Goal 3: Human Resources for Rural Health

Every rural citizen has adequate access to caring, qualified health care teams

South Africa, as many countries worldwide, is faced with a severe crisis in terms of human resources for health. Inequities exist in the distribution of human resources between the private and public sectors as well as rural and urban areas. About 60% of the nurses and 40% of the doctors serve 85% of the population using the public health sector. Vacancy rates are the worst in rural provinces, with the three most rural provinces having the lowest doctor-to-patient ratios. Inequities also exist within rural provinces and districts, with wide variations in staffing levels between facilities leading to inefficient use of scarce health care workers. At the same time, the demand for health care services has increased, primarily due to the HIV and TB epidemics. The impact on poor communities is severe; ranging from long waiting times, unnecessary referrals, poor quality of care to avoidable deaths. Innovative, pro-equity and comprehensive strategies are required to promote adequate levels of care and rural recruitment and retention of health care workers.

The activities under this strategic objective are aimed at ensuring an equitable distribution of adequately trained, supported and caring health care workers to underserved rural areas.

Advocacy in the Curriculum

Advocacy in the Curriculum

RHAP is making inroads into various universities with our ‘Advocacy in the Curriculum’ Programme. Download our manual Integrating Advocacy into the Curriculum Manual January 2017 and get in touch for more information! Email: Samantha@rhap.org.za UKZN Presentation on Decolonising the Curriculum: UKZN Decolonisation presentation SMU P ...
GUIDELINES TO FACILITIES AND DISTRICTS FOR USE OF THE NORTH WEST PROVINCE RECRUITMENT PRIORITISATION TOOL

GUIDELINES TO FACILITIES AND DISTRICTS FOR USE OF THE NORTH WEST PROVINCE RECRUITMENT PRIORITISATION TOOL

The following guidelines were developed in 2017 by RHAP in partnership with Africa Health Placements for North West Province and supported by the National Department of Health. They can be applied in any other province. See also: http://www.rhap.org.za/context-north-west-critical-health-posts-project/ Introduction Following national and provinc ...
Development of the North West Critical Health Posts Tool

Development of the North West Critical Health Posts Tool

After years of research and advocacy, The Rural Health Advocacy Project announces the next step in our Critical Health Posts work – a pilot project in North West Province that places not only clinical consequences at the centre of decision-making but also rurality factors and vulnerable patient groups. A project that promotes equity and a ...
Consensus Statement on Decentralised Training in the Health Professions

Consensus Statement on Decentralised Training in the Health Professions

The following introduction and statement was developed by SAHEE, the original posted on: http://saahe.org.za/2017/07/consensus-statement-on-decentralised-training-in-the-health-professions/ At the closing ceremony of the 2017 SAAHE national conference in Potchefstroom, delegates adopted a conference declaration in the form of the Consensus Stat ...
Rural Health Resource Mapping Guide – Who Cares?

Rural Health Resource Mapping Guide – Who Cares?

This guide, the RHAP Rural Health Resource Mapping Guide, a culmination of three years of research and stakeholder engagement, was developed for all policymakers, advocates, managers and stakeholders wishing to develop and influence policies, budgets and implementation plans that protect, promote and advance access to quality health care for ru ...
Protecting Critical Health Posts in Times of Austerity

Protecting Critical Health Posts in Times of Austerity

This article was originally published in the PHASA newsletter, ahead of the 2015 PHASA conference. https://www.phasa.org.za/wp-content/uploads/2015/11/Marije_Protecting-critical-posts_article-1.pdf Protecting critical posts at times of austerity Marije Versteeg-Mojanaga, Director of the Rural Health Advocacy Project (RHAP). Executive member of ...
Advocacy works for Canzibe after Prolonged HRH Crisis

Advocacy works for Canzibe after Prolonged HRH Crisis

After a period of prolonged HR crisis and on-going advocacy, today the MEC for Health in the Eastern Cape, together with the Superintendent-General, made a historic first time visit to Canzibe Hospital where they met with the traditional leadership, Hospital Board and the CEO to discuss the challenges plaguing Canzibe Hospital. As a result a co ...

Rural Health Crisis Looms

Posted in The New Age , June 12 2017 Rural health crisis looms DESPITE a multibillion-rand investment by the government to improve access to quality healthcare in the country’s rural areas, an alarming shortage of doctors threatens to torpedo this intervention. Provinces affected by the doctor shortage include Gauteng, North West, KwaZulu-Natal ...
No time for emergencies

No time for emergencies

SA’s grandmothers are breadwinners in their old age, and their inability to access decent healthcare quickly impacts on their children,  grandchildren and their entire  communities. Health-e News’ Kim Harrisberg reports. http://www.news24.com/SouthAfrica/News/no-time-for-emergencies-20170507-2 Six elderly women sit inside a corrugated iron shac ...