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

Causes, implications and possible responses to the implementation of staffing moratoria in the public health system in South Africa during times of budget austerity

Causes, implications and possible responses to the implementation of staffing moratoria in the public health system in South Africa during times of budget austerity

The purpose of this working paper is to draw attention to the causes, consequences and possible responses to the implementation of moratoria on the filling of posts within the health system. Human resource moratoria, also referred to as the ‘freezing of posts’, have become an increasingly common occurrence within the public health system over t ...
RHAP Submission on the Medium Term Budget Policy Statement 2015: More bad news for human resources for health (Version 1)

RHAP Submission on the Medium Term Budget Policy Statement 2015: More bad news for human resources for health (Version 1)

Submission to the Joint Meeting of the Standing and Select Committees on Finance, Public Hearings, 28 October 2015.  Download the full submission Summary and recommendations This submission is made to the Joint Meeting of the Standing and Select Committees on Finance on the 2015 Medium Term Budget Policy Statement tabled in Parliament on 28 Oct ...
Developing an approach to accounting for need in resource allocations between urban and rural district hospitals in South Africa

Developing an approach to accounting for need in resource allocations between urban and rural district hospitals in South Africa

In this SAHR chapter Eagar, Cooke, Levin and Wolmarans developed an tested an approach to the creation of a rural index that explicitly accounts for differences in rural and urban contexts with regards to healthcare need and the demographic, geographic and socio-economic factors that play a role in determining relative resource needs. The appro ...
Press Release: The RHAP calls for the protection of critical health services whilst the North West Department of Health is put under administration

Press Release: The RHAP calls for the protection of critical health services whilst the North West Department of Health is put under administration

Chronically underserved rural populations will bear the brunt as a result of embargoes on hiring staff, maintaining infrastructure and upgrading equipment At the beginning of the 2015/16 financial year the North West Provincial Government placed the provincial department of health, along with other key service departments such as public works a ...
Press Statement Budget Speech 2015: The Rural Health Advocacy Project calls for a reversal of austerity measures that only deepen existing inequities in health care for rural people.

Press Statement Budget Speech 2015: The Rural Health Advocacy Project calls for a reversal of austerity measures that only deepen existing inequities in health care for rural people.

24 February 2015 Tomorrow (25 February 2015), Minister Nhanhla Nene will table the 2015/16 budget and give his first budget speech as the Minister of Finance. The budget he presents is widely expected to be one that continues and even deepens austerity measures aimed at cutting expenditure with a view to reducing the budget deficit. The RHAP ma ...
RHAP Launches the Rural-Proofing Health Guidelines

RHAP Launches the Rural-Proofing Health Guidelines

“No plan must be passed or approved without the rural-proofing box being ticked.” Dr Andrew Robinson, North West Department of Health On the 29th of January the RHAP launched the Rural Proofing Guidelines in Parktown, Johannesburg. The event was attended by National, Provincial and District Department of Health officials, National T ...
Budget Justice and NHI

Budget Justice and NHI

In the preface of the publication AIDC Budget Justice_November 2014, launched on the 25th of November, Dick Forslund rightfully argues that “Budget justice is inherently a political process. This booklet seeks to raise a fundamental starting point of engaging with public budgets. Progressive civil society must unite specific budget object ...
Press Statement: The MTBPS reveals troubling times for rural health

Press Statement: The MTBPS reveals troubling times for rural health

Summary: On 22 October 2014 South Africa’s Finance Minister, Mr Nhlanhla Nene, delivered his first Medium Term Budget Policy Statement (MTBPS) at a sitting of Parliament. The MTBPS, also referred to as the mini budget, is important because it communicates the government’s economic context, medium-term fiscal policy objectives and spending prior ...