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.

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 ...
The District Hospital and PHC

The District Hospital and PHC

RuDASA and RHAP ares convinced that the Primary Health Care approach should be the foundational principle on which our national healthcare service is built. We are, however, concerned that the documents pertaining the re-engineering of PHC, have not recognised the important role that a well functioning district hospital (DH) could (and in fact ...

Rural-Proofing the PHC Re-Engineering Strategy

The Rural Health Advocacy Project (RHAP), the Rural Doctors Association of South Africa (RuDASA), the Wits Centre for Rural Health and KZN Centre for Rural Health strongly support the drive by Government to re-engineer primary health care (PHC). We agree that a strengthened PHC approach within a functional District Health System (DHS) is impera ...

Rural-Proofing South Africa’s Laws

By Nealon Devore, ONE The RHAP was the final runner-up for the 2012 One Africa Award! Read this blog by One’s Nealon Deavore: With two-and-a-half staff members RHAP has made a name for itself in South African policy and medical circles in less than two years. Seeking an avenue for their voices to be heard, RuDASA (Rural Doctors Associatio ...

The new NSP on HIV, STIs and TB 2012-2016 sets goals for rural health

In September RHAP and RuDASA made a submission to SANAC on the National Strategic Plan on HIV, STIs and TB, Draft Zero. The needs of rural communities were overlooked. We are therefore glad to announce that the final NSP, launched on World AIDS Day, explicitly identifies rural communities as a vulnerable group with rising HIV prevalence. Amongs ...

IST reports on the state of the health system and the public’s right to know

More than a year after their finalisation and after many frustrated attempts by civil society organisations and the media to access them – including through the Promotion of Access to Information Act, 2000 – SECTION27 and the Rural Health Advocacy Project (RHAP) have finally been leaked copies of all the provincial reports compiled by the Integ ...