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.

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 ...
Rural Health: Grossly Unequal but Some Hope

Rural Health: Grossly Unequal but Some Hope

Groundup Opinion Piece. 03 December 2013. Dr Thomas Yates reflects on the state of rural health in this opinion piece published in GroundUp on the 3rd December 2013. While there are significant unmet health needs in many parts of South Africa, they are particularly acute in historically disadvantaged rural areas. Read the full article here. ...

Open letter to Mpumalanga DoH

On-going Reports of Harassment, Unfair Labour Practice and Poor Leadership, High Staff Turn-Over at Tintswalo Hospital since 2010 and No Improvement. The Rural Health Advocacy Project, SECTION27, Treatment Action Campaign and RuDASA have closely followed and reported on the governance problems at Tintswalo Hospital over the past years. Our firs ...

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 ...