IDEAS home Printed from https://ideas.repec.org/a/rbs/ijbrss/v11y2022i7p357-366.html
   My bibliography  Save this article

National Health Insurance pilot phase and service delivery evaluation in rural areas of KwaZulu Natal, South Africa

Author

Listed:
  • Sandiso Ngcobo

    (Department of Communication, Mangosuthu University of Technology, Durban, South Africa)

  • Bongekile Mvuyana

    (Department of Public Administration & Economics, Mangosuthu University of Technology, Durban, South Africa)

Abstract

The South African national department of the health system is piloting the National Health Insurance (NHI). This is in preparation for the overhaul of healthcare services so that they are efficient and equitable to all citizens immaterial of their socio-economic status. This article aims to evaluate healthcare providers' perceptions of improved service delivery by the government’s health department during the first piloting phases of the NHI. The context of the study is a health district center in a rural area of KwaZulu-Natal province in South Africa. The article is interdisciplinary in that it interrogates governance issues in the health sector. A quantitative research methodology was utilized to collect data from 30 participants who were the center’s staff. The findings indicate that the significant areas of concern are lack of improvement in response rate to emergencies, ambulances, provision of resources, and specialized staff. The implication is that the government’s health department working with provincial departments, still has major healthcare reforms to address if the NHI program contributes effectively to healthcare service delivery. Key Words:healthcare reforms, national health insurance, service delivery, piloting phase, perceptions

Suggested Citation

  • Sandiso Ngcobo & Bongekile Mvuyana, 2022. "National Health Insurance pilot phase and service delivery evaluation in rural areas of KwaZulu Natal, South Africa," International Journal of Research in Business and Social Science (2147-4478), Center for the Strategic Studies in Business and Finance, vol. 11(7), pages 357-366, October.
    • Handle: RePEc:rbs:ijbrss:v:11:y:2022:i:7:p:357-366
    DOI: 10.20525/ijrbs.v11i7.2048
    as

