South Africa News

The World Health Organization- country office for South Africa in partnership with the National Department of Health (NDoH) organized the "National Colloquium on Universal Health Coverage in South Africa" to commemorate the Universal Health Coverage (UHC) Day 2019 in Johannesburg on 12th Dec. Observed under the theme 'Keep the promise', the Colloquium followed on the ‘Political Declaration on UHC that was agreed by Heads of the States at the United Nation’s High-Level Meeting (UN-HLM) on UHC during the UN General Assembly (UNGA) in September 2019. The President of South Africa HE C.M Ramaphosa also signed this UHC political declaration, thus demonstrating his strong vision and commitment to ensuring UHC for the people of South Africa. Through UHC political declaration, UN Member States also recognized the importance of universal health coverage in achieving the health-related Sustainable Development Goals”.

For 38-year-old Durban mother Klemmi Norris, the price hike that followed the introduction of South Africa’s highly anticipated – but also controversial – sugar tax was the last straw. Today, she has completely eliminated sugary drinks from her shopping list.

Universal access to Sexual and Reproductive Health and Rights (SRHR) is one of the key components of the Sustainable Development Goals (SDGs) 3 and 5 and contributes to the achievement of all the other SDGs. Given its critical roles therefore, WHO/AFRO is implementing a new four-year initiative, launched on 9 January 2019, to enhance existing efforts for reducing needless deaths from pregnancy in the region focusing on the provision of comprehensive Sexual and Reproductive Health and Rights (SRHR) services, within the Universal Health Coverage (UHC) framework, especially for the most vulnerable populations, including those living in humanitarian settings.

The President of South Africa, Mr. Cyril M Ramaphosa, on Thursday 25 July 2019 launched the country’s ‘Presidential Health Compact’. The Compact lays down a five-year roadmap for health systems strengthening reforms under the ‘9 pillars’ towards accelerating Universal Health Coverage (UHC) in South Africa. It originated from months of extensive consultative deliberations between key stakeholders following the Presidential Health Summit in Oct 2018. The Stakeholders comprised government, health and allied health professionals, labour, business community, academics and researchers, statutory bodies, traditional health practitioners and public health entities. WHO provided essential technical advice and support in development of the Presidential Health Compact.

The official launch in 2017 by South Africa’s former Health Minister, Dr Aaron Motsoaledi, of two new national cancer treatment policies was not just a critical breakthrough in the fight against diseases identified among the leading causes of death of the country’s women.

Following completion of drafting the Gauteng Provincial Department of Health Maternal and Neonatal Revival Plan (2019-22), WHO was requested to facilitate prioritization of strategic interventions and costing of the strategic plan.  The support included introduction of the One Health Tool (OHT) for financial planning of healthcare program to ten participants from Provincial Department of Health, health facility in-charge and clinical doctors (Gynaecologists and Neonatologists).

South Africa's National Department of Health representative from the Oral Health Directorate, Dr Dr. Mzimkhulu Mcuba, with Chief Dental Officers from ministries of health and NCD focal points from WHO country offices in 20 Member States completed a three day capacity building workshop to accelerate implementation of the Regional Oral Health Strategy 2016-2025 held in Brazzaville, Congo from 27 February – 1 March 2019. The workshop programme included sharing of country achievements, expert input and partner contributions covering a broad range of policy aspects, implementation challenges and opportunities, as well as global developments relevant to country implementation and monitoring, such as the Minamata Convention on Mercury. Over the course of the deliberations, participants and invited experts acknowledged the overall progress made in the oral health agenda. Concern over existing gaps in policy intentions and implementation were also raised.

To commemorate the WHO global initiative “Goals Week: Connect your PMDS to the triple billion goal, 4-8 February 2019”, the Country Office in South Africa conducted a strategic workshop “Goals Week: Aligning WHO South Africa’s work towards GPW-13 priorities” from 7-8 February in Pretoria. The workshop involved all staff to update them on the latest developments regarding GPW-13 and Programme Budget 2020-21 and catalyze strategic deliberations through group work in clusters on means for achievement of priority GPW13 outcomes at the country level and identify individual staff PMDS objectives for 2019 clearly linked to GPW-13 output(s). The WHO Representative Dr Akpaka Kalu provided strategic direction to the discussion through transparent and open dialogue. He made it clear that UHC would be central to WHO programmes in South Africa and encouraged staff to think beyond specific programmes and contribute to resource mobilization and leadership functions of WHO which are traditionally considered as functions of the WR’s office. Working as team, multiple staff can select a given GPW13 output but still have no duplication of functions. After group work presentation on PMDS objectives and their alignment to GPW13 outputs, the Programme Management Officer presented preliminary analysis of overall contribution of the office to the GPW13 outputs, as planned in the PMDS for 2019.

As part of the South African Government’s commitment for ensuring Universal Health Coverage (UHC), draft National Health Insurance (NHI) Bill was recently passed by the cabinet; the goal of the bill is to facilitate health systems and financing reforms towards enhanced access to quality health services without financial hardship in the country. As a demonstration of the highest level political leadership for UHC, the President of South Africa hosted the ‘Presidential Health Summit’ on the 19th and 20th October 2018 in Johannesburg. The purpose of the Summit was to engage with stakeholders to deliberate on the challenges in the health sector and to collectively define the roadmap for South Africa’s journey towards UHC with the NHI as entry point.

Just under three weeks of having landed in South Africa as the new World Health Organization (WHO) Country Representative in South Africa, Dr Akpaka Kalu, has already held a series of introductory meetings with United Nations (UN) Resident Coordinator (RC), Ms Nardos Bekele-Thomas; South Africa’s Minister of Health, Dr Aaron Motsoaledi; Member of the Executive Committee for Health for the KwaZulu National Provincial Department, Dr Sibongiseni Dhlomo; KwaZulu Natal Province Head of Health, Dr Musa Gumede; and the University of KwaZulu Natal WHO Collaborating Centre for Educating Nurses and Midwives in Problem-solving. Beyond introducing himself, Dr Kalu also focused on learning about South Africa’s state of health from the key informants and share WHO’s mandate of supporting member states in improving their health outcomes; affirming that WHO would continue to support the national health system in three investment pillars: normative guidance; implementation support; and generation and use of evidence to support implementation and guide policies and strategies.