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.

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 ...
Advocate for Improvements using the National Core Standards for Health Establishments

Advocate for Improvements using the National Core Standards for Health Establishments

Published in 2011, the main aim of the National Core Standards for Health Establishments is to: •  Develop a common definition of quality care which should be found in all health establishments in South Africa, as a guide to the public and to managers and staff at all levels; •  Establish a benchmark against which health establishments can be a ...
How golden policies lead to mud delivery – and how silver should become the new gold

How golden policies lead to mud delivery – and how silver should become the new gold

Karl le Roux presented at the 2012 RuDASA/Phasa conference. The following article is one he wrote based on his presentation, which can be found originally on the PHASA website (www.phasa.org.za) “My job today is to describe to you what it is like being at the rural coalface. Though I have loved working in a rural hospital for the past six ...

Rural-Proofing of Policy – An Overview of International Best Practices

As part of the RPP Programme, RHAP’s Daygan Eagar conducted a desktop review of international best practices in relation to rural-proofing of policy.  Summary and Key Recommendations Globally, rural populations tend to fair worse on important socioeconomic indicators than their urban counterparts. They tend to be poorer, are unemployed in ...