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-E Raises Alarm on Frozen Posts following RHAP Investigation

Health-E Raises Alarm on Frozen Posts following RHAP Investigation

The Big Chill: Health post freeze threatens services by Laura Lopez Gonzalez on February 1, 2016  in Health Funding, Health Management, News Facing a R9-billion shortfall just to meet salary demands, provincial health departments are freezing posts. Whether couched openly in memos or hidden between the lines of spiralling bureaucracy, staff fre ...
NHI White Paper

NHI White Paper

The NHI White Paper has finally been released! RHAP will study this critical initiative towards greater equity thoroughly and prepare for our submission. RHAP is in full support of the purpose of the NHI, namely to “to ensure that affordable and equitable medical care is available to everyone in South Africa and not just to citizens who c ...
Causes, implications and possible responses to the implementation of staffing moratoria in the public health system in South Africa during times of budget austerity

Causes, implications and possible responses to the implementation of staffing moratoria in the public health system in South Africa during times of budget austerity

The purpose of this working paper is to draw attention to the causes, consequences and possible responses to the implementation of moratoria on the filling of posts within the health system. Human resource moratoria, also referred to as the ‘freezing of posts’, have become an increasingly common occurrence within the public health system over t ...
Developing an approach to accounting for need in resource allocations between urban and rural district hospitals in South Africa

Developing an approach to accounting for need in resource allocations between urban and rural district hospitals in South Africa

In this SAHR chapter Eagar, Cooke, Levin and Wolmarans developed an tested an approach to the creation of a rural index that explicitly accounts for differences in rural and urban contexts with regards to healthcare need and the demographic, geographic and socio-economic factors that play a role in determining relative resource needs. The appro ...
Exploring Corruption in the South African Health Sector

Exploring Corruption in the South African Health Sector

ZAR 24,082 billion irregular expenditure by provincial health departments combined in the 4-year period 2009/10 to 2012/13.  In this recent publication in Health Policy and Planning (2015), Rispel et al conclude that corruption is a problem in the South African healthcare sector and influenced by “adverse agent selection, lack of mechanis ...
Know the Facts! Rural Health Factsheet 2015

Know the Facts! Rural Health Factsheet 2015

The new rural health fact sheet is out! All you need to know about rural health in one document. Contact RHAP to propose additions for the 2016 version. RHAP Rural Health Fact Sheet 2015 web ...
Rural Health Update # 3: Rural-Proofing Health Care Financing in SA

Rural Health Update # 3: Rural-Proofing Health Care Financing in SA

The transformation of the health sector can only truly improve access to historically neglected rural communities if persistent structural inequities are addressed. These inequities relate to the distribution of financial, human and material resources. This third issue of Rural Health Update deals with inequities in the allocation of financial ...
Press Release: The RHAP calls for the protection of critical health services whilst the North West Department of Health is put under administration

Press Release: The RHAP calls for the protection of critical health services whilst the North West Department of Health is put under administration

Chronically underserved rural populations will bear the brunt as a result of embargoes on hiring staff, maintaining infrastructure and upgrading equipment At the beginning of the 2015/16 financial year the North West Provincial Government placed the provincial department of health, along with other key service departments such as public works a ...
If SA is Winning Where are all its Prized Doctors?

If SA is Winning Where are all its Prized Doctors?

In response to the earlier feature in the Sunday Times ‘SA is the winner as local doctors stay put” (22 March 2015) RHAP’s Director Marije Versteeg-Mojanaga questions if we are really “winning” in this letter covered in the Sunday Times of 5 April. Your article “SA is the winner as local doctors stay put” (22 March ...