Goal 1: Policy

New and existing policies are rural-friendly

Good quality and comprehensive health care for rural communities starts with the design of policies that are appropriate for the rural health care context. The rural health care context often implies “doing more with less”; it is most often a context of high levels of poverty and ill-health, without ready access to specialists, intensive and/or high technology care, and where resources, both human and material, are lacking. From a patient perspective, it also means rural communities often spend disproportionate amounts of time and money trying to access the health care and treatment that they require.

General health policies, or policies designed with more resourced urban settings in mind, are seldom automatically implementable in rural areas. There is thus a need to take the rural context into account at all stages of policy development. This process of inclusion of the rural context is popularly reffered to as ‘rural-proofing’.

Under this strategic objective, the RHAP advocates for rural-friendly policies; this implies analysing existing and new general health policies through a rural lens, as well as advocating for specific rural health policies. The end goal is to ensure that existing and new legislation, strategies and frameworks will advance the equitable access of rural communities to comprehensive, high quality health care that meets their health needs.

From Green Paper to Final Policy: Has there been a change in how rural is considered in relation to the National Health Insurance process in South Africa

From Green Paper to Final Policy: Has there been a change in how rural is considered in relation to the National Health Insurance process in South Africa

Download RHAP’s review here: NHI From Green to White Paper_ Review_RHAP_July2017 Since the publication of the NHI Green Paper in 2011, the Rural Health Advocacy Project (RHAP) and its rural health partners have engaged extensively with the NHI policy development and review process. This engagement has included providing comment on various ...
NEW! Annual Community Service Officer Update ‘ACUTE’ – 2018 Report

NEW! Annual Community Service Officer Update ‘ACUTE’ – 2018 Report

With this publication the RHAP launches the Annual Community Service Officer Update ‘ACUTE’ on the allocation of community service officers in South Africa. The purpose is to monitor whether the country is making progress with regards to meeting the intended purpose of community service which is to address the maldistribution of human resources ...
Towards Substantial Reform for Rural Health: In anticipation of the 2018 Budget Speech

Towards Substantial Reform for Rural Health: In anticipation of the 2018 Budget Speech

By Russell Rensburg, RHAP Programme Manager: Health Systems and Policy In his inaugural state of the nation address, President Ramaphosa outlined a broad set of initiatives that focussed primarily on addressing the lapses in trust between the government and the people. The focus was on improving the credibility of the state and more specificall ...
Mandate Paper Budget 2018 – Department: Planning, Monitoring and Evaluation

Mandate Paper Budget 2018 – Department: Planning, Monitoring and Evaluation

In 2016, Cabinet identified the need to strengthen the alignment of the South African Budget, the Medium-Term Strategic Framework (MTSF) and the National Development Plan (NDP), and for budget prioritisation to focus on the last 24 months of the current administration. The Department of Planning, Monitoring and Evaluation (DPME) and the Nationa ...
Rural Health Resource Mapping Guide – Who Cares?

Rural Health Resource Mapping Guide – Who Cares?

This guide, the RHAP Rural Health Resource Mapping Guide, a culmination of three years of research and stakeholder engagement, was developed for all policymakers, advocates, managers and stakeholders wishing to develop and influence policies, budgets and implementation plans that protect, promote and advance access to quality health care for ru ...
New Strategic Framework: 2017-2021

New Strategic Framework: 2017-2021

After a consultative process that included stakeholder consultations, internal and external evaluations, the RHAP Board has adopted the 5 year strategic framework for the period 2017-2021.  Vision: Rural Communities Accessing Equitable and Quality Health Care Mission: Promoting, Protecting and Realising the Right to Rural Health Care by Connect ...
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 ...
MTBPS 2016: The Rural Health Advocacy Project warns against further health service cuts to those most in need following continued fiscal consolidation

MTBPS 2016: The Rural Health Advocacy Project warns against further health service cuts to those most in need following continued fiscal consolidation

Rural Health Advocacy Project Press Statement MTBPS 2016: The Rural Health Advocacy Project warns against further health service cuts to those most in need following continued fiscal consolidation 27 October 2016 Following the Medium Term Budget Policy Statement (MTBPS) by Minister of Finance, Pravin Gordhan, on 26 October 2016, we reflect in t ...