ReviewAfrican journal of primary health care & family medicine2019
Towards national health insurance: Alignment of strategic human resources in South Africa.
Review in African journal of primary health care & family medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 29 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed.
- App-based primary care in South Africa: A conceptual pathway from telemedicine service acceptance to patients' continuance intentions.African journal of primary health care & family medicine · 2026Article
- Exploring Nursing Students' Experiences of the COVID-19 Period at a Public Nursing College in the Eastern Cape Province of South Africa.International journal of environmental research and public health · 2026Article
- Research gaps on universal health coverage in the South African context and other low and middle-income countries; putting things into perspective: a scoping review.BMC health services research · 2026Article
- Caregiver beliefs and practices about communication disorders in early childhood development centres from Durban: A qualitative study.BMJ public health · 2026Article
- Exploring the knowledge, attitudes, and potential role of oral health practitioners in FASD screening in South Africa.BMC oral health · 2025Article
- Improving Access to Radiotherapy in Gauteng: A Framework for Equitable Cancer Care.International journal of environmental research and public health · 2025Article
- Challenges and solutions to nurse-delivered integrated primary health care in Nelson Mandela Bay.African journal of primary health care & family medicine · 2025Article
- Making health insurance responsive to citizens: learning from six low-income and middle-income countries.BMJ global health · 2025Review
- Exploring stakeholders' experiences on implementing family medicine in urban South Africa.African journal of primary health care & family medicine · 2025Article
- Exploring the unemployment crisis among speech therapists and audiologists in South Africa: perspectives on institutional roles, professional bodies, and the path to job creation.BMC health services research · 2025Article
- Newly qualified primary care nurses' preparedness to make sound clinical judgements in practice.Curationis · 2024Article
- Nursing managers' perceptions of teamwork and collaboration in mining primary healthcare clinics in Gauteng.Curationis · 2024Article
- The role of clinical associates in South Africa as a health workforce: A scoping review.African journal of primary health care & family medicine · 2024Article
- The views of family physicians on National Health Insurance in Gauteng Province, South Africa.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024Article
- Assessing Medical Students' Preferences for Rural Internships Using a Discrete Choice Experiment: A Case Study of Medical Students in a Public University in the Western Cape.International journal of environmental research and public health · 2023Review
- Implementing an intervention to improve leadership/management of public healthcare services in the Free State Province, South Africa: lessons learned.African health sciences · 2023Article
- Health managers and community representatives' views of a system-wide intervention to strengthen public healthcare in the Free State, South Africa.African health sciences · 2023Article
- Community-orientated primary health care: Exploring the interface between community health worker programmes, the health system and communities in South Africa.PLOS global public health · 2023Article
- Factors influencing the preparedness for the implementation of the national health insurance scheme at a selected hospital in Gauteng Province, South Africa.BMC health services research · 2022Article
- Racial disparities in psychological distress in post-apartheid South Africa: results from the SANHANES-1 survey.Social psychiatry and psychiatric epidemiology · 2022Article
Corrections and comments
- Erratum issued
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSouth Africa is implementing national health insurance (NHI) and primary health care (PHC) re-engineering, and has concomitantly introduced the Human Resources for Health (HRH) Strategy. These policies are underpinned by the National Development Plan (NDP), which aims to address widespread inequality and inequity.
aimThe aim of this study was to analyse the alignment of national HRH-related policies to implement NHI and PHC re-engineering and determine knowledge gaps and research needs.
methodA narrative review of the NDP, PHC re-engineering, HRH and NHI strategies was carried out, supplemented by key HRH reports, data and articles.
resultsCurrent policies stress NHI and PHC re-engineering without effectively addressing shortages and maldistribution of HRH across the provincial and public-private divides. In line with PHC re-engineering, the HRH Strategy emphasised strengthening of community health workers (CHWs), professional nurses (PNs), mid-level workers (MLWs), medical practitioners (MPs) and clinical specialists (CSs). Four of these, CHWs, MLWs, MPs and CSs, are varyingly still in absolute shortfall, as well as being inequitably distributed across the provincial and public-private divides. The seeming adequacy in the absolute number of PNs may disguise provincial and public-private sector disparities. Although expedited HRH development and equitable deployment are crucial, it is also vital to resolve extant education and accreditation challenges delaying HRH policy implementation.
conclusionThe current lack of alignment of HRH policies does not portend well for the successful implementation of NHI and PHC re-engineering. Knowledge gaps include the need for further clarification of ideal multi-disciplinary team compositions and responsibilities.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.