Neelam Rahim | neelam@radioislam.co.za

3-minute read
21 November 2024 | 18:14 CAT

Nearly 2 000 SA hospitals not ready for NHI. (iStock)

South Africa’s readiness for the National Health Insurance (NHI) system is under intense scrutiny following revelations that less than 40% of public healthcare facilities meet the required standards. Out of 3,092 facilities inspected, only 1,200 comply with the legislated guidelines set by the Office of Health Standards Compliance, raising concerns about the feasibility of implementing the ambitious NHI plan.

Makashule Ghana from Rise Mzansi described the findings as a systemic failure. “We are dealing with a supply chain breakdown at both provincial and local levels. The basics of maintaining healthcare facilities are being neglected,” he explained to Radio Islam International. Ghana pointed to rural provinces such as Limpopo, Eastern Cape, and Northern Cape as the worst affected, with substandard facilities that serve as lifelines for their communities. Meanwhile, urban provinces like Gauteng and Western Cape show better compliance rates, widening the inequality gap.

The inadequate state of facilities affects patient care and demoralizes healthcare workers. “Nurses, doctors, and other personnel are forced to work in environments that hinder their ability to provide quality care. This impacts their morale and, ultimately, patient outcomes,” Ghana added.

The government often cites budget constraints when questioned about the lack of progress. However, Ghana emphasized deeper issues, including unchecked corruption and a lack of accountability. “Auditor-General reports repeatedly highlight waste and poor decisions with no consequences. This lack of accountability continues to derail public healthcare,” he said.

These findings further cast doubt on the practicality of rolling out the NHI. While universal healthcare is a noble goal, Ghana warned that the current state of infrastructure undermines its potential success. “The NHI is an excellent idea on paper, but it cannot succeed without first addressing the foundational issues. Without proper facilities and motivated personnel, the system risks collapse,” he cautioned.

The urgent call to action remains clear: fix the basics. Adequate infrastructure, functional facilities, and strong accountability mechanisms must be prioritized to ensure South Africa’s healthcare system can support the NHI and fulfil its promise of equitable care.

Listen here to the full interview on The Daily Round Up with Moulanna Junaid Kharsany and Makashule Ghana.