Health Minister Aaron Motsoaledi said the NHI delivery model would be based on the primary health care approach. File Photo: ANA
Health Minister Aaron Motsoaledi said the NHI delivery model would be based on the primary health care approach. File Photo: ANA

Presidency sets up NHI 'war room'

By Staff Reporter Time of article published Feb 12, 2019

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CAPE TOWN – The Presidency has set up a National Health Insurance (NHI) "war room" to address challenges in the public healthcare system.

Health Minister Aaron Motsoaledi said this when he addressed the launch of the Presidential Health Summit Report on behalf of President Cyril Ramaphosa at Tuynhuys in Cape Town on Tuesday.

The President, who had flown in from Addis in the early hours of the morning, was unable to personally launch the report and delegated Motsoaledi to do so in his place.

President Ramaphosa indicated in the State of the Nation Address (Sona) that in 2019 the government would take a significant step towards universal health coverage that will bring quality health care to all South Africans.

On Tuesday, the Motsoaledi said the NHI delivery model would be based on the primary health care approach, which emphasises the importance of providing preventative, promotive, curative, promotive and rehabilitative services.

"By applying the principle of social solidarity and cross-subsidisation, we aim to reduce inequality in access to health care. Realising the magnitude of the challenges in health care, we have established an NHI and quality improvement ‘war room’ in the Presidency.

“This war room brings together various key departments to address the crisis in the public health system while preparing for the implementation of the NHI,” he said.

Motsoaledi said government was guided by the insight that improving the health system and introducing NHI are two sides of the same coin.

He said after extensive consultation, the NHI Bill will soon be ready for submission to Parliament.

“The NHI will enable South Africans to receive free services at the point of care in public and private quality-accredited health facilities.

“Repairing our national health system is an endeavour that requires the input, involvement and innovation of all role players who understand that good health makes for a good life and a good economy.

“At a time when we are laying the foundations for increased investment in our economy and we are developing the skills of our people to be active in this economy, it is essential that we build and maintain a healthy nation,” he said.

Motsoaledi’s remarks and the launch of the report come after the health sector held a summit in Ekurhuleni in October 2018. Deputy President David Mabuza officiated the summit under the theme: "Strengthening the South African health system towards an integrated and unified health system”.

During the summit, concerns were raised about the poor quality of health care that people experience in clinics and hospitals during their moments of vulnerability.

The complaints varied from inadequate access to medicines and equipment; inadequate numbers of staff at facilities; the unprofessional conduct of staff as well as labour unrest; corruption and theft of hospital property.

One of the barriers to access to health care, said the Minister, is the unsustainably high cost of private care.

“Many users of this care experience above-inflation increases in medical schemes contributions, and the failure of medical schemes to pay for patient services that have been rendered.

“Several organisations have raised concerns with me regarding the dysfunction of the health system, to the point that it is clear that the system is in crisis and needs urgent rehabilitation. These are issues that must be addressed collectively by all stakeholders if we are to prevent a collapse of our health system,” he said.

There was a need for a robust, efficient and caring health system in a country where more than seven million people live with HIV; rising rates of diabetes, hypertension and cancer; and where maternal and neonatal death rates must be reduced.

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