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.

Achieving Universal Health Coverage

Achieving Universal Health Coverage

In this WHO publication, Prof Wong argues that the real challenge in achieving Universal Health Coverage is the delivery of services to those who are hardest to reach. “Without a focus on reach, resources will be wasted and the number of preventable and treatable illnesses will remain high.”  Unpacking the example of Brazil’s ...

NHI White Paper Submission by Rural Partners Network: “THINK RURAL”!

The South African government is currently embarking on one of its most ambitious transformation projects of the last 20 years. The introduction of the National Health Insurance (NHI) has the potential to fundamentally shift how the provision of health care is funded, how the system is structured and how services are accessed. The NHI could, if ...
NHI White Paper

NHI White Paper

The NHI White Paper has finally been released! RHAP will study this critical initiative towards greater equity thoroughly and prepare for our submission. RHAP is in full support of the purpose of the NHI, namely to “to ensure that affordable and equitable medical care is available to everyone in South Africa and not just to citizens who c ...
A profession in peril? Revitalising nursing in South Africa

A profession in peril? Revitalising nursing in South Africa

Rispel and Bruce provide an analytical perspective on nurses and nursing in South Africa in this chapter in the 2014/15 South African Health Review. They also discuss critical issues to be addressed by health policy-makers and practitioners in order to revitalise the profession. ...
Know the Facts! Rural Health Factsheet 2015

Know the Facts! Rural Health Factsheet 2015

The new rural health fact sheet is out! All you need to know about rural health in one document. Contact RHAP to propose additions for the 2016 version. RHAP Rural Health Fact Sheet 2015 web ...
RHAP Launches the Rural-Proofing Health Guidelines

RHAP Launches the Rural-Proofing Health Guidelines

“No plan must be passed or approved without the rural-proofing box being ticked.” Dr Andrew Robinson, North West Department of Health On the 29th of January the RHAP launched the Rural Proofing Guidelines in Parktown, Johannesburg. The event was attended by National, Provincial and District Department of Health officials, National T ...
PRESS RELEASE. 31 August 2014. The Rural Health Advocacy Project (RHAP) supports the plight of the Free State Community Health Workers and calls for an urgent resolution to the unfair expectations on this essential primary health care cadre

PRESS RELEASE. 31 August 2014. The Rural Health Advocacy Project (RHAP) supports the plight of the Free State Community Health Workers and calls for an urgent resolution to the unfair expectations on this essential primary health care cadre

The Rural Health Advocacy Project (RHAP) supports the plight of the Free State Community Health Workers and calls for an urgent resolution to the unfair expectations on this essential primary health care cadre Tomorrow Monday 1st September, over a 100 Free State Community Health Workers (CHWs) will appear in court to be charged in relation to t ...
RHAP Discussion Document: Defining rurality within the context of health policy, planning, resourcing and service delivery

RHAP Discussion Document: Defining rurality within the context of health policy, planning, resourcing and service delivery

The RHAP has developed a discussion document on the definition of rurality. Please send any comments to Daygan Eagar at Daygan@rhap.org.za. Summary and Recommendations: Section 27 of South Africa’s Constitution (1996) affords everyone who lives in the country the “right to have access to health care services, including reproductive health care” ...
Clinical Leadership, District Hospitals and Rural Health

Clinical Leadership, District Hospitals and Rural Health

This publication “Strengthening Clinical Leadership In Hospitals – A Review of the International and South African Literature ” (2013) by Jane Doherty is a must-read for anyone who has a stake in strengthening local leadership for better health care. Policy brief (download link above for full publication): The debate around pu ...
Re-Imagining Rural Health – The State of Rural Health 20 years into Democracy

Re-Imagining Rural Health – The State of Rural Health 20 years into Democracy

Originally published in the May 2014 newsletter of the Public Health Association of South Africa (PHASA). Daygan Eagar, Rural Health Advocacy Project (RHAP)’s health budget specialist and Programme Manager for the Rural-Proofing Policy and Budgeting Programme. He provides health budget and policy monitoring training to communities and civil soc ...