What is the NHI?
The National Health Insurance (NHI) is a financing system that will make sure that all citizens of South Africa (and legal long-term residents) are provided with essential health care, regardless of their employment status and ability to make a direct monetary contribution to the NHI Fund.
If you earn above a certain income you will be required to contribute to NHIF.
Questions regarding the NHI:
Why does South Africa need National Health Insurance?
Health care is a human right. This right should not depend on how rich we are or where we live. The right to obtain health care is written into our Constitution.
Large numbers of people die prematurely and suffer unnecessarily from poor health. Treatable conditions are not being treated on time and preventable diseases are not being prevented.
What health care services will be funded by NHI?
The NHI will offer all South Africans and legal residents access to a defined package of comprehensive health services. It will offer care at all levels, from primary health care, to specialized secondary care, and highly specialized tertiary care.
The benefits provided will cover preventive, curative and rehabilitative health service.
Will the NHI destroy the private sector?
NHI is not intended to destroy the private sector. It will actually make the sector more sustainable by making it levy reasonable fees. NHI will ensure that citizens are able to use both the public and private sectors in such a way that they complement each other rather than one undermining the other.
How will the quality of health care be ensured under the NHI?
– By radical improvement in the quality of services in the public health facilities. This means massive investment in improvement of health infrastructure, both buildings and equipment.
– To ensure adherence to standards, an independent “watchdog” body called the Office of Health Standards Compliance will be established by an Act of Parliament.
– Standardizing hospital care across the country and to ensure that managers have specific skills, competencies and appropriate qualifications.
What is happening in the first five years of NHI implementation?)
Pilot studies in the following areas:
- Management of health facilities and health districts
- Quality improvement
- Infrastructure development
- Medical devices including equipment
- Human Resources planning, development and management
- Information management and systems support
- Establishment of an NHI Fund.