchers to develop sustainable and inclusive solutions to challenges in the national health system.

Its pillars range from the development of human resources, improving access to medicine, vaccines and health products, upgrading infrastructure and private sector engagement.

It also zooms in on quality healthcare, public sector financial management improvements, governance and leadership, community engagements, and information systems to pandemic preparedness.

The Acting President told delegates present that implementation was the foremost priority of the country's seventh administration.

“Effective policy implementation means we can take the right actions and follow through with the plans, leading to successful outcomes. I have full confidence that implementation is the priority of all of us gathered here today.

“On behalf of President Cyril Ramaphosa, it is my privilege to sign the second Presidential Health Compact today.”

He said he believed that a healthy nation is more economically productive and prosperous.

“A healthy population enjoys higher life expectancy, better quality of life and overall wellbeing. As a result, providing quality healthcare is of the utmost importance to all of us,” he added.

Universal healthcare coverage

He said Africa is committed to the achievement of the United Nations Sustainable Development Goal of “ensuring healthy lives and promoting wellbeing for all at all ages”.

“This is a bold commitment to achieve universal health coverage. It is a commitment to provide access to affordable medicines and vaccines for all. If our nation’s health is truly to be our nation’s wealth, we must fix our healthcare system.”

He said fixing the healthcare system will effectively protect the population against public health emergencies, such as HIV/AIDS, COVID-19, or Mpox.

The Acting President also outlined challenges that prevent government from providing decent and quality healthcare to all South Africans.

Lack of funding and collaboration

He also touched on healthcare funding challenges due to budget cuts and a constrained fiscal environment, compounded by inefficiencies, mismanagement and corruption in resource allocation.

However, the Acting President said budgeting in the health sector is steadily improving to ensure a more equitable allocation of resources.

“Less money is being lost to litigation. This is thanks to the hard work of the Health Sector Anti-Corruption Forum, which continues to expedite prosecutions and recover stolen funds.”

With greater collaboration, he said the resources and capabilities of both the public and private sectors can be brought to bear to serve those who need healthcare most.

However, some progress has been made as well with 149 new primary healthcare facilities being completed by November 2023.

In addition, 30 new hospitals are either opened or under construction.

The Acting President also took the time to applaud the private sector for the crucial role it plays in strengthening health systems.

“Our experience with COVID-19 showed how we could deepen public-private partnerships. With greater collaboration, the resources and capabilities of both the public and private sectors can be brought to bear to serve those who need healthcare most,” he added. – SAnews.gov.za

Gabisile
Thu, 08/22/2024 - 14:43

279 views

20 August 2024

President Ramaphosa to officiate signing of second Presidential Health Compact

Location: News

President Ramaphosa to officiate signing of second Presidential Health Compact

President Cyril Ramaphosa will on Thursday preside over the signing of the second Presidential Health Compact at the Union Buildings in Pretoria.

The Presidential Health Compact is an initiative established by President Ramaphosa in 2019.

It is a framework of cooperation between critical sectors in South Africa that significantly influences good health outcomes.

According to the Presidency, it also monitors and evaluates components where roles and responsibilities are assigned to various stakeholders to support the strengthening of health systems and preparation for implementing the National Health Insurance (NHI).

READ | President Ramaphosa to officiate signing of the Presidential Health Compact

The second compact follows the 2023 Presidential Health Summit, which built on the inaugural summit of 2018 and brought together several stakeholders.

These include government, business, labour, civil society, health professionals, unions, service users, statutory councils, academia, and researchers to develop sustainable and inclusive solutions to challenges in the national health system.

The stakeholders involved in this framework are integral to supporting the Department of Health in improving the health system.

It initially consisted of nine pillars, with the 10th pillar added during last year’s summit.

These include the development of human resources, improving access to medicine, vaccines and health products, upgrading infrastructure, private sector engagement, quality healthcare, public sector financial management improvements, governance and leadership, community engagements, information systems and pandemic preparedness.

The signatories to the health compact are:

• The President of the Republic of South Africa

• The Minister of Health

• The Minister of Science and Innovation

• Independent Community Pharmacy Association (ICPA)

• South African National AIDS Council (SANAC)

• South African Medical Association Trade Union

• Democratic Nurses of South Africa

• Congress of South African Trade Unions

• Campaigning for Cancer- Patient User Groups

• South African Medical Research Council (SAMRC)

• South African Pharmacy Council (SAPC)

• National Unitary Professional Association for African Traditional Health Practitioners of South Africa (NUPAATHPSA)

• Traditional Knowledge Systems and Allied Health

The signing of the second Presidential Health Compact will take place at the Union Buildings Courtyard, West Wing, Pretoria at 12:30 pm. – SAnews.gov.za

Gabisile
Tue, 08/20/2024 - 09:44

273 views

8 August 2024

Strong female leadership will have a positive impact on the South African narrative

Location: MyPR

Despite the fact that South Africa is going through a significant political transition, our democracy remains a shining beacon of hope on a continent where a democratic process is desperately needed in many countries. This cannot have been achieved without the sacrifices made by strong political leaders who have fought hard to build our democracy. …

22 July 2024

Healthcare for all a top priority for government

Location: News

Healthcare for all a top priority for government

Equal access to affordable quality health care through the implementation of the National Health Insurance (NHI), is a key priority for the seventh administration, says President Cyril Ramaphosa.

