Confronting the Right to Ethical and Accountable Quality Healthcare in South Africa: Lancet National Commission Consensus Report

Confronting the Right to Ethical and Accountable Quality Healthcare in South Africa: Lancet National Commission Consensus Report

RHAP’s new Director Russell Rensburg was one of the Commissioner’s of this high-level commission looking into the state of quality healthcare in South Africa.

Introduction

South Africa has made great strides since the end of apartheid in 1994 in improving overall population health and well-being, reflected in increased life expectancy, and reductions in mortality rates. The rights-based constitution, and other enabling legislation and policies, strong institutions and available resources provide a strong health system foundation for Universal Health Coverage (UHC). However, South Africa’s democratic government faces significant challenges in providing high quality health care. These challenges include: the quadruple burden of disease; the racialised nature of poverty levels and unemployment rates; huge spatial inequalities; inequities among provinces, between urban and rural areas, and between the public and private health sectors; inadequate resources (human, financial and physical); poor management and governance of the health system; failures in ethical leadership, and lack of accountability. This report reflects the consensus of a 13-member Lancet National Commission on High Quality Health Systems in South Africa. The National Commision was tasked with assessing critically the state of quality of care in the health system, and proposing evidence-based recommendations to decision-makers and practitioners on achieving a high quality health system. The full report contains the background, methods, results and recommendations of the review conducted by the National Commission, established in May 2017. In this synopsis, we highlight our definition of a high quality health system, and only report on the critical strategic issues and associated recommendations that should be prioritised for implementation.

Download the full report:SA Lancet Report Synopsis South Africa_Confronting the Right to Ethical Accountable Healthcare