Health Care in SA

 

There is overwhelming evidence that the quality of health care in South Africa has been compromised by various challenges that impact negatively on healthcare quality.  Improvement in quality care means fewer errors, reduced delays in care delivery, improvement in efficiency, increased market share and lower cost. Decline in quality health care has caused the public to lose trust in the healthcare system in South Africa.

2019

Best Hospital Plans in 2019 | Genesis Medical Scheme



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Delivery of quality health care is a constitutional obligation in South Africa (Stuckler, Basu & Mckee 2011:165). Government has therefore introduced numerous developments and programmes to improve health care, efficiency, safety and quality of delivery and access for all users (Mogashoa & Pelser 2014:142), and there have been major changes in health policy and legislation to ensure compliance in delivering quality care (Moyakhe 2014:80).

Despite a number of commendable goals having been set by government for improved quality of service delivery in healthcare settings, reports by media and communities in 2009 revealed that services in public health institutions were nonetheless failing to meet basic standards of care and patient expectations.

Many of problems in the South African healthcare system can be traced back to the apartheid period (1948–1993) in which the healthcare system was highly fragmented, with discriminatory effect, between four different racial groups (black, mixed race, Indian and white).    

To worsen the situation, the apartheid government developed 10 Bantustans (the so-called ethnic homelands) into which Africans were unwillingly segregated, and each of which had their own departments of health with their professional bodies (Baker 2010:80). This led to deterioration in health system delivery because of lack of resources, and poor communities were especially affected (Chassin & Loeb 2013:462).

May 2019
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6556866/

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Natuurlik soos die gewoonte is, word alles voor “apartheid” se deur geplaas.   Die ANC is al 27 jaar aan bewind, en steeds word hul eie onvermoë voor die 1948 regering se deur geplaas.     Natuurlik word die ware feite nie geplaas oor watter dienste in die ou Tuislande aangebied is, op alle vlakke nie.     Wat het in die 27 jaar gevorder tot iets unieks?

Die 10 Tuislande was nie deur die 1948 ontwikkel nie, dit was reeds daar, dit was net iets anders genoem.   Reservate en Kroongebiede word al van 1840’s deur die Britte gedoen, elkeen in ‘n eie aparte domein.   Dit word selfs beskerm in die Unie grondwet.    Na 1994 word die name van Tuisland en Kroongebied verruil vir CPA en Trustgebied (grondeise – onder spesifieke wetgewings).   Dus het die Khoi san en Swartes steeds hul eie aparte gebiede, net vir hulself.

Dus was apartheid deur die Engelse regering en swart / khoi san geskep en nie deur die 1948 regering nie.  Hoe kon die 1948 regering gebiede geskep het, as dit reeds daar was, en dat elkeen van die 10 Tuislande wettige regerings gehad het, waar hul stemreg gehad het met die oog op onafhanklikwording.

Shepstone – Natal, roots of segregation

Jan Smuts  – Churchill  – Rhodes – apartheid : British rules

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Waaraan word ‘n gesondheidsorgdiens soos die staatshospitale of selfs privaat hospitale se effektiwiteit gemeet?   

Staatshospitale behoort dieselfde dienste verskaf, sommige mag dalk kleiner wees as ander weens populasie in die area.  Nogtans val dit onder een gesondheidsorg minister en -departement wat begroot vir elke hospitaal.  Hospitale behoort ook jaarliks hul behoeftes te verklaar om spesifieke dienste te kan verskaf.   

Mediese personeel wat nie geroepe is tot so ‘n diens of verantwoordelik is vir pasiëntesorg nie, hoort nie daar nie.  Daar kan nie van swart bemagtigers wat geen kennis of verantwoordelikheid het, gebruik maak as hulle nie weet wat om te doen nie. 

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Daar is in die verlede heelwat klagtes gewees rakende staatshospitale en dienste verskaf.   Niemand weet regtig wat in hospitale aangaan behalwe dat dit nie altyd aanvaarbaar is om soveel trauma deur te gaan nie.   Dit bly steeds ‘n swaard oor die koppe van ‘n gesondheidsdiens wat nie werklik bestaan nie.   Nie alle werkers ken hul pligte nie en heelwat swart bemagtigers is nie daar vir gesondheidsorg nie.   Volgens rekord spandeer die regering heelwat aan die gesondheidsorgdiens.

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State hospitals can be a nightmare and this story raises crucial questions about public healthcare.   A 39-year-old mother, whom we’ll call ‘Thandi’, spent just over three weeks at Chris Hani Baragwanath Hospital in January 2021.

She recorded several videos documenting conditions at the hospital, revealing a desperate struggle for quality care.

https://www.enca.com/news/exclusive-bara-hospital-patients-horror-0

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Filthy, unhygienic conditions and unsympathetic staff. These were all the experiences of 39-year-old Thandi Nyembe, who died at Chris Hani Baragwanath on 29 January 2021. She was admitted to Baragwanath after she suffered burns to her body. The DA’s Jack Bloom discuss this issue.

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Patients have pleaded with the Department of Health to assess medical treatment at the Sebokeng Hospital in Vanderbijlpark, south of Johannesburg, after complaints. Most complainants are women who were in the hospital’s maternity ward. Two women have accused the staff of ill-treatment and poor bedside manner. Reporter Nosipho Mncube and video journalist Gqabi Njokweni filed this report.

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Mamelodi Day Hospital – bad treatment
No Hospital beds JOKE OF SOUTH AFRICA
Hospitale in Suid-Afrika (NO BEDS)

Een gedagte oor “Health Care in SA”

  1. […] Health Care in SANational Health Insurance (NHI)NHI bill – “nationalization of health care in SA – DA” – is much more‘Cuban health specialists’ – 28 April 2020Corruption, fraud and abuse ongoing – healthcareMamelodi Day Hospital – bad treatmentNo Hospital beds JOKE OF SOUTH AFRICAHospitale in Suid-Afrika (NO BEDS) […]

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