A. The South African Healthcare Environment

Question 1

United Nations Millennium Development Goals (MDGs) Year & 8 goals

Answer 1

2000 - to reach by 2015

• eradicating extreme poverty and hunger
• achieving universal primary education
• promoting gender equality and promoting women
• reducing child mortality rates
• improving maternal health
• combating HIV/Aids, malaria, and other diseases
• ensuring environmental sustainability
• developing a global partnership for development

Question 2

Sustainable Development Goals (SDGs)

Years and Outline

Answer 2

2016 for 2030
aim to further end all forms of poverty
call for action by all countries to promote prosperity while protecting the planet
ending poverty goes hand in hand with strategies that build economic growth
addressed social needs: education, health, social protection, job opportunities
also tackling climate change and environmental protection

Question 3

2 Important Healthcare related goals in the 17 SDGs

Answer 3

Achieve universal health coverage, including financial risk protection, access to safe, effective, quality and affordable essential medicines and vaccines for all

Substantially increase healthcare financing

Question 4

SA Department of Health “Ten Point Pan”

Years and points

Answer 4

2009 to 2014

1. Providing strategic leadership and the creation af a social impact for better health outcomes
2. Implementing NHI
3. Improving the quality health services
4. Overhauling the health system; improving its management
5. Improving HR planning, development, management
6. Revitalising infrastructure
7. HIV/Aids, STD national strategic plan + increased focus on TB
8. Mass mobilisation for better health
9. Reviewing drug policy
10. Strengthening research and development

Question 5

Department of Health Strategic plan after “Ten Point Plan”

Answer 5

2014/2015
Continues focus on:
 - infrastructure improvements
 - reduced waiting times at clinics
 - dealing with critical staff shortages
 - implementation of NHS
"brink of effecting significant changes in financing mechanisms: changes to ensure right to health for all; equity; social solidarity; efficiency; effectiveness in order to realise universal health coverage

Question 6

Two major classes of Health products on offer in SA

Answer 6

1. Medical schemes
   reimburse members for actual expenditure
   not-for-profit
   mutual societies, owned by members
2. Health Insurance
   for-profit
   short term
   income protection; critical illness; disability cover