Goal 3: Human Resources for Rural Health

Every rural citizen has adequate access to caring, qualified health care teams

South Africa, as many countries worldwide, is faced with a severe crisis in terms of human resources for health. Inequities exist in the distribution of human resources between the private and public sectors as well as rural and urban areas. About 60% of the nurses and 40% of the doctors serve 85% of the population using the public health sector. Vacancy rates are the worst in rural provinces, with the three most rural provinces having the lowest doctor-to-patient ratios. Inequities also exist within rural provinces and districts, with wide variations in staffing levels between facilities leading to inefficient use of scarce health care workers. At the same time, the demand for health care services has increased, primarily due to the HIV and TB epidemics. The impact on poor communities is severe; ranging from long waiting times, unnecessary referrals, poor quality of care to avoidable deaths. Innovative, pro-equity and comprehensive strategies are required to promote adequate levels of care and rural recruitment and retention of health care workers.

The activities under this strategic objective are aimed at ensuring an equitable distribution of adequately trained, supported and caring health care workers to underserved rural areas.

Consensus Statement on Decentralised Training in the Health Professions

Consensus Statement on Decentralised Training in the Health Professions

The following introduction and statement was developed by SAHEE, the original posted on: http://saahe.org.za/2017/07/consensus-statement-on-decentralised-training-in-the-health-professions/ At the closing ceremony of the 2017 SAAHE national conference in Potchefstroom, delegates adopted a conference declaration in the form of the Consensus Stat ...
Rural Health Resource Mapping Guide – Who Cares?

Rural Health Resource Mapping Guide – Who Cares?

We hope you! 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 healt ...
Protecting Critical Health Posts in Times of Austerity

Protecting Critical Health Posts in Times of Austerity

This article was originally published in the PHASA newsletter, ahead of the 2015 PHASA conference. https://www.phasa.org.za/wp-content/uploads/2015/11/Marije_Protecting-critical-posts_article-1.pdf Protecting critical posts at times of austerity Marije Versteeg-Mojanaga, Director of the Rural Health Advocacy Project (RHAP). Executive member of ...
Advocacy works for Canzibe after Prolonged HRH Crisis

Advocacy works for Canzibe after Prolonged HRH Crisis

After a period of prolonged HR crisis and on-going advocacy, today the MEC for Health in the Eastern Cape, together with the Superintendent-General, made a historic first time visit to Canzibe Hospital where they met with the traditional leadership, Hospital Board and the CEO to discuss the challenges plaguing Canzibe Hospital. As a result a co ...

Rural Health Crisis Looms

Posted in The New Age , June 12 2017 Rural health crisis looms DESPITE a multibillion-rand investment by the government to improve access to quality healthcare in the country’s rural areas, an alarming shortage of doctors threatens to torpedo this intervention. Provinces affected by the doctor shortage include Gauteng, North West, KwaZulu-Natal ...
No time for emergencies

No time for emergencies

SA’s grandmothers are breadwinners in their old age, and their inability to access decent healthcare quickly impacts on their children,  grandchildren and their entire  communities. Health-e News’ Kim Harrisberg reports. http://www.news24.com/SouthAfrica/News/no-time-for-emergencies-20170507-2 Six elderly women sit inside a corrugated iron shac ...
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 ...
PRESS RELEASE: ECDoH commitment to allocate 4 doctors at ailing Canzibe Hospital from July welcomed but crisis management needed now to bridge June month with 1 doctor left

PRESS RELEASE: ECDoH commitment to allocate 4 doctors at ailing Canzibe Hospital from July welcomed but crisis management needed now to bridge June month with 1 doctor left

The Rural Health Advocacy Project welcomes the news that the Eastern Cape Department of Health is recruiting four doctors to work at the 120-bed Canzibe District Hospital in OR Tambo District, in the Eastern Cape. Three of the four doctors are expected to start by 1 July. This comes after months of advocacy by various parties and through variou ...
ECHCAC welcomes undertakings to appoint three doctors to Canzibe Hospital by July 2017

ECHCAC welcomes undertakings to appoint three doctors to Canzibe Hospital by July 2017

Canzibe Hospital is a 120 bed hospital in Nqeleni area in the Eastern Cape. For some time, the hospital has experienced a severe shortage of doctors and rehabilitation specialists. The shortage has meant that outreach services were halted and remaining doctors overworked and under-supported. ECHCAC member, the Rural Health Advocacy Project (“RH ...