- Title
- An evaluation of the implementation of phase 1 of the National Health Insurance Policy in South Africa
- Creator
- Ntlangula, Margaret Nokuzola
- Subject
- National health insurance -- South Africa Medical policy -- South Africa
- Date
- 2017
- Type
- Thesis
- Type
- Doctoral
- Type
- Development Studies
- Identifier
- http://hdl.handle.net/10353/8714
- Identifier
- vital:33439
- Description
- The purpose of this study was to evaluate how Phase 1 of the National Health Insurance Policy in South Africa was implemented. This evaluation focused on evaluation of reengineering of the primary health care system which is listed as one of the areas that was highlighted by the Department as needing attention during the implementation of Phase 1 of NHI. Reengineering of Primary Health Care was pronounced as the heart-beat of NHI. This is the approach that South Africa chose to implement to strengthen the current health care system. Specific measures that were selected to strengthen the current health system would be prioritized in Phase 1. Re-engineering of Primary Health Care is trusted with making a contribution to creation of a unified health care system. These areas would assist to close gaps which are a result of the current fragmented health care system. Inherited from the apartheid government of South Africa the current health care system has two fragments. One fragment is a highly resourced private health sector which provides quality health care for only 16 percent of the population while leaving 84percent of South Africans to access health care from the under-resourced public health sector. Fragmentation has contributed to inefficiencies in provision of health care. Post 1994 the Constitution outlawed discrimination based on economic and socioeconomic status which paved a way for progressive provision of universal coverage. To operationalize provisions of the Constitution of South Africa, the democratic government is implementing NHI which is a United Nations programme. To achieve a sustainable NHI, Phase 1 implementation also focused on strengthening the current health system. Through phased NHI implementation health financing reforms will become a reality. South Africa is implementing National Health Insurance policy to strategically redress health care financing which has resulted into an unequally fragmented health system. The end of a fragmented health system will give way to the birth of an ideal unified health system and universal coverage. The aim of this study was to evaluate how Phase 1 of National Health Insurance was implemented. Document method was used to collect documents, select and analyze data. This evaluation complements other studies which have contributed to the body of knowledge about implementation of programmes which will bring about realization of universal coverage.
- Format
- 265 leaves
- Format
- Publisher
- University of Fort Hare
- Publisher
- Faculty of Management and Commerce
- Language
- English
- Rights
- University of Fort Hare
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| Thumbnail | File | Description | Size | Format | |||
|---|---|---|---|---|---|---|---|
| View Details | SOURCE1 | Margaret Nokuzola Ntlangula.pdf | 1 MB | Adobe Acrobat PDF | View Details |