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.

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 ...
Mandate Paper Budget 2018 – Department: Planning, Monitoring and Evaluation

Mandate Paper Budget 2018 – Department: Planning, Monitoring and Evaluation

In 2016, Cabinet identified the need to strengthen the alignment of the South African Budget, the Medium-Term Strategic Framework (MTSF) and the National Development Plan (NDP), and for budget prioritisation to focus on the last 24 months of the current administration. The Department of Planning, Monitoring and Evaluation (DPME) and the Nationa ...
Resource Requirements for Community-Based Care in Rural, Deep-rural and Peri-urban Sub-districts.  A comparative analysis in 2 districts in Gauteng and KwaZulu-Natal

Resource Requirements for Community-Based Care in Rural, Deep-rural and Peri-urban Sub-districts. A comparative analysis in 2 districts in Gauteng and KwaZulu-Natal

This study was conducted by the MRC and RHAP to compare the resource implications (both financial and human resources) of the CHW components of WBOT between rural and urban communities. The study focuses on different community-based service models implemented in two provinces to highlight potential differences between urban and rural sub-distri ...
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 ...