In Practice

Exploring the barriers to implementing National Health Insurance in South Africa: The people's perspective

R V Passchier


This article explores the challenges of implementing the proposed National Health Insurance for South Africa (SA), based on the six building blocks of the World Health Organization Health System Framework. In the context of the current SA health system, leadership, finance, workforce, technologies, information and service delivery are explored from the perspective of the people at ground level. Through considerations such as these, the universal health coverage goals of health equity, efficiency, responsiveness and financial risk protection, might be realised.

Author's affiliations

R V Passchier, Department of Psychiatry and Mental Health, Faculty of Health Sciences, University of Cape Town, South Africa; Department of Psychiatry, Steve Biko Academic Hospital, Pretoria, South Africa; Bheki Mlangeni District Hospital, Soweto, South Africa

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Health systems; Public health; National Health Insurance; South Africa

Cite this article

South African Medical Journal 2017;107(10):836-838. DOI:10.7196/SAMJ.2017.v107i10.12726

Article History

Date submitted: 2017-09-22
Date published: 2017-09-22

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