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.

Public Oral Health Forum – a Game Changer for Rural Communities

Public Oral Health Forum – a Game Changer for Rural Communities

The Public Health Oral Forum is a critical think tank, advocacy and discussion platform that has been established by oral health care workers working for the South African government. Founded in February 2018, it seeks to unite oral health professions behind a call to advance the promotion and preservation of oral health worker rights and the c ...
UKZN / RHAP Partnership: Advocacy in the Curriculum

UKZN / RHAP Partnership: Advocacy in the Curriculum

Today marks the next step in the partnership with UKZN and RHAP on the integration of Advocacy in the Curriculum. UKZN actively supported and promoted the development of RHAP’s Advocacy in the Curriculum Manual in 2015/16. As we are rolling-out the manual across Health Sciences Faculties in South Africa, UKZN is once again pioneering this ...
From Green Paper to Final Policy: Has there been a change in how rural is considered in relation to the National Health Insurance process in South Africa

From Green Paper to Final Policy: Has there been a change in how rural is considered in relation to the National Health Insurance process in South Africa

Download RHAP’s review here: NHI From Green to White Paper_ Review_RHAP_July2017 Since the publication of the NHI Green Paper in 2011, the Rural Health Advocacy Project (RHAP) and its rural health partners have engaged extensively with the NHI policy development and review process. This engagement has included providing comment on various ...
Press Release: RHAP Issues First Annual CSO Allocation Update ‘Acute’ 2018

Press Release: RHAP Issues First Annual CSO Allocation Update ‘Acute’ 2018

Rural communities left at the wayside in community service allocations Discrimination towards rural communities in health service delivery persists. This is one of the key findings from the Annual CSO Allocation Update ‘ACUTE’, a report released by the Rural Health Advocacy Project (RHAP). The goal of the report is to monitor and critically eva ...
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 ...
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 ...
SASOP – RHAP STATEMENT ON MENTAL HEALTH ADVOCACY TRAINING 2018

SASOP – RHAP STATEMENT ON MENTAL HEALTH ADVOCACY TRAINING 2018

SASOP-RHAP STATEMENT ON MENTAL HEALTH ADVOCACY TRAINING 2018 The Life Esidimeni tragedy continued to dominate the news throughout 2017. The testimonies of several witnesses in the arbitration hearings, chaired by retired deputy chief-justice Dikgang Moseneke, established how the Gauteng Department of Health continued to dismiss all warnings, de ...