“We are unwavering in our commitment to implement universal health coverage in a manner that brings all South Africans on board,” President Ramaphosa said.

The President was responding to the debate on the Opening of Parliament Address on Monday.

President Ramaphosa said government will continue with dialogues, exchanges and interactions to make the NHI an important programme for the people.

The President also highlighted the country’s report to the United Nations, which noted reductions in maternal, infant and neonatal mortality, and that South Africans are living longer and have better health outcomes.

READ | Government pushes for affordable healthcare for all

The President delivered the Opening of Parliament Address on Thursday and the President’s speech was debated by political parties on Friday.

READ | President Ramaphosa signs NHI Bill into law

Education

On inclusive and equitable quality education, President Ramaphosa said the country has made progress with respect to functional literacy and numeracy at primary school level, and in primary school completion rates.

“Today, more South African children have access to Early Childhood Development (ECD) and Grade R, and secondary school education outcomes continue to steadily improve.

“The child support grant, no-fee schools and expanded NSFAS (National Student Financial Aid Scheme) funding have had a considerable impact on the lives of learners, particularly those from poor families.”

He said these social protection interventions, alongside others, including the Schools Nutrition and Sanitary Dignity Programmes, aimed at female learners, are helping to break the cycle of intergenerational poverty.

“They are enabling more children to complete their schooling and to access opportunities after they finish school. One need only look at last year’s matriculation exam results, where learners who were social grant beneficiaries achieved an 81 percent pass rate,” President Ramaphosa said.

While access to education expands the capabilities of young people, the President noted that it also improves the productive capacity of the economy.

“Our young people are competing with the world. This is a new world, one that is rapidly changing and being influenced by technological advances.

“A better educated, better skilled workforce makes our economy more competitive and catalyses growth.”

Greater investment in skills

President Ramaphosa also commended the call for greater investment in skilling young people for the economy of the future, and for young people to be familiar with emerging technologies.

“Science and technology is going to continue playing an important role in enabling our young people to play a key role in our economy,” President Ramaphosa said. – SAnews.gov.za

GabiK
Mon, 07/22/2024 - 12:22

378 views

22 July 2024

Efficiency and alignment are key to 7th administration

Location: News

Efficiency and alignment are key to 7th administration

Greater efficiency and the alignment of priorities will define the newly constituted seventh administration.

“What will define the seventh administration is strategic alignment of priorities, greater efficiencies, focus and the optimal use of resources,” President Cyril Ramaphosa said on Monday.

Replying to the Opening of Parliament Address (OPA) debate, President Ramaphosa said South Africans expect government to chart the country towards the ultimate goal of a better life for all.

“As we said, our priorities are inclusive growth and job creation, reducing poverty and tackling the high cost of living, and building a capable, ethical and developmental state,” President Ramaphosa said.

President Ramaphosa said during much of the sixth administration, government worked to address the challenges that impeded growth, such as state capture, lack of reforms, COVID-19 and others.

“We also worked to overcome the silo mentality that pervaded the work of government, and which in the past had contributed to inefficiency, duplication and wastage of resources.”

He said the Government of National Unity (GNU) must demonstrate in word and deed that the seventh administration is an era of a government of national unity and not a fleeting convenience.

“At the same time, we all understand what is expected of us by those who put us here,” President Ramaphosa said.
The President who delivered the OPA on Thursday, said it was important to examine the progress made by the nation in addressing the “the challenges our people face.”

READ | 'We will succeed' - President Ramaphosa on prospects of GNU

Last year, South Africa submitted its third country report to the United Nations (UN) on its progress towards meeting the Sustainable Development Goals (SDG).

The President said the UN report highlighted important trends towards meeting SDG targets in eradicating poverty and hunger, in good health and well-being, in inclusive and equitable quality education, in the provision of clean water and sanitation, in climate action, in building strong institutions for peace and justice and others.

He added that government’s 30 Year Review report and the results of Census 2022 are testament to the considerable progress the democratic state has made in pursuing equitable and sustainable development.

“On eradicating poverty and hunger, more indigent South Africans are accessing grants as part of an extensive social security net to mitigate the worst effects of poverty.

“Sixty percent of our national budget is spent on the social wage and programmes vital to reducing poverty and supporting the poor.

“When the worst global health emergency in modern times struck in the form of the COVID-19 pandemic, we were able to shelter society’s most vulnerable through the provision of special COVID grants, a scheme to support workers’ wages, and support to businesses affected by the lockdowns,” the President said.

