NHI audit well underway - minister

2011-11-03 14:59

Cape Town - An audit of health facilities is well under way ahead of a plan to start National Health Insurance (NHI) pilot sites, Health Minister Aaron Motsoaledi said on Thursday.

He said the department was auditing infrastructure, financial management structures and was doing a head count of health workers in every facility.

"We are still doing this audit on health facilities," Motsoaledi told reporters in Cape Town.

"We are even auditing the headcount of health workers in every health facility."

Motsoaledi was speaking after receiving a report on health data from the Health Data Advisory and Co-ordination Committee (HDACC).

He said at the last count, about 2 800 institutions out of 4 200 public health institutions had been audited.


Motsoaledi said the department did not roll out NHI in only poor settings, or in very rich settings, and "make wrong conclusions" about the NHI.

"We want a mixture of the good, the bad and the ugly so that at the end we are able to confirm," he said.

Finance Minister Pravin Gordhan has said about R500m is expected to be set aside in the 2012 budget to fund pilot sites for the NHI.

Gordhan said the pilots would form the first part of a 14-year programme to introduce the NHI system.

Part of the first phase also involved revitalising hospitals, improving nursing and getting the public health system to provide a more caring environment


At Thursday's briefing, HDACC deputy chair Debbie Bradshaw told Motsoaledi the proportion of HIV positive pregnant women on antiretroviral therapy was at 22%, and had to be increased.

"We would like that increased to 80% of women on treatment," Bradshaw said.

Bradhsaw recommended that HIV monitoring focus on women between 15 and 49, using data from the department's antenatal survey.

The mother-to-child transmission rate also a key indicator that has to be targeted in the HIV and Aids epidemic, she said.

A report by the committee says the total number of patients receiving antiretroviral treatment in 2009 was 1.1 million. The target for 2014 was 2.5 million.

The HDACC was appointed by the department last year to improve the accuracy of health data.

  • Utopian - 2011-11-03 16:07

    All government needs to do, is manage existing public healthservices properly. We already have public health. BUT in stead, they are blindly bent on creating NHU, which is just an unnecessary and expensive administrative structure superimposed on what already exists. It does not solve the problem but it will cost a fortune. The only "benefit" will be that another few thousand of the names on the ANC list will get cushy unnecessary white-collar jobs. It is a shameless gravy train plan and nobody seems to be fighting it. The opposition in our country is rather useless - the resistance to toll roads (which is much the same thing as NHI, a gravy train scheme) is only working because of Cosatu. Maybe we should ask Cosatu to look at NHI.

  • Hendrik - 2011-11-03 16:16

    Letter from all Nigerians, Zimbabwers, Congolees and the rest of Africa. Thank you all South-African people(who is working their asses off), for : 1. Free Education 2. Free housing 3. Free electricity 4. Free water 5. Free stealing and now Free Health insurance. P.S. Sorry you cannot be at the party because you must work.

  • guy.goes1 - 2011-12-06 11:04

    Please please can someone at ministerial level please get a good accountant to do the sums, it will become apparent that the sums do not add up. I am confident that after all wishful thinking is over, the cost reality of a nhi is simply not possible in a small revenue generating large population.

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