Health Care

Building the next 20 years of healthcare delivery

20 years of healthcare

This article, titled Building the next 20 years of healthcare delivery on a solid foundation of health system strengthening, is the first in a series of articles which examine the building blocks of a healthcare system that needs to be enabled to implement sustainable healthcare programmes and interventions.

Building the next 20 years of healthcare delivery on a solid foundation of health system strengthening

The demand placed on the South African Healthcare System between 1994 and 2014 has resulted in a series of reforms aimed at addressing South Africa’s healthcare needs. These reforms took place at a time when our HIV and AIDS problem was growing fast and when there was limited access to healthcare, which resulted in the creation or reform of deep capabilities where they were desperately needed, such as Central Medical Stores, National Health Laboratory Services, HIV clinics and district structures.

The unfortunate consequence of this process is the creation of a system of vertical structures that have limited integrated service delivery, which today is a priority for the Ministry of Health. Health system strengthening has been the foundation on which many countries have been tasked to build their healthcare system. It’s not that the framework is misleading or too complicated; the challenge lies in how to make it actionable to drive the service delivery transformation that government/providers seek to realise.

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It is essential for all leaders to rally around a call to action to adopt the very essence of the National Development Plan, to make it their own and to reform, in camaraderie, the healthcare system for the next 20 years.

Contact Harsha Desai at hardesai@deloitte.co.za should you have any questions.

About the author

David Graham

6 Comments

  • Healthcare is a grave issue in South Africa. Access to healthcare can be limited and expensive, and there is also a shortage of trained staff in some cases. Opportunities to improve healthcare services should be looked out for. Perhaps the National Development Plan needs to be reassessed.

  • I think the National Development Plan is one of the best ideas the government has had in a long time. If thoroughly implemented the plan will not only lead to an improved health system but it will give our economy a much needed boost as well. Instead of all the criticism the critics should think of ways to help the plan succeed and stop thinking of all the ways it can fail.

  • It is quite alarming as to how much work still needs to be undertaken in order to ensure an efficient health system. Hopefully 20 years will be enough to secure a strong healthcare system for the country.

  • I completely agree with this blog. We in the private sector must support government in their National Development Plan where the health sector is concerned. Personally I think companies in South Africa should be more willing to support the public health sector.
    Thank you for your blog on this problem.

  • It’s quite alarming as to how much work still needs to be undertaken in order to ensure an efficient health system. Hopefully 20 years will be enough to secure a strong healthcare system for the country.

  • It is of vital importance that healthcare delivery is functional. The goal of having a group of energised workers is not possible if the delivery of medicine is not working. The problem that service delivery is not fully integrated but limited reduces the chance of creating a inclusive economy. A group of energised workers and an inclusive economy are a few goals that the National Development Plan seeks to achieve so it would be great if leaders take action to incorporate the essence of this plan into their activities.

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