READ | Government creates better life during 30 years of democracy

President Ramaphosa said over the next five years, government will be putting further programmes in place to reduce poverty and mitigate the effects of the high cost of living, especially on the poorest of the poor.

NHI

With regards to the National Health Insurance (NHI), President Ramaphosa said a key task for government over the next five years will be to ensure that everyone in South Africa has equal access to affordable quality healthcare through the implementation of health insurance.

“We are unwavering in our commitment to implement universal health coverage in a manner that brings all South Africans on board. We will continue with dialogues, with exchanges, with interactions to make this an important programme for our people,” President Ramaphosa said. – SAnews.gov.za

Edwin
Mon, 07/22/2024 - 12:42

255 views

22 July 2024

Reimagine reading with kibooks.online

Location: MyPR

Keen to make it easier for children to access reading material online, kibooks.online wants to make reading fun again. [03 July 2024] The Qualibooks Group is looking to bring the fun back to reading with its online platform, kibooks.online. A fully online platform, kibooks.online provides children with access to around 8000 top-quality books that they …

19 July 2024

Ministers welcome renewed commitment to service delivery

Location: News

Ministers welcome renewed commitment to service delivery

Ministers responsible for some of the key portfolios in the Government of National Unity (GNU) have welcomed the renewed focus on some crucial areas of service delivery, as the work that lies ahead for the seventh administration was brought into sharp focus on Thursday evening.

President Cyril Ramaphosa delivered the Opening of Parliament Address (OPA) at the Cape Town City Hall, where he provided the details of the programme of action for the new Executive.

The much-anticipated address followed the ushering in of the seventh administration after South Africans voted in the National and Provincial Elections in May. With no outright majority winner, 10 political parties formed a Government of National Unity (GNU), which enjoins all parties to work together for improved service delivery and advanced economic growth.

After the President’s address, some Ministers who spoke to SAnews in the Parliamentary Precinct in Cape Town, reiterated their support for the goals of this administration, which are articulated in the Statement of Intent agreed to by parties to the GNU.

Chief amongst these targets are the pursuit of rapid, inclusive and sustainable economic growth; the creation of a more just society by tackling poverty; safeguarding the rights of workers; stabilising government; building State capacity, and pursuing a foreign policy based on human rights, solidarity and peace.

President Ramaphosa highlighted a number of projects ranging from essential infrastructure to improved health care – all geared towards better outcomes for citizens and economic development.

Water and Sanitation Minister Pemmy Majodina told SAnews that the provision of water is an issue that requires urgent attention.

“We have mega water projects that we have unblocked, such as the Lesotho Highlands Phase 2, which will assist to provide water to Gauteng, North West, Free State, Mpumalanga and the Northern Cape,” Majodina said.

She reiterated government’s commitment to ensuring that projects of such nature become successful in delivering on their mandate, despite the hurdles that arise.

Cooperative Governance and Traditional Affairs Minister Velenkosini Hlabisa welcomed the President’s call for the proper implementation, at local government level, of the indigent policy so that the old, the infirm and the poor get assistance with the payment of basic services.

“This is the outcome of our engagements and discussions, where we agreed on key priorities… to turn things around and pull together. We are also going to look [closely at] municipalities because if they are not stable, there won’t be economic growth,” Hlabisa said.

Improving health outcomes

On the provision of health services, President Ramaphosa once again reassured that through the implementation of the National Health Insurance (NHI), government will be able to bring stakeholders together, resolve differences and “clarify misunderstandings”, a sentiment echoed by Health Minister, Dr Aaron Motsoaledi.

On 15 May 2024, President Ramaphosa signed the National Health Insurance Bill into law.

READ | President Ramaphosa signs NHI Bill into law

The NHI Bill seeks to provide universal access to health care services in the country, in accordance with the National Health Insurance White Paper and the Constitution of South Africa.

The Bill envisages the establishment of a National Health Insurance Fund and sets out its powers, functions and governance structures.

Motsoaledi said government intends to ensure that all are treated equally at health facilities.

“As government, we want people to be treated the same. This is what we are striving [for].”

The NHI Bill will also create mechanisms for the equitable, effective and efficient utilisation of the resources of the fund to meet the health needs of users and preclude or limit undesirable, unethical and unlawful practices in relation to the fund. It further seeks to address barriers to access.

The Bill was initially tabled in Parliament and introduced to the Portfolio Committee on Health on 8 August 2019 for processing. – SAnews.gov.za

Edwin
Thu, 07/18/2024 - 22:21

564 views

19 July 2024

GNU provides an opportunity to build a prosperous country

Location: News

GNU provides an opportunity to build a prosperous country

Agriculture Minister John Steenhuisen says the Government of National Unity (GNU) has provided an opportunity to build a united and prosperous South Africa.

Speaking at a joint sitting of the National Assembly and the National Council of Provinces to debate the President’s Opening of Parliament Address (OPA) on Friday, Steenhuisen reiterated that his party, the Democratic Alliance (DA), joined the Government of National Unity because it wants to play its part to build South Africa.

