Government has raised concerns that the health system may buckle under the pressure of both HIV and non-communicable diseases - a dual epidemic.
National health director general Precious Matsoso has warned that the current rate of non-communicable diseases such as diabetes, heart-related conditions and cancers pose a threat to the government's planned National Health Insurance system. "I hope South Africa's fight against these conditions will be fought with the same vigour and yield the same results as the fight against HIV has. If such diseases are not curbed, it could see the South African public health system put under a lot of strain in 10 years' time," Matsoso said.
Public health patients may soon be able to collect their medicine from private pharmacies in a massive public-private partnership that could eliminate medicine stock-outs.
Director General of Health Precious Matsoso confirmed on Friday that health officials had recently met with retailers including Pick n Pay, Checkers, Clicks and Dis-chem to explore this possibility.
“We have been very concerned about the recent medicine stock-outs, so we are looking into contracting private pharmacies to supply our patients with their medicine,” said Matsoso.
“We are prioritising the disabled, and people on antiretrovirals and chronic medication,” said Matsoso.
A YEAR after the government launched its National Health Insurance (NHI) pilot project, a third of the districts involved in the experiment have spent barely half their allocated budgets, according to a government-commissioned review presented to Parliament on Wednesday.
The slow pace of expenditure highlights the patchy progress being made by the project, which is running in 11 health districts. It was launched in April 2012, and allocated a R150m conditional grant for the fiscal year 2012-13, with some provinces adding extra funds. According to the Division of Revenue Act, the grant was intended to strengthen the health system in the selected districts, test innovations necessary for implementing NHI and strengthen revenue collection at central hospitals.
THE Department of Health still cannot say when the much-delayed South African Health Products Regulatory Agency (Sahpra) is likely to come into effect.
Despite the April 1 target set by last year’s health budget vote, there is still no sign of the new entity. The department envisaged Sahpra as the solution to the problems besetting the medicines regulator, the Medicines Control Council (MCC), which takes longer than regulators in the US and Europe to approve new drugs or clinical trials.
GPs with their own practices are interested in working for the NHI scheme – with caveats.
Last week, Bhekisisa reported that 350 private doctors will start working part time for the country's National Health Insurance (NHI) system this month at public health facilities. The clinics and hospitals are based at the NHI scheme's 11 pilot sites.
A poisonous snake slithering through a district hospital, badly cracked walls and rooms filled to the roof with broken equipment were some of the challenges facing researchers as they conducted the first national audit of public health facilities.
For most of last year, 20 data collection teams visited 3 880 public health facilities, throughout the country, ranging from tiny clinics to national central hospitals. The vast majority – 3 074 – were clinics.
The aim was to assess all public health facilities according to six criteria so that problems could be identified and addressed.
In the first of a two-part series about the NHI, Mia Malan reports on state plans to change the rigid reimbursement formula for private doctors.
About 350 private doctors have told the health department that they would like to sign contracts to work part-time at rural public health facilities in National Health Insurance (NHI) pilot sites, according to the department of health's director general, Precious Matsoso. She said most of them would start work in May.
"We have had overwhelming interest, but will first ensure that the clinics where such doctors will be employed are fully equipped and have passed our readiness assessment tests," said Matsoso.
South Africa will expand its rollout of GeneXpert tuberculosis (TB) testing machines, which can diagnose TB and drug-resistant TB within 90 minutes, but concerns remain about the capacity to back up this commitment with supplies and treatment.
The country is the largest buyer of GeneXpert technology in the world, but the machines have not yet become point-of-care tests and are often deployed at district rather than clinic level. Nonetheless, they have shaved weeks off waiting times for patients because samples no longer have to be transported to and from national referral hospitals kilometres away for diagnosis.
HEALTH director-general Precious Matsoso has defended the surprising findings of a health facility audit commissioned by her department.
The audit, which Ms Matsoso presented to Parliament last week, ranked Gauteng the best in the country for the quality of its care and for its infrastructure, with the Western Cape ranked third and fifth in these categories, respectively.
The finding was described at the time by the Democratic Alliance as implausible, given the Gauteng health department’s widely reported problems. Ms Matsoso subsequently responded to Business Day, saying "no data has been manipulated in any way".
Government's health facilities audit shows most staff fail to have "positive and caring attitude" towards patients
Seventy percent of public health facilities do not have “positive and caring attitudes” towards patients, while two-thirds do not have adequate safety measures.
This is according to the ‘National Health Care Facilities Baseline Audit’, which was quietly released via the Department of Health’s website yesterday.
The release follows a presentation on the audit by Health Director General Precious Matsoso to the Parliamentary Select Committee on Tuesday (19 March).