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STAATSKOERANT,
12 AUGUSTUS
2011
No.

3
GOVERNMENT NOTICE
DEPARTMENT
OF
HEAL.TH
No. 657
12
August
2011
NATIONAL HEALTH ACT, 2003POLICY
ON
NATIONAL HEALTH INSURANCE
The
Minoster
of Health intends, in terms of section 85 of the Const<tution of the Republic
of
South Afnca.1996 (Act
No.1
0S
of 1996) and section 3
of
the National Health Act, 2003, (Act
No
61
of 2003) aflerconsultat•on
w•th
the National Health
counc11,
to determme the policy in
the Schedule_
Interested persons are .nvited to submit any substantiated comments
or
representations on the proposedpolicy to the Director-General· Health. Pnvate Bag X828. Pretona, 0001, within a period
of
two months fromthe date of
pubtlcatoon
of
thiS
not1ce.
SCHEDULE
 
health
Department:HealthREPUBLIC
OF
SOUTH
AFRICA
NATIONAL HEALTH INSURANCE
IN
SOUTH AFRICA
POLICY PAPER
1
 
Contents
1 INTRODUCTION ........................................................................................................................ 4
2.
PROBLEM STATEMENT ........................................................................................................... 5
2.1
THE BURDEN OF DISEASE
IN
SOUTH AFRICA ..........................................................

.
,
..
?
2.1
.1
H V/AIDS and
TB
......................... ·
...
·
..
·
...
·
.
·
·
·
.
·
.
·
.
·
·
·
·
·
..
·
.
·
.
·
....
·
.
·
..
·:·

2.1.2 Maternal, Child and Infant Mortality .......................................................

.........
,,
..
,
....
8 .
N
. .
-:0-JYii:_>
2.1.
3 on-Commumcable
D1seases
.............................................................. ·""''•''' ................. 8
. .
,/-
-·--

2.
1
4
I n)ury and Violence ......................................................................
y
..
:.,
•.
,,
,
......................
8
,;_;,
.
'•/•.
2.2 QUALITY OF HEAL THCARE .........................................................
''"
.
:\,;,
..
:
.
: ...................... 9
>


2.3 HEAL THCARE EXPENDITURE
IN
SOUTH AFRICA ............
.....
,
....
il\lli!!!:
............................
9
,fi:,
..
"<.
/
2.4 DISTRIBUTION OF FINANCIAL AND HUMAN

.................................
10
2.5 MEDICAL SCHEMES INDUSTRY ..........................
:
..
....
O:l,,11:ti.Yi
..........................................
11
·.
··.

3.
HISTORY OF PROPOSALS
ON
HEALTHCARE FINANCiNG REFORM
IN
SOUTHAFRICA ..............................................................
1
..

3.1
Commission on Old Age Pension and


(1928) .....................................
12
3.2 Committee of Enquiry into

(1935) .............................................
12
.
q,;_,
3.3 National Health Service Com!)i!j$8{
'·
-1944) ...........................................................
13
z.<t••·
,,,
3.4 Health Care Finance

1994 ...............................................................................
13
3.5 Committee
of
Inquiry

Insurance (1995) ................................................
14
3.6 The Social Health

Group (1997) ...........................................................
14

--
w'«it
'
3.7 Committee

Comprehensive Social Security for South Africa (2002) ......
14
3.9 Advisory Committ'l;le
on
National Health Insurance (2009) .................................................
15
/·-,<-----
"<iiRvd:F··
4.
NATIONAL HEAl:"''H INSURANCE ........................................................................................
15
41'JJ;;\
...
i
5.

OF NATIONAL HEALTH INSURANCE
IN
SOUTH AFRICA ........................
16
--·-
\Yhc
·-··;:
6.

OF NATIONAL HEALTH INSURANCE ..........................................................
18
,-1/;;-.>
\/.,
/''.-<·
\'•27Ji$0CIOECONOMIC BENEFITS OF NATIONAL HEALTH INSURANCE .............................
19

-

Economic Impact Modelling .............................................................................................
21
8.
THE THREE DIMENSIONS OF UNIVERSAL COVERAGE .................................................
21
9.
POPULATION COVERAGE UNDER NATIONAL HEALTH INSURANCE ..........................
23
10.
THE RE-ENGINEERED PRIMARY HEALTH CARE SYSTEM ..........................................
23
1
0.1
District Clinical Specialist Support Teams ..........................................................................
24
2
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