Steenhuisen said the 2024 National and Provincial Elections, which necessitated the creation of a multiparty government, offers the country a powerful opportunity to carve a new path.

“The recent expanded Cabinet Lekgotla has given us the key ingredients we need to accelerate growth and private sector investment in our economy. The Government of National Unity has identified rapid and inclusive growth to create jobs as our apex priority,” Steenhuisen said.

To achieve this, he said the GNU has committed to a responsible fiscal path that reduces the national debt in order to free up resources for productive investments.

“The planned review of sector master plans to identify obstacles to growth, the emphasis on increasing our focus on exports, and our shared commitment to slashing red tape to crowd-in private sector investment, gives us the key ingredients we need to succeed,” Steenhuisen said.

The Minister also welcomed President Ramaphosa’s Opening of Parliament Address on the policy interventions to expand the basket of food items exempt from VAT, to review and reduce the fuel price, to prevent undue political interference in the public service, and to set up specialised policing units to fight violent crime and the construction mafia.

“These policy changes are ones that the DA has long advocated for, and they will make a meaningful impact on reducing the cost of living, enhancing the capacity of the state, and tackling the violent crime that plagues too many of our communities,” Steenhuisen said.

While the Government of National Unity has met the requirement for sufficient consensus as outlined in the Statement of Intent on some key matters of economic policy, Steenhuisen acknowledged that there are still areas of divergence that require attention.

These include the need for universal health coverage, which he said has serious problems of corruption and mismanagement in the public health sector.

“The National Health Insurance (NHI) in its current form does not do enough to address these problems... The same goes for the Basic Education Laws Amendment Bill and some other initiatives.

“However, in all of these areas of divergence, I am convinced that we can find a way forward. It will require us to be honest about disagreements where they do exist, and to work in good faith with one another to find solutions,” Steenhuisen said.

Steenhuisen maintained that if the Government of National Unity succeeds in delivering on its apex priority of growing the economy and creating jobs, “then the builders will defeat the breakers once and for all”.

“This Government of National Unity reflects the will of the people, who have told us loud and clear that they want an end to single party domination in favour of multiparty cooperation. The DA, alongside our partners, have heeded that call, and we have put forward our best weaver birds to help build South Africa,” Steenhuisen said. – SAnews.gov.za

GabiK
Fri, 07/19/2024 - 13:28

359 views

19 July 2024

Focus on the potential benefits of the NHI when trying to solve its problems

Location: MyPR

President Cyril Ramaphosa signed the much-debated National Health Insurance (NHI) into parliament two weeks before South Africa’s crucial May elections. This move was not only a clear statement of intent that the new political dispensation is unwavering in its commitment to improving the lives of South Africans, but it also brought Africa’s most diversified economy …

19 July 2024

Government pushes for affordable healthcare for all

Location: News

Government pushes for affordable healthcare for all

Equitable, accessible, affordable, and quality healthcare, will be high on the agenda of the seventh administration, over the next five years.

“An important task of the next five years is to ensure that we also reduce the high cost of living by ensuring that everyone in South Africa has equal access to equitable, accessible and affordable quality healthcare.”

As the government moves forward with implementing the National Health Insurance (NHI), the President said that the State will concentrate on strengthening healthcare infrastructure, enhancing the training of healthcare personnel, and utilising technology to improve healthcare management.

“While there is much contestation around the NHI, there is broad agreement that we must draw on the resources and capabilities of both the public and private sectors to meet the healthcare needs of all South Africans equally,” he said.

READ | President Ramaphosa signs NHI Bill into law

In his address on Thursday night, the President outlined the new government’s agenda, priorities, and policies for the next five years during a joint sitting of the newly constituted two Houses of Parliament (National Assembly and the National Council of Provinces).

The Opening of Parliament signifies the formal start of the parliamentary year, following the May 29 elections.

“In implementing the NHI, we are confident that we will be able to bring stakeholders together, and that we will be able to resolve differences and clarify misunderstandings.”

Last week, Health Minister, Dr Aaron Motsoaledi, emphasised the department’s commitment to forge ahead with implementing the NHI in phases, in his Budget Vote Speech.

He announced that the implementation of the NHI was already in phase 2.

The Minister told Parliamentarians that there was no debate that South Africa is one of the most unequal societies in the world.

“If you want to see what inequality means, come to the health sector in South Africa. Within the borders of the same country, some are getting world-class healthcare, while others get such poor healthcare, you may believe we live in different countries,” he said at the time.

However, he said the country can no longer sustain such “gross inequality”.

READ | Dept committed to implementing NHI in phases

The Minister also took the time to call on the Members of Parliament to discuss areas which need to be ironed out instead of “throwing the baby out with the bathwater”. – SAnews.gov.za

Gabisile
Thu, 07/18/2024 - 21:25

283 views

11 July 2024

Dept committed to implementing NHI in phases

Location: News

Dept committed to implementing NHI in phases

Health Minister, Dr Aaron Motsoaledi, has emphasised the department’s commitment to forge ahead with implementing the National Health Insurance (NHI) in phases in his Budget Vote Speech.

