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.

PRE-MTBPS STATEMENT: DEAR MINISTER OF FINANCE, WILL THE ONGOING BUDGET CRISIS IN HEALTH BE ADDRESSED OR DO WE NEED TO BRACE FOR FURTHER DECLINE?

PRE-MTBPS STATEMENT: DEAR MINISTER OF FINANCE, WILL THE ONGOING BUDGET CRISIS IN HEALTH BE ADDRESSED OR DO WE NEED TO BRACE FOR FURTHER DECLINE?

This week, Minister Malusi Gigaba will deliver his maiden Medium Term Budget Policy Statement (MTBPS) at National Parliament. The MTBPS is a crucial part of government’s budget cycle and provides an update on the government spending plans for the next three years. A lot has changed since February when the former minister Mr Pravin Gordhan table ...
RHAP Response to “MINISTERIAL TASK TEAM COMMITTEE REPORT INTO INVESTIGATION OF SERVICE DELIVERY IN SELECT HOSPITALS”

RHAP Response to “MINISTERIAL TASK TEAM COMMITTEE REPORT INTO INVESTIGATION OF SERVICE DELIVERY IN SELECT HOSPITALS”

On the 14TH September 2017, the Minister of Health Dr. Aaron Motswaledi released the findings of a ministerial task team that investigated the status of service delivery in public hospitals. The report, 170914MTT_Report_14_September_2017 (1) findings confirmed the dire state of provincial health financing, the inadequacy of current budgets to s ...
GUIDELINES TO FACILITIES AND DISTRICTS FOR USE OF THE NORTH WEST PROVINCE RECRUITMENT PRIORITISATION TOOL

GUIDELINES TO FACILITIES AND DISTRICTS FOR USE OF THE NORTH WEST PROVINCE RECRUITMENT PRIORITISATION TOOL

The following guidelines were developed in 2017 by RHAP in partnership with Africa Health Placements for North West Province and supported by the National Department of Health. They can be applied in any other province. See also: http://www.rhap.org.za/context-north-west-critical-health-posts-project/ Introduction Following national and provinc ...
Rural Health Resource Mapping Guide – Who Cares?

Rural Health Resource Mapping Guide – Who Cares?

This guide, the RHAP Rural Health Resource Mapping Guide, a culmination of three years of research and stakeholder engagement, was developed for all policymakers, advocates, managers and stakeholders wishing to develop and influence policies, budgets and implementation plans that protect, promote and advance access to quality health care for ru ...
Health budget fails to address HR crisis

Health budget fails to address HR crisis

In the tabling of the national department of health’s budget for 2017/2018, minister of health, Dr Aaron Motsoaledi, delivered an impassioned address about a health system in transition to achieving universal access. Few could argue with the minister on the need for radical reform of a health system where socio economic status is still a key de ...
New Strategic Framework: 2017-2021

New Strategic Framework: 2017-2021

After a consultative process that included stakeholder consultations, internal and external evaluations, the RHAP Board has adopted the 5 year strategic framework for the period 2017-2021.  Vision: Rural Communities Accessing Equitable and Quality Health Care Mission: Promoting, Protecting and Realising the Right to Rural Health Care by Connect ...
It’s time we fix the way we fund health care

It’s time we fix the way we fund health care

A shortened version now online in Bhekisisa M&G Health: http://bhekisisa.org/article/2017-03-02-00-radical-transformation-begins-with-fixing-how-we-fund-healthcare-in-remote-areas Picture caption: Nurse accomodation at a deeply rural hospital faced with a staffing crisis in the Eastern Cape. Few healhcare workers agree to come and work here ...

Austerity measures may leave SA’s next generation of health workers unemployed

Austerity measures may leave SA’s next generation of health workers unemployed 16 Jan 2017 00:00 By: Joan van Dyk Original source: http://bhekisisa.org/article/2017-01-16-00-austerity-measures-may-leave-sas-next-generation-of-health-workers-unemployed Some pharmacists will be doing their community service at private pharmacies amid a shor ...
307 interns are still without an offer of employment for 2017 due to budget cuts

307 interns are still without an offer of employment for 2017 due to budget cuts

The RHAP is very concerned but not surprised about the news that broke this morning that 307 interns are still without an offer of employment for 2017 due to budget cuts (point 8 below). While the memo below refers to the education crisis as the main reason for the budget cut (point 9), this is symptomatic for a broader problem: the overall und ...
MTBPS 2016: The Rural Health Advocacy Project warns against further health service cuts to those most in need following continued fiscal consolidation

MTBPS 2016: The Rural Health Advocacy Project warns against further health service cuts to those most in need following continued fiscal consolidation

Rural Health Advocacy Project Press Statement MTBPS 2016: The Rural Health Advocacy Project warns against further health service cuts to those most in need following continued fiscal consolidation 27 October 2016 Following the Medium Term Budget Policy Statement (MTBPS) by Minister of Finance, Pravin Gordhan, on 26 October 2016, we reflect in t ...