The Rural-Proofing Policy and Budgeting Programme (RPP)

RHAP is now in the second phase of the Rural-Proofing Policy and Budgeting Programme: Realising Rural Health Rights in Times of Austerity (RRA).

The objective of the RRA is to ensure equitable access to quality health care for rural people by promoting, protecting and fulfilling the right to health. We work towards achieving this end goal by budget analysis, research and local learning sites; technical advocacy to Government; stakeholder engagement; alliance building and campaigns; popular publications; story-telling and the law. The experiences and voices of HCWs and patients play a central role in our work, enhanced by technical analyses of root causes and proposed equity-based solutions.

The RRA has two broad components:

  • Promoting adequate budgets, efficient spending and policies that improve access to health care for rural communities through rural-proofing processes and principles
  • Protecting existing services to rural communities from cost-containment measures that lead to a deterioration of access in care and that disproportionally affect rural communities

For more information contact Russell at Russell@rhap.org.za

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 ...
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 ...
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 ...
Ethical Perspective: Five Unacceptable Trade-offs on the Path to Universal Health Coverage’, Norheim, O.  International Journal of Health Policy and Management. 2015 Nov; 4(11): 711–714.

Ethical Perspective: Five Unacceptable Trade-offs on the Path to Universal Health Coverage’, Norheim, O. International Journal of Health Policy and Management. 2015 Nov; 4(11): 711–714.

This article discusses what ethicists have called “unacceptable trade-offs” in health policy choices related to universal health coverage (UHC). Since the fiscal space is constrained, trade-offs need to be made. But some trade-offs are unacceptable on the path to universal coverage. Unacceptable choices include, among other examples from low-in ...
Making fair choices on the path to universal health coverage. Final report of the WHO Consultative Group on Equity and Universal Health Coverage’. World Health Organisation (2014)

Making fair choices on the path to universal health coverage. Final report of the WHO Consultative Group on Equity and Universal Health Coverage’. World Health Organisation (2014)

Executive summary Universal health coverage (UHC) is defined as all people receiving quality health services that meet their needs without being exposed to financial hardship in paying for the services. Given resource constraints, this does not entail all possible services, but a comprehensive range of key services that is well aligned with oth ...
It’s time we fix the way we fund health care

It’s time we fix the way we fund health care

A shortened version now online in Bhekisisa M&G Health: http://bhekisisa.org/article/2017-03-02-00-radical-transformation-begins-with-fixing-how-we-fund-healthcare-in-remote-areas Picture caption: Nurse accomodation at a deeply rural hospital faced with a staffing crisis in the Eastern Cape. Few healhcare workers agree to come and work here ...
307 interns are still without an offer of employment for 2017 due to budget cuts

307 interns are still without an offer of employment for 2017 due to budget cuts

The RHAP is very concerned but not surprised about the news that broke this morning that 307 interns are still without an offer of employment for 2017 due to budget cuts (point 8 below). While the memo below refers to the education crisis as the main reason for the budget cut (point 9), this is symptomatic for a broader problem: the overall und ...
MTBPS 2016: The Rural Health Advocacy Project warns against further health service cuts to those most in need following continued fiscal consolidation

MTBPS 2016: The Rural Health Advocacy Project warns against further health service cuts to those most in need following continued fiscal consolidation

Rural Health Advocacy Project Press Statement MTBPS 2016: The Rural Health Advocacy Project warns against further health service cuts to those most in need following continued fiscal consolidation 27 October 2016 Following the Medium Term Budget Policy Statement (MTBPS) by Minister of Finance, Pravin Gordhan, on 26 October 2016, we reflect in t ...