Cutting Human Resources for Health – Who Pays?

Cutting Human Resources for Health – Who Pays?

This report shows both the gravity and the complexity of the HRH crisis for rural communities in South Africa. While many of the challenges described affect health services at all levels and in urban and peri-urban areas as well, it is clear that rural South Africans are uniquely vulnerable to the effects of staffing cuts, and disproportionatel ...
The Achilles Heel of the new NSP : Accountability and Equity

The Achilles Heel of the new NSP : Accountability and Equity

By Russell Rensburg As we move towards the release of South Africa’s latest National Strategic Plan for HIV/AIDS, TB and STI’s it is important to celebrate the successes achieved since the end of AIDS denialism and the introduction of a revitalised AIDS response in 2006. Getting there and sustaining the response has required significant politic ...
Advocacy for Health: An educators guide to incorporating advocacy into the health sciences curriculum

Advocacy for Health: An educators guide to incorporating advocacy into the health sciences curriculum

Rural patients often bear the brunt of a vicious cycle.  Their local health systems need more resources and healthcare workers with inside knowledge to speak out about health care failures; but the shortages of health care workers make them feel vulnerable to speak out. Whilst healthcare workers can be agents of change, many lack the motivation ...
Rural Recruitment and Retention: Why are we not winning?

Rural Recruitment and Retention: Why are we not winning?

While the Department of Health has started work on a new plan for HRH, what we have achieved in the past 5 years? Sadly, the picture is bleak and progress is hampered by a combination of factors: ranging from lack of NDoH prioritisation and capacity; National Health Council resolutions on rural health education and task teams that are not follo ...

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 ...
RHAP Discussion Document: Defining rurality within the context of health policy, planning, resourcing and service delivery

RHAP Discussion Document: Defining rurality within the context of health policy, planning, resourcing and service delivery

The RHAP has developed a discussion document on the definition of rurality. Please send any comments to Daygan Eagar at Daygan@rhap.org.za. Summary and Recommendations: Section 27 of South Africa’s Constitution (1996) affords everyone who lives in the country the “right to have access to health care services, including reproductive health care” ...

Rural-Proofing of Policy – An Overview of International Best Practices

As part of the RPP Programme, RHAP’s Daygan Eagar conducted a desktop review of international best practices in relation to rural-proofing of policy.  Summary and Key Recommendations Globally, rural populations tend to fair worse on important socioeconomic indicators than their urban counterparts. They tend to be poorer, are unemployed in ...

Death and Dying in the Eastern Cape

An investigation into the collapse of a health system. This is a special report of the TAC/SECTION27 NSP Review. It has been researched and written because throughout 2012 and 2013 we have become increasingly aware of the scale of the health system crisis in the Eastern Cape and its adverse impact on patients and health providers. This is not a ...

New Report: Patients still at risk in Eastern Cape HIV drugs stock-outs

The Chronic Crisis: Essential drug stock-outs risk unnecessary death and drug resistance in South Africa In this update on drug supply in the Eastern Cape and other provinces, Rural Health Advocacy Project (RHAP), Doctors Without Borders (MSF), the Treatment Action Campaign (TAC) and SECTION27 show that many thousands of patients on antiretrovi ...

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 ...