“We will have to start implementing NHI in phases, as we are already in phase 2. The rest of the building blocks of health will easily fall into place,” Motsoaledi said on Thursday.

Tabling the Budget Vote for the 2024/25 financial year in Parliament, the Minister announced that the department had been allocated R62 218 899, a 3.5% increase from the previous year’s R60.1 billion.

He informed Parliament that his priorities for the next five years consist of six building blocks outlined by the World Health Organisation (WHO). These include leadership, governance, access to essential medicine, the health workforce, health systems financing, information systems, and service delivery.

“Five of the six building blocks seem acceptable to everybody and debates around them are straightforward and clear. But one of them has generated a lot of heat and sometimes fury in some quarters. This is the health systems financing. In our country we have decided to call this NHI,” he said.

The Minister said some believe that the country is not ready for the NHI, while others are of the view that it is “very expensive” and the country has no money for it.

“NHI is a health financing system, called Universal Health Coverage (UHC) by the WHO. It is a health financing system, which is meant to be an equaliser between the rich and the poor.”

Motsoaledi told the Parliamentarians that it was no debate that South Africa is the most unequal society in the whole world.

“If you want to see what inequality means, come to the health sector in South Africa. Within the borders of the same country, some are getting world-class healthcare, while others get such poor healthcare you may believe we live in different countries.”

However, he said the country can no longer sustain such “gross inequality” and South Africa has been seeking a solution for the past 96 years.

The Minister referenced the WHO, which states that a country should allocate at least 5% of its Gross Domestic Product (GDP) to health to have a good healthcare system for everyone.

“This is not 5% of the budget of a country, it is the GDP, the total health of a country. In South Africa, we have far surpassed that recommended 5%. We are at 8.5%. European countries are at 9%.”

This means South Africa’s health system was supposed to be as advanced as countries in Europe, Motsoaledi explained.

“As is evident that is not the case. The question is why? But the fact remains that 51% of it goes to serve only 14% of the population and the nearly meagre 49% goes to serve a whopping 86% of the population.”

He told the Chairperson that this needs to “stop now” and while there is support for the NHI, there are those who do not support it in its current form.

“Fair enough, but we cannot throw the baby away with the bathwater. Let us discuss which areas need to be ironed out but let us now be obstacles to what poor people have been waiting for close to a century,” he added. – SAnews.gov.za

Gabisile
Thu, 07/11/2024 - 14:13

334 views

5 July 2024

NHI Bill Highlights The Crucial Role Of Proper Maintenance In Healthcare Facilities

Location: MyPR

With the signing of the National Health Insurance (NHI) Bill by President Cyril Ramaphosa earlier this year, the spotlight on South Africa’s healthcare system has never been more intense. Amidst fears that this bill could precipitate a mass exodus of healthcare professionals and potentially threaten the stability of the healthcare system, there is a renewed …

1 July 2024

Department of Health, trade union welcome Dr Aaron Motsoaledi as new Minister

Location: News

Department of Health, trade union welcome Dr Aaron Motsoaledi as new Minister

The Department of Health has welcomed Dr Aaron Motsoaledi as their new Minister and his Deputy, Dr Joe Phaahla, as part of the newly established seventh democratic administration to move South Africa forward.

On Sunday, President Cyril Ramaphosa appointed Motsoaledi as the Minister of Health when he was announcing the Government of National Unity (GNU) Cabinet.

Motsoaledi replaces Phaahla, who has served in the portfolio since August 2021.

However, Motsoaledi is no stranger to the department, having previously served as the Minister from 2009 to 2019.

“The department believes the return of both political principals will ensure continuity and stability in the implementation of key health priorities, which include increasing life expectancy, strengthening health system effectiveness and the National Health Insurance (NHI) to enable the country to attain universal health coverage,” the department said.

The department took the time to also thank the outgoing Deputy Minister, Dr Sibongiseni Dhlomo, for his “sterling” work, which accelerated access to sexual and reproductive health services.

Dhlomo has been praised for establishing youth-friendly zones in primary health facilities to create a conducive environment to access essential health services without standing in queue with the general customers.

“He also championed the healthy lifestyle programme to reduce the risk of non-communicable diseases such as diabetes, obesity, hypertension, and so on," the department said.

It said it was looking forward to the leadership of both Motsoaledi and Phaahla to lead the health sector, guided by policies and legislations to ensure equal access to quality and affordable healthcare services for all South Africans to achieve universal health coverage.

Meanwhile, the South African Medical Association Trade Union (Samatu) has also welcomed Motsoaledi following his appointment.

The union has described the Minister as someone with proven dedication and extensive experience in the healthcare sector.

“Minister Motsoaledi has a commendable track record of addressing critical health challenges and implementing significant reforms to improve the health of all South Africans.

