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.

The power, the purse strings and the National Health Insurance

The power, the purse strings and the National Health Insurance

By Russell Rensburg. Published in the Mail and Guardian on 17 September 2019 The National Health Insurance (NHI) Bill proposes significant shifts in who controls our national and provincial health budgets. Will the draft legislation rob provinces of traditional control, or will it open up new, and more effective ways of making sure money goes w ...
Press Statement: South Africa’s fiscal austerity potentially an opportunity to remedy neglected rural healthcare

Press Statement: South Africa’s fiscal austerity potentially an opportunity to remedy neglected rural healthcare

National Health Insurance (NHI) introduction must be the start of radical review South Africa is in a daunting phase of fiscal austerity which began globally in 2008 and will prevail in the short and medium term, but the situation presents an ideal opportunity for the country to reorganise its skewed healthcare provision to make it more equitab ...
Confronting the Right to Ethical and Accountable Quality Healthcare in South Africa: Lancet National Commission Consensus Report

Confronting the Right to Ethical and Accountable Quality Healthcare in South Africa: Lancet National Commission Consensus Report

RHAP’s new Director Russell Rensburg was one of the Commissioner’s of this high-level commission looking into the state of quality healthcare in South Africa. Introduction South Africa has made great strides since the end of apartheid in 1994 in improving overall population health and well-being, reflected in increased life expectan ...
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 ...