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Mediclinic News : SICK STATE OF AFFAIRS: IS THE NHI FLATLINING ALREADY?

Title

SICK STATE OF AFFAIRS: IS THE NHI FLATLINING ALREADY?

Date

2019-07-29

Link

https://select.timeslive.co.za/news/2019-07-29-sick-state-of-affairs-is-the-nhi-flatlining-already/

News Description

Poor data, no internet connections, no transport, overworked staff are but four of the many problems in pilot districts. National Health Insurance is coming, with the NHI Bill handed to parliament on Friday, but a detailed 200-page document on the 11 pilot projects flags potential flaws in the system. The report reveals that children identified as needing healthcare didn’t get it, there were incomplete infrastructure projects, and computers were sent to clinics without access to the internet. NHI pilot projects were rolled out in 11 health districts countrywide between 2012 and 2017. After calls from political opposition parties and organisations, including the Treatment Action Campaign, the evaluation of pilot projects was released on Friday by health minister Zweli Mkhize. The evaluation was conducted from November 2017 to 2018 by private consultancy Genesis Analytics with support from PriceWaterhouseCoopers, the Centre for Health Policy at Wits University, and Insight Actuaries and Consultants. But due to problems with data quality, it cannot be concluded that the NHI pilot projects, which cost more than R4bn over five years, improved each district’s overall health. Data sets used by Statistics SA often changed each year, making it difficult to measure accurately whether NHI pilots led to an overall improvement in health. Dr Saul Johnson, Genesis Analytics. Head of Genesis Analytics Dr Saul Johnson said: “It was difficult for the evaluation team to assess the overall impact of the interventions in the pilot districts.” Things that prevented conclusions included “a lack of control group due to the interventions being implemented in both pilot districts and non-pilot districts, and a lack of baseline measures”. Johnson added that data sets used by Statistics SA often changed each year, making it difficult to measure accurately whether NHI pilots led to an overall improvement in health. However, NHI is going ahead, said Mkhize, who welcomed the pilot project evaluation report as a “mirror” to help the health department improve.
Created at 2019/08/06 12:02 PM by Mediclinic
Last modified at 2019/08/06 12:02 PM by Mediclinic