Goal 2: Financing Rural Health

Rural health care receives the financial resources to provide a quality, equitable service to rural citizens

In a resource-constrained environment, it is even more critical that available resources are allocated equitably and used efficiently and effectively to achieve the greatest possible impact. There is an added financial cost to provide the same quality service to remote communities and these need to be incorporated in the policy, planning and, most importantly, budgeting process. In reality, this added cost factor is often not considered, leading to inequitable fiancing and ultimately inequitable access to care for rural communities. At the same time there have been weaknesses in how resources are being used: overspending, underspending, and the mismanagement of funds continues to compromise care in many rural settings on health care.

Our research on rural health care financing entails research on the gap between financing needs and real allocations and spending. This research then contributes to our advocacy for equitable and adequate budget allocations for care. It further entails tracking health spending and motivating for the efficient use of the available resources.

Health crisis looms in the North West

Health crisis looms in the North West

At the centre of the crisis is the relationship breakdown between the province’s political leadership and members of the National Education Health and Allied Workers’ Union (Nehawu), whose go-slow at the provincial medicines depot has stopped drugs leaving or entering the facility. Nehawu says the protest action will continue until their demand ...
Public Oral Health Forum – a Game Changer for Rural Communities

Public Oral Health Forum – a Game Changer for Rural Communities

The Public Health Oral Forum is a critical think tank, advocacy and discussion platform that has been established by oral health care workers working for the South African government. Founded in February 2018, it seeks to unite oral health professions behind a call to advance the promotion and preservation of oral health worker rights and the c ...
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 ...
Press Release: RHAP Issues First Annual CSO Allocation Update ‘Acute’ 2018

Press Release: RHAP Issues First Annual CSO Allocation Update ‘Acute’ 2018

Rural communities left at the wayside in community service allocations Discrimination towards rural communities in health service delivery persists. This is one of the key findings from the Annual CSO Allocation Update ‘ACUTE’, a report released by the Rural Health Advocacy Project (RHAP). The goal of the report is to monitor and critically eva ...
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 ...
Press Statement An Alternative Human Rights Based People’s Budget

Press Statement An Alternative Human Rights Based People’s Budget

CIVIL SOCIETY PROPOSES ALTERNATIVE, PEOPLE-CENTERED BUDGET Download the Alternative Budget here Broad collective of socio-economic rights organisations offer example of a budget which takes ordinary South Africans seriously. Minister Gigaba will be asked to make hard, but essential budget choices in his first budget speech in Parliament tomorro ...
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 ...

Report of the Standing Committee on Appropriations on the 2017 Medium Term Budget Policy Statement, dated 29 November 2017

RHAP was one of the stakeholders invited to present to this committee on 25 October 2017. Russell Rensburg, RHAP’s Health System and Policy Manager represented RHAP at this meeting. The Minister of Finance tabled the Medium Term Budget Policy Statement (MTBPS) on 25 October 2017 as required by section 6 (1) of the Money Bills Amendment Pr ...