“Samatu is confident that Minister Motsoaledi's deep understanding of the South African healthcare landscape will prove invaluable as we embark on the rollout of the NHI, which aims to provide universal health coverage and ensure that all South Africans, regardless of their socio-economic status, have access to quality health services,” the statement read.

READ | President Ramaphosa signs NHI Bill into law

The trade union believes that Motsoaledi possesses the vision, commitment, and expertise needed to implement the NHI successfully.

“His reappointment comes at a crucial time when the NHI’s foundational structures are being established, and his leadership will be instrumental in ascertaining that this transformative healthcare reform is realised seamlessly and effectively.”

The union has since pledged its full support to Motsoaledi and said it was looking forward to working collaboratively with his office.

“We are committed to advancing the health and well-being of all South Africans, addressing the inequalities in healthcare access, and building a robust healthcare system that serves everyone proficiently.

“We call upon all stakeholders in the healthcare sector to unite behind Minister Motsoaledi’s leadership and contribute positively towards improving healthcare services in our country. This collective effort will be pivotal in enhancing our nation's public health and achieving the vision of a healthier South Africa.”

Samatu is a voluntary, independent, and non-discriminatory trade union for medical doctors and offers labour relations and bargaining services. – SAnews.gov.za

Gabisile
Mon, 07/01/2024 - 12:44

398 views

24 May 2024

Eastern Cape clinic serving a dozen villages is falling apart

Location: News

Patients at Gilton clinic complain of medication shortages, broken medical equipment, no proper furniture, staff shortages and high patient volume.

21 May 2024

Affinity Health Expresses Strong Support for National Health Insurance Bill

Location: MyPR

Affinity Health, a leading provider of high-quality health cover, today expressed its enthusiastic support for the National Health Insurance (NHI) Bill, highlighting its commitment to collaborating with the government to implement a balanced health coverage system. Murray Hewlett, CEO of Affinity Health, praised the landmark legislation as a critical step towards universal health coverage (UHC), …

20 May 2024

NHI does not signal end of private healthcare – President Ramaphosa

Location: News

NHI does not signal end of private healthcare - President Ramaphosa

President Cyril Ramaphosa has dismissed claims that the National Health Insurance (NHI) will signal the end of private healthcare.

“To the contrary, the NHI aims to use the respective strengths and capabilities of both the private and public health sectors to build a single, quality health system for all,” the President wrote in his weekly newsletter on Monday.

He explained that the NHI Fund will procure services from accredited public and private service providers for every person in need of health care.

“The NHI will be a lifeline for millions of poor South Africans whose resources will be freed up for other essential needs. It will also alleviate the burden on those who are increasingly paying more in medical aid premiums for increasingly fewer services.”

According to the President, South Africa’s private health sector has world-class expertise and is a major source of domestic and foreign investment.

He also praised the public sector, which also has numerous centres of excellence and is staffed by well-trained and experienced personnel.

While there may be different views on how NHI will be progressively implemented, the reality is that the current healthcare system is unsustainable.

Access to quality, decent healthcare should not depend on one’s ability to pay, he said, adding that the “current situation does not serve the poor, does not serve the middle class and does not serve the country.”

However, with careful planning, effective oversight and monitoring, and the strategic allocation of resources, the country’s commander-in-chief believes that South Africa can achieve universal health coverage (UHC).

“Working together in partnership, as both the public and private sectors, we can make the dream of quality health care for all a reality.”

This as the country edges closer to affordable quality healthcare for all after the President signed the NHI Bill into law last week.

“For many years, we have had parallel healthcare systems operating in our country. The majority of the population, 84%, uses public health facilities, while 16% are covered by medical schemes, enabling them to access private healthcare facilities. A small percentage of people use both,” he added.

The President is of the view that this has perpetuated inequality, with the quality of healthcare one receives being determined by one’s ability to pay.

“This runs contrary to our aspiration to be a society that is just and equal.”

While achieving social justice is a key objective of NHI, he stated that efficiency and better resource allocation are equally important.

“We have said that the challenge in implementing NHI lies not in the lack of funds but in the misallocation of resources that currently favour the private health sector at the expense of public health needs.

“There is a misconception that the private health care sector operates and is funded completely independently of government.”

However, he said the training of doctors, nurses and other healthcare personnel who work in both the public and private sectors is subsidised by the State.

Secondly, the State pays billions of rands annually in subsidies for employees who are members of various public sector medical aid schemes.

“Thirdly, taxpayers claim tax rebates for medical aid expenses amounting to approximately R37 billion. This is the money the state should earn in taxes which it foregoes to subsidise private health care.

“We therefore have a situation where the state both directly and indirectly helps to fund a private health care sector that serves only a minority of society.”

In addition, he said access to private healthcare through medical aids is also costly for users.

“It is said that without the tax rebate private healthcare would not be affordable to the majority of users. Medical aid contributions are increasing faster than inflation. At the same time, benefits are being reduced.”

