The SAHR 2011 provides valuable policy and empirical information on a range of issues that are related to and impact on the Negotiated Service Delivery Agreement and primary health care re-engineering as envisaged by the National Department of Health (NDoH). A range of experts provide commentary on topics ranging from rural health, health technology to human resources. SAHR 2011 also contains a section on core health issues, where developments in health information systems, financing health care, and health legislation and policy are discussed. The Review concludes with the Indicators chapter which presents a selection of the best available data on the functioning and performance of the health system.
THE government spends almost 60% of its health budget on personnel, yet cannot say precisely how many cardiologists, pediatricians or physiotherapists work for the state because of weaknesses in its data systems.
The picture gets even murkier when it comes to the private sector, as the professional councils that register doctors, nurses and other health workers do not record where people work, and whether they have emigrated or retired. The lack of accurate figures has hamstrung the public sector’s ability to manage staff, so getting a better handle on the data is a key aspect of the draft human resources strategy released by the Department of Health last week, says director- general Precious Matsoso.
This, the 10th edition of the South African Health Review, has the major theme of Human Resources for Health (HRH). South Africa has made significant progress in producing policies supportive of a good quality of health for all residents. However, there are challenges and gaps in translating these policies into action. Probably the most important of these challenges is the lack of adequate human resources.