Goal 4: Implementation

Policies are implemented in effective and efficient rural health care systems

While rural-friendly policies and adequate budget allocation are the first steps towards improved rural health care, they can only make an impact when implemented in effective and efficient health systems. Amongst other things, this requires good leadership and active citizenship, with communities that are conscious of their health rights and that hold government accountable.

Under this objective we aim to monitor the implementation of health policies and the overall effectiveness of the health system in rural areas. Capturing the voices of communities and health care workers and joining efforts is part and parcel of this approach. This is realised by the building of partnerships, documentation of challenges and good practices, promoting and enabling self-advocacy and creating awareness of our findings amongst government and stakeholders.

Note: While HR4RH and Rural Financing have both a policy and implementation dimension, the RHAP feels they deserve to be focus areas on their own due to their critical role in improving health care and the current challenges related to these two areas.

Statement of the National Health Assembly: 27 June 2016

Statement of the National Health Assembly: 27 June 2016

The National Health Assembly, held at the University of the Western Cape from 24 – 26 June brought together organisations and individuals from all provinces in South Africa and beyond. The NHA participants identified the following issues around health and health care provision in South Africa: the need for community participation including heal ...

Report on Rural Health Imbizo in Dr RSM District, NW Province, 21 May 2016

On 21 May the RHAP together with RuDASA hosted a rural health imbizo in one of the most rural districts in the country, Dr Ruth Segomotsi Mompati (Dr RSM) District in North West Province. Over 100 community members from around 14 villages attended the Imbizo, some represented NGO’s operating in the area, others represented community health work ...

Youtube: Dying in our homes: Ambulance shortages in the Eastern Cape

“People are dying in the Eastern Cape. They can’t reach hospitals in emergency situations. There aren’t enough ambulances to assist them.” Dying In Our Homes reveals the impact that the lack of ambulances is having on the lives of rural families. Daygan Eagar speaks about the catastrophic out of pocket expenditures vulne ...
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 ...
Press Release: Stop Stockouts Project urges emergency response to chronic drug shortages in SA

Press Release: Stop Stockouts Project urges emergency response to chronic drug shortages in SA

CHRONIC DRUG SHORTAGES THREATEN GAINS OF SA’S ANTI-RETROVIRAL TREATMENT (ART) PROGRAMME; CIVIL SOCIETY CALLS FOR BOLD ACTION  Stop Stock Outs Project releases second annual survey indicating persistent medicine shortages in majority of provinces and calls for an emergency response DURBAN – Chronic shortages of essential medicines, including ant ...
Mpumalanga Orthopaedics crisis; overtime and community service allocations

Mpumalanga Orthopaedics crisis; overtime and community service allocations

On the 25th of February, RHAP, RuDASA and RuRESA submitted a Letter to the DDG for Health in Mpumalanga Province in relation to three key concerns: the orthopaedics crisis; the over-time policy which disadvantages rural health; and the community service allocations in 2012 to mostly urban areas. Scant responses were received back prompting RHAP ...