    Download full text from publisher

    File URL: https://www.ssbfnet.com/ojs/index.php/ijrbs/article/view/2048/1501
    Download Restriction: no
    File URL: https://doi.org/10.20525/ijrbs.v11i7.2048
    Download Restriction: no
    File URL: https://libkey.io/10.20525/ijrbs.v11i7.2048?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Government of India, 2017. "National Health Policy 2017," Working Papers id:11664, eSocialSciences.
    2. Cécile Charasse-Pouélé & Martin Fournier, 2006. "Health Disparities between racial groups in South Africa - A decomposition Analysis," Post-Print hal-00134778, HAL.
    3. Tara Anglelorenza Pricilly Dea & Aliefya Rachim Maharani, 2021. "Public interaction of health workers during the Covid-19 pandemic," International Journal of Research in Business and Social Science (2147-4478), Center for the Strategic Studies in Business and Finance, vol. 10(6), pages 268-277, September.
    4. Charasse-Pouélé, Cécile & Fournier, Martin, 2006. "Health disparities between racial groups in South Africa: A decomposition analysis," Social Science & Medicine, Elsevier, vol. 62(11), pages 2897-2914, June.
    5. Cécile Charasse-Pouélé & Martin Fournier, 2006. "Health disparities between racial groups in South Africa: a decomposition analysis," Post-Print halshs-00161711, HAL.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Derek Asuman & Charles Godfred Ackah & Ulrika Enemark, 2018. "Inequalities in child immunization coverage in Ghana: evidence from a decomposition analysis," Health Economics Review, Springer, vol. 8(1), pages 1-13, December.
    2. Williams, David R. & Gonzalez, Hector M. & Williams, Stacey & Mohammed, Selina A. & Moomal, Hashim & Stein, Dan J., 2008. "Perceived discrimination, race and health in South Africa," Social Science & Medicine, Elsevier, vol. 67(3), pages 441-452, August.
    3. Granlund , David & Chuc , NT & Phuc , HD & Lindholm, Lars, 2008. "Inequality in mortality in Vietnam: unravel the causes," Umeå Economic Studies 751, Umeå University, Department of Economics.
    4. Bukola G. Olutola & Olalekan A. Ayo-Yusuf, 2012. "Socio-Environmental Factors Associated with Self-Rated Oral Health in South Africa: A Multilevel Effects Model," IJERPH, MDPI, vol. 9(10), pages 1-19, October.
    5. ChangHwan Kim, 2010. "Decomposing the Change in the Wage Gap Between White and Black Men Over Time, 1980-2005: An Extension of the Blinder-Oaxaca Decomposition Method," Sociological Methods & Research, , vol. 38(4), pages 619-651, May.
    6. Michael Berger & Thomas Czypionka, 2021. "Regional medical practice variation in high-cost healthcare services," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 22(6), pages 917-929, August.
    7. Laura Rossouw & Teresa Bago d’Uva & Eddy Doorslaer, 2018. "Poor Health Reporting? Using Anchoring Vignettes to Uncover Health Disparities by Wealth and Race," Demography, Springer;Population Association of America (PAA), vol. 55(5), pages 1935-1956, October.
    8. Bell, Griffin J. & Ncayiyana, Jabulani & Sholomon, Ari & Goel, Varun & Zuma, Khangelani & Emch, Michael, 2022. "Race, place, and HIV: The legacies of apartheid and racist policy in South Africa," Social Science & Medicine, Elsevier, vol. 296(C).
    9. Laura Rossouw & Teresa Bago d'Uva & Eddy van Doorslaer, 2017. "Poor Health Reporting? Using Vignettes to Recover the Health Gradient by Wealth," Tinbergen Institute Discussion Papers 17-031/V, Tinbergen Institute.
    10. Kajal Lahiri & Zulkarnain Pulungan, 2021. "Racial/Ethnic Health Disparity in the U.S.: A Decomposition Analysis," Econometrics, MDPI, vol. 9(2), pages 1-14, May.
    11. Berger, Michael & Czypionka, Thomas, 2021. "Regional medical practice variation in high-cost healthcare services: evidence from diagnostic imaging in Austria," LSE Research Online Documents on Economics 112952, London School of Economics and Political Science, LSE Library.
    12. Stewart Williams, Jennifer Anne, 2009. "Using non-linear decomposition to explain the discriminatory effects of male-female differentials in access to care: A cardiac rehabilitation case study," Social Science & Medicine, Elsevier, vol. 69(7), pages 1072-1079, October.
    13. Granlund, David & Chuc, Nguyen T. & Phuc, Ho D. & Lindholm, Lars, 2010. "Inequality in mortality in Vietnam during a period of rapid transition," Social Science & Medicine, Elsevier, vol. 70(2), pages 232-239, January.
    14. Muna Shifa & David Gordon & Murray Leibbrandt & Mary Zhang, 2022. "Socioeconomic-Related Inequalities in COVID-19 Vulnerability in South Africa," IJERPH, MDPI, vol. 19(17), pages 1-20, August.
    15. James Love-Koh & Susan Griffin & Edward Kataika & Paul Revill & Sibusiso Sibandze & Simon Walker, 2019. "Incorporating concerns for equity into health resource allocation. A guide for practitioners," Working Papers 160cherp, Centre for Health Economics, University of York.
    16. Jayati Das-Munshi & Crick Lund & Catherine Mathews & Charlotte Clark & Catherine Rothon & Stephen Stansfeld, 2016. "Mental Health Inequalities in Adolescents Growing Up in Post-Apartheid South Africa: Cross-Sectional Survey, SHaW Study," PLOS ONE, Public Library of Science, vol. 11(5), pages 1-16, May.
    17. Gintare Mazeikaite & Cathal O’Donoghue & Denisa M. Sologon, 2021. "What Drives Cross-Country Health Inequality in the EU? Unpacking the Role of Socio-economic Factors," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 155(1), pages 117-155, May.
    18. Tajul Masron & Mduduzi Biyase & Talent Zwane & Thomas Udimal & Frederich Kirsten, 2023. "Ecological footprint and population health outcomes: an analysis of E7 countries," Economics Working Papers edwrg-07-2023, College of Business and Economics, University of Johannesburg, South Africa, revised 2023.
    19. G. Kent Fellows & Daniel J. Dutton & Aidan Hollis, 2018. "Making Sure Orphan Drugs Don’t Get Left Behind," SPP Communique, The School of Public Policy, University of Calgary, vol. 10(6), August.
    20. Shawhan, Daniel L. & Picciano, Paul D., 2019. "Costs and benefits of saving unprofitable generators: A simulation case study for US coal and nuclear power plants," Energy Policy, Elsevier, vol. 124(C), pages 383-400.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:rbs:ijbrss:v:11:y:2022:i:7:p:357-366. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Umit Hacioglu (email available below). General contact details of provider: https://edirc.repec.org/data/ssbffea.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.