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.

Press Statement Budget Speech 2015: The Rural Health Advocacy Project calls for a reversal of austerity measures that only deepen existing inequities in health care for rural people.

Press Statement Budget Speech 2015: The Rural Health Advocacy Project calls for a reversal of austerity measures that only deepen existing inequities in health care for rural people.

24 February 2015 Tomorrow (25 February 2015), Minister Nhanhla Nene will table the 2015/16 budget and give his first budget speech as the Minister of Finance. The budget he presents is widely expected to be one that continues and even deepens austerity measures aimed at cutting expenditure with a view to reducing the budget deficit. The RHAP ma ...
Press Statement: The MTBPS reveals troubling times for rural health

Press Statement: The MTBPS reveals troubling times for rural health

Summary: On 22 October 2014 South Africa’s Finance Minister, Mr Nhlanhla Nene, delivered his first Medium Term Budget Policy Statement (MTBPS) at a sitting of Parliament. The MTBPS, also referred to as the mini budget, is important because it communicates the government’s economic context, medium-term fiscal policy objectives and spending prior ...
STATEMENT BY SECTION27, BEMF, RHAP, TAC: NORTH WEST HEALTH MEC LUXURY VEHICLE PURCHASE VIOLATES THE RIGHT TO ACCESS TO HEALTH CARE SERVICES

STATEMENT BY SECTION27, BEMF, RHAP, TAC: NORTH WEST HEALTH MEC LUXURY VEHICLE PURCHASE VIOLATES THE RIGHT TO ACCESS TO HEALTH CARE SERVICES

On 16 and 17 May 2014, reports emerged about the purchase of a new vehicle for the MEC for Health in the North West Province. The vehicle was reported to have cost R940 000 and to have been paid for using money in cost centres dedicated to the purchase of Emergency Medical Services (EMS) vehicles. The reports appeared on the Mail & Guardian ...
Re-Imagining Rural Health – The State of Rural Health 20 years into Democracy

Re-Imagining Rural Health – The State of Rural Health 20 years into Democracy

Originally published in the May 2014 newsletter of the Public Health Association of South Africa (PHASA). Daygan Eagar, Rural Health Advocacy Project (RHAP)’s health budget specialist and Programme Manager for the Rural-Proofing Policy and Budgeting Programme. He provides health budget and policy monitoring training to communities and civil soc ...

A Rural Health Budget Part of Budget Expenditure Monitoring Forum’s Oral Submission to Select Committee on Appropriations

MEDIA ALERT – 17th March 2014 The Budget and Expenditure Monitoring Forum, a group of civil society organizations, ensuring that money is allocated for the delivery of public health care and basic education, will tomorrow (Tuesday 18th March) make an important presentation to Parliament’s National Council of Provinces Select Committee on ...

Health Care Financing Reform in South Africa: Equity, Social Justice and the NHI

In this chapter on equity, social justice and NHI, published in the AICDs 2013 Budget Justice Book, Daygan Eagar makes a compelling case for health care financing reform in South Africa. Eagar argues that “Even though the public system is underfunded when compared to the private sector, there is no doubt that it continues to underperform ...

NHI and Rural Health

This submission in response to the Green Paper on NHI is made by the Rural Doctors Association of Southern Africa, the Rural Health Advocacy Project, the Wits Centre for Rural Health, the UKZN Centre for Rural Health, the Ukwanda Centre for Rural Health, Africa Health Placements, Rural Rehab South Africa and the University of Cape Town: Primary ...

IST reports on the state of the health system and the public’s right to know

More than a year after their finalisation and after many frustrated attempts by civil society organisations and the media to access them – including through the Promotion of Access to Information Act, 2000 – SECTION27 and the Rural Health Advocacy Project (RHAP) have finally been leaked copies of all the provincial reports compiled by the Integ ...