South Africa

South Africa, the southernmost country on the African continent, has a population of 54.5 million people and a life expectancy at birth of 59 years (male) and 66 years (female). Since 2012, South Africa has been in the process of significantly reorganizing its health system to implement a National Health Insurance Fund as well as develop and roll out National Core Standards to benchmark and regulate quality of care by provincial health authorities. South Africa’s National Department of Health Strategic Plan 2015-2020 inscribes itself within the country’s National Development Plan Vision for 2030, published in 2011. The UHC Partnership, which South Africa joined in January 2016, is providing expertise and facilitating policy dialogue to support this transition. You can access important country documents by clicking here.

Key Health Indicators Country Fact Sheet

Reports on Road Map Activities

Mouseover on to see more information about the percentages

  • Finalized / In completion
  • On Track
  • Postponed
  • Cancelled
  • ER1 : Countries will have prepared/developed/updated/adapted their NHPSP through an inclusive policy dialogue process leading to better coverage with essential health services, financial risk protection and health equity
  • South Africa will have updated the White Paper on National Health Insurance through an inclusive policy dialogue process towards an increased coverage with essential health services, financial protection and health equity
  • 80%
  • ER3 : Countries requesting health financing (HF) support will have modified their financing strategies and systems to move more rapidly towards universal coverage (UC), with a particular focus on the poor and vulnerable
  • South Africa develops implementation plan(s) for the National Health Insurance to move towards universal coverage, with particular focus on the poor and vulnerable
  • 80%
  • ER4 : Countries receiving HF support will have implemented financing reforms to facilitate UC
  • South Africa starts implementing health financing (HF) strategies and systems aimed at moving closer to UHC
  • 50%
  • ER5 : Accurate, up-to-date evidence on what works and what does not work regarding health financing reforms for universal coverage is available and shared across countries
  • Lessons learned and up to date evidence on what works and what does not work in relation to HF reforms for universal coverage in South Africa is available and shared across countries
  • 0%

Mouseover on to see more information about the percentages

  • Finalized / In completion
  • On Track
  • Postponed
  • Cancelled
  • ER1 : Countries will have prepared/developed/updated/adapted their NHPSP through an inclusive policy dialogue process leading to better coverage with essential health services, financial risk protection and health equity
  • Provide continued technical support to guide the work of six work-streams established by the National Department of Health (NDoH) for the development of the National Health Insurance (NHI) white paper
  • 100%
  • Consultative seminar with high-level international stakeholders after the draft NHI bill is introduced
  • 0%
  • Provide technical support in responding to media reports/articles on the NHI
  • 80%
  • ER2 : Countries will have put in place expertise, monitoring and evaluation systems and annual health sector reviews
  • Develop mapping of the Referece Price List (RPL) codes for the OECD methodology for measuring hospital services prices
  • 100%
  • Development of baseline indicators for the M&E Framework for NHI towards UHC
  • 50%
  • ER3 : Countries requesting health financing (HF) support will have modified their financing strategies and systems to move more rapidly towards universal coverage (UC), with a particular focus on the poor and vulnerable
  • Technical support on the development of institutional arrangements options for strategic purchasing for the sub-district Contracting Units for primary health care (PHC) services
  • 100%
  • Technical support on the development of implementation guidelines for capitation
  • 100%
  • Technical assistance during the update of the prescribed medical benefits (PMBs) to create unified benefit entitlements under NHI
  • 50%
  • ER4 : Countries receiving HF support will have implemented financing reforms to facilitate UC
  • Conduct the cross-programmatic efficiency analysis of health programmes in the KwaZulu-Natal province
  • 50%
  • Technical support to the introduction of diagnosis-related groups (DRGs) in public sector hospitals
  • 100%
  • ER5 : Accurate, up-to-date evidence on what works and what does not work regarding health financing reforms for universal coverage is available and shared across countries
  • Knowledge exchange within the Health Partner's Forum
  • 80%
  • Participation in meetings organized by the UHC Partnership, UHC2030 and other trainings
  • 80%