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.

Report of the Standing Committee on Appropriations on the 2017 Medium Term Budget Policy Statement, dated 29 November 2017

RHAP was one of the stakeholders invited to present to this committee on 25 October 2017. Russell Rensburg, RHAP’s Health System and Policy Manager represented RHAP at this meeting. The Minister of Finance tabled the Medium Term Budget Policy Statement (MTBPS) on 25 October 2017 as required by section 6 (1) of the Money Bills Amendment Pr ...
SASOP – RHAP STATEMENT ON MENTAL HEALTH ADVOCACY TRAINING 2018

SASOP – RHAP STATEMENT ON MENTAL HEALTH ADVOCACY TRAINING 2018

SASOP-RHAP STATEMENT ON MENTAL HEALTH ADVOCACY TRAINING 2018 The Life Esidimeni tragedy continued to dominate the news throughout 2017. The testimonies of several witnesses in the arbitration hearings, chaired by retired deputy chief-justice Dikgang Moseneke, established how the Gauteng Department of Health continued to dismiss all warnings, de ...

Are South African health workers being silenced into malpractice?

By Karessa Govender, Published in The Daily Maverick, 17 November 2017 https://www.dailymaverick.co.za/opinionista/2017-11-17-are-south-african-health-workers-being-silenced-into-malpractice/#.Wg6MYROCxE4 “There is really no such thing as the ‘voiceless’. There are only the deliberately silenced, or the preferably unheard.” The word ...
22 November, Public Debate: Raising Alarm and Being Heard

22 November, Public Debate: Raising Alarm and Being Heard

Programme: 22Nov HCW Advocacy Debate Programme Date:  22 November 2017, 1530 for 16:00 – 18:30 Place: University of the Witwatersrand, School of Public Health, Resource Centre RSVP: For catering purposes RSVP by Monday 20 Nov to Karessa@rhap.org.za In a context of an ailing health system faced with many challenges, patients and their families n ...
The Next Generation of Health Care Worker – Clinical Associates

The Next Generation of Health Care Worker – Clinical Associates

Reflections from the rural Eastern Cape By: Sharon Gostino, RHAP intern During my training as a public health practitioner two years back we learnt about the role of various health cadres but little mention was made of the new health cadre of Clinical Associate that was introduced in South Africa in 2008. This was not by chance – in general lit ...
Life Esidimeni MD – ‘Doctors Failed to Speak Out’

Life Esidimeni MD – ‘Doctors Failed to Speak Out’

http://www.news24.com/SouthAfrica/News/life-esidimeni-md-doctors-failed-to-speak-out-20171018 As the hurt, loss and suffering of #Esidimeni is now open for all to hear and see, we need a serious conversation as a country about healthcare worker rights and duties to speak out. Some did speak out, internally, and were ignored or silenced, others ...
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 ...