The President cited the 2016 Healthcare Market Inquiry, which found that private healthcare services and medical scheme coverage are frequently over-used without clear improvements in health outcomes.

“The resources that are spent both by the state and private individuals can, therefore, be more efficiently used to build a single, unitary health care system that serves all.” – SAnews.gov.za

Gabisile
Mon, 05/20/2024 - 10:03

325 views

17 May 2024

The South African National Health Insurance Bill: Promises and Costs

Location: News

The South African National Health Insurance (NHI) Bill is a significant piece of legislation that aims to provide universal health coverage for all citizens of South Africa. The bill, signed into law by President Cyril Ramaphosa, holds the promise of ensuring that every individual has access to quality healthcare services, regardless of their socio-economic status. …

16 May 2024

Phaahla reassures healthcare workers things will improve as NHI becomes law

Location: News

Phaahla reassures healthcare workers things will improve as NHI becomes law

Health Minister, Dr Joe Phaahla, has urged healthcare workers not to be swayed by fearmongers pushing for emigration from South Africa due to the National Health Insurance (NHI).

“Don’t listen to doomsayers and the scaremongers who are telling you that things are going to collapse and [you] must leave now that the President has [signed the Bill], [and you must] find the first flight [out of the country]. Stay here. Things are going to get better.

“This is our only country. We’re going to make sure that what we have achieved in the last 30 years can only get better and not worse,” Phaahla told medical professionals.

Phaahla was speaking at the signing of the NHI Bill into law by President Cyril Ramaphosa at the Union Buildings on Wednesday.

READ | President Ramaphosa signs NHI Bill into law

He urged all citizens to collaborate with government and be part of the solutions to achieve a fair, just, and sustainable health system that caters to the health needs of all citizens, regardless of their location or socioeconomic status.

According to the Minister, inequities that characterise South Africa’s health system are unjustifiable and require fundamental overhauling to ensure equity and sustainability.

“Families have faced agonising decisions, having to choose between necessities and necessary medical care.

“This reality does not align with the vision we hold for South Africa, where every citizen should enjoy their life to the fullest potential,” said the Minister.

Phaahla described the signing of the Bill as a historic milestone, which paves the way for government to forge ahead with universal health coverage (UHC).

WATCH |

The Minister is of the view that the law was not just a policy but also a promise.

“This is a promise of a better, healthier future for every South African, affirming that the long wait has indeed been worth it.”

This new law, according to Phaahla, is derived from the National Development Plan (NDP) and will usher in free comprehensive healthcare services at the point of use.

“Thank you very much Mr President for convening us here at the citadel of power [the Union Buildings] in our country after you found the most valued pen in the history of South Africa. I’m sure it’s going to be kept in the museum,” the Minister quipped.

READ | Somebody give me a pen! - President

Phaahla told the attendees that the vision dates as far back as 1942 under the leadership of ANC President Dr AB Xuma.

“Even at that time, they already had an outline of the type of NHI that South Africa must adopt. One of the clauses of the document called for ‘the establishment of free medical and health services for all sections of the population’,” he explained.

He also quoted another clause, which called for a “drastic overhauling of the health services of the country, with an emphasis on preventive medicine”.

“We are happy that after many years of policy discussions and five years of the NHI Bill in Parliament, the National Health Insurance has now reached the starting line,” he said.

Phaahla stated that the department will now begin implementation and create mechanisms for the use of resources available to the NHI Fund to meet the health needs of the population.

“We stand resolute and remain committed to realising a health system that ensures our people enjoy healthy and productive lives, spurred on to achieve their full potential in a more equitable South Africa.”

He believes that the signing of the Bill will add impetus to other efforts to close the inequality gap in the country.

Phaahla stated that with the Bill becoming an Act of Parliament, it would facilitate the establishment of crucial institutional and organisational structures of the NHI Fund, along with its governance arrangements.

“However, it is important for the public to note that the provisions of the NHI Act will be implemented in phases. Our intention has always been to have a rational, structured and phased approach implementation.”

Special Report | National Health Insurance: All you need to know

The Constitution empowers the President to set different dates for the effectiveness of various provisions within the Act.

Meanwhile, President Ramaphosa described the public signing of the NHI Bill into law as a pivotal moment and a milestone in South Africa’s ongoing quest for a more just society.

The Head of State strongly believes that financial hurdles facing the NHI can be navigated with careful planning, strategic resource allocation and a steadfast commitment to achieving equity.

The President also explained that the NHI Fund will procure services from public and private service providers to ensure all South Africans have access to quality healthcare. – SAnews.gov.za

Gabisile
Thu, 05/16/2024 - 13:18

105 views

15 May 2024

President Ramaphosa signs NHI Bill into law

Location: News

President Ramaphosa signs NHI Bill into law

President Cyril Ramaphosa has emphasised the importance of the National Health Insurance (NHI) in providing equal access to healthcare services and addressing inequalities.

