Author Archives: Rural Health Advocacy Project

The Achilles Heel of the new NSP : Accountability and Equity

The Achilles Heel of the new NSP : Accountability and Equity

By Russell Rensburg As we move towards the release of South Africa’s latest National Strategic Plan for HIV/AIDS, TB and STI’s it is important to celebrate the successes achieved since the end of AIDS denialism and the introduction of a revitalised AIDS response in 2006. Getting there and sustaining the response has required significant politic ...
Ethical Perspective: Five Unacceptable Trade-offs on the Path to Universal Health Coverage’, Norheim, O.  International Journal of Health Policy and Management. 2015 Nov; 4(11): 711–714.

Ethical Perspective: Five Unacceptable Trade-offs on the Path to Universal Health Coverage’, Norheim, O. International Journal of Health Policy and Management. 2015 Nov; 4(11): 711–714.

This article discusses what ethicists have called “unacceptable trade-offs” in health policy choices related to universal health coverage (UHC). Since the fiscal space is constrained, trade-offs need to be made. But some trade-offs are unacceptable on the path to universal coverage. Unacceptable choices include, among other examples from low-in ...
Making fair choices on the path to universal health coverage. Final report of the WHO Consultative Group on Equity and Universal Health Coverage’. World Health Organisation (2014)

Making fair choices on the path to universal health coverage. Final report of the WHO Consultative Group on Equity and Universal Health Coverage’. World Health Organisation (2014)

Executive summary Universal health coverage (UHC) is defined as all people receiving quality health services that meet their needs without being exposed to financial hardship in paying for the services. Given resource constraints, this does not entail all possible services, but a comprehensive range of key services that is well aligned with oth ...

Open letter to Minister Motsoaledi: Please support healthcare workers to speak out

The Rural Health Advocacy Project has written an open letter to Health Minister Aaron Motsoaledi challenging him to support healthcare workers to speak out, saying failing to do so could see many more cases like those in the Life Esidimeni saga. By SAMANTHA KHAN-GILLMORE. This year, 2017, has started off with a bang on all fronts for South Afri ...
Advocacy for Health: An educators guide to incorporating advocacy into the health sciences curriculum

Advocacy for Health: An educators guide to incorporating advocacy into the health sciences curriculum

Rural patients often bear the brunt of a vicious cycle.  Their local health systems need more resources and healthcare workers with inside knowledge to speak out about health care failures; but the shortages of health care workers make them feel vulnerable to speak out. Whilst healthcare workers can be agents of change, many lack the motivation ...
Rural Recruitment and Retention: Why are we not winning?

Rural Recruitment and Retention: Why are we not winning?

While the Department of Health has started work on a new plan for HRH, what we have achieved in the past 5 years? Sadly, the picture is bleak and progress is hampered by a combination of factors: ranging from lack of NDoH prioritisation and capacity; National Health Council resolutions on rural health education and task teams that are not follo ...
It’s time we fix the way we fund health care

It’s time we fix the way we fund health care

A shortened version now online in Bhekisisa M&G Health: http://bhekisisa.org/article/2017-03-02-00-radical-transformation-begins-with-fixing-how-we-fund-healthcare-in-remote-areas Picture caption: Nurse accomodation at a deeply rural hospital faced with a staffing crisis in the Eastern Cape. Few healhcare workers agree to come and work here ...
RHAP Submission on the Draft Strategic Plan for HIV, TB and STIs 2017-2022

RHAP Submission on the Draft Strategic Plan for HIV, TB and STIs 2017-2022

In this submission to SANAC, we identify critical gaps in the draft NSP and its treatment of rural contexts and communities. While many of the interventions aimed at targeting key and vulnerable populations will undoubtedly benefit rural communities, it is important to understand rural contexts do differ from urban contexts in key ways. Rural f ...

Op-Ed: Life Esidimeni Tragedy not an Aberration

While fiscal consolidation and shrinking budgets are likely to stay with us for some time, policy makers need to consider the impact of austerity measures on the most vulnerable in our society, including people living with mental disorders. By Shannon Morgan, Mafoko Phomane, Dr Meba Kanda, Charlene Sunkel, Ingrid Daniels and Dr Richard Vergunst ...