This, as he signed the NHI Bill into law on Wednesday.

“[The Bill] is also about efficiency and quality. The provision of healthcare in this country is currently fragmented, unsustainable and unacceptable,” President Ramaphosa said, adding that he finally "found his pen" to sign the long-awaited Bill.

READ | Somebody give me a pen! - President

At its core, the country’s leader stated that health insurance is a commitment to eliminating the longstanding, severe disparities in healthcare access.

“The NHI is an important instrument to tackle poverty. The rising cost of health care makes families poorer. By contrast, healthcare provided through the NHI frees up resources in poor families for other essential needs.”

He believes that the NHI will make healthcare in the country more affordable.

“The way healthcare services will be paid for is meant to contain comprehensive healthcare costs and to ensure the available resources are more efficiently used.”

President Ramaphosa described the public signing of the NHI Bill into law as a pivotal moment and a milestone in South Africa’s ongoing quest for a more just society.

WATCH | President Cyril Ramaphosa signs into law the National Health Insurance Bill

The President said the public sector serves most of the population but faces budget constraints. In contrast, he said the private sector serves a fraction of society at a far higher cost without a proportional improvement in health outcomes.

He believes that tackling the imbalance requires a radical “reimagining” of resource allocation.

Meanwhile, he said the challenge in implementing the NHI lies not in the lack of funds, but in the misallocation of resources that currently favours the private health sector at the expense of public health needs.

He is of the view that the NHI Bill presents an innovative approach to funding universal healthcare based on social solidarity.

This, he said, proposes a comprehensive strategy that combines various financial resources, including both additional funding and reallocating funds already in the health system.

Special Report | National Health Insurance: All you need to know

The Head of State strongly believes that financial hurdles facing the NHI can be navigated with careful planning, strategic resource allocation and a steadfast commitment to achieving equity.

He also explained that the NHI Fund will procure services from public and private service providers to ensure all South Africans have access to quality healthcare.

In addition, he said that health insurance ensures that both the public and private sectors complement and reinforce each other.

“The effective implementation of the NHI depends on the collective will of the South African people. We all need to embrace a future where healthcare is a shared national treasure, reflective of the dignity and value we accord to every South African life.”

According to President Ramaphosa, government has already begun implementing a national quality improvement plan in public and private healthcare facilities, and is now seeing improvement.

“Even in areas where we never thought [we would] see improvement, we see improvement of health facilities, even in our townships, where old people go to get critical medication.”

In addition, he said government would now establish the systems and put in place the necessary governance structures to implement the NHI, based on the primary healthcare approach.

The President has urged people not to fear, as the NHI will be implemented gradually rather than as "an overnight event".

“The NHI is an opportunity to make a break with the inequality and inefficiency that has long characterised our approach to the health of the South African people. Let us work together, in a spirit of cooperation and solidarity, to make the NHI work.” – SAnews.gov.za

Gabisile
Wed, 05/15/2024 - 16:46

216 views

14 May 2024

President Ramaphosa to sign NHI Bill into law

Location: News

President Ramaphosa to sign NHI Bill into law

President Cyril Ramaphosa is expected to sign the National Health Insurance Bill (NHI) into law on Wednesday, 15 May 2024.

According to the Presidency, the move will transform South Africa’s healthcare system and ensure universal coverage for health services.

Through this, the country will overcome critical socio-economic imbalances and inequities of the past.

The NHI Bill, passed by the National Assembly (NA) and the National Council of Provinces (NCOP) last year, will provide free healthcare at the point of care for all South Africans, whether in public or private health facilities.

The Bill currently only requires President Ramaphosa’s signature for enactment.

Speaking during the State of the Nation Address (SONA) in February, President Ramaphosa said the State was working tirelessly to improve healthcare quality and access equality, despite the country’s health system significantly impacting people’s lives.

During the debate on President Ramaphosa’s SONA, Health Minister, Dr Joe Phaahla, announced that the NHI will be implemented in two remaining phases from 2024 to 2026, while between 2026 and 2028 government will focus on establishing the Board and CEO and several key committees of the NHI Fund.

“We are confident that the innovative funding of infrastructure as stated by the President will also contribute to health facilities,” he told Parliament at the time.

In the meantime, the Minister said his department was strengthening key delivery areas. These include the healthcare benefits design, digital health systems, and risk identification and fraud prevention.

The signing ceremony will take place at the Union Buildings in Pretoria at 2pm.

Phaahla will conduct a question-and-answer session with the media immediately after the ceremony. – SAnews.gov.za

Gabisile
Tue, 05/14/2024 - 10:15

282 views

2 April 2024

World Health Day 7 April – What is our right to health?

Location: MyPR

Access to healthcare is a basic human right, but achieving the healthy nation that South Africa needs for productivity and economic growth will take more than universal free healthcare. Social determinants of health such as lifestyle choices – diet, exercise, and substance use – play a crucial role in ensuring a healthy South Africa. Although …