Navigating the road to universal health coverage in South Africa

Dr Reno Morar is currently the Head and Director of the Medical School in the Faculty of Health Sciences at Nelson Mandela University in Gqeberha.Picture: Lerato Maduna/Supplied

Dr Reno Morar is currently the Head and Director of the Medical School in the Faculty of Health Sciences at Nelson Mandela University in Gqeberha.Picture: Lerato Maduna/Supplied

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Durban — As South Africa embarks on a transformative path towards Universal Health Coverage (UHC), there are calls to explore the role of emerging medical professionals in shaping a resilient and equitable health system for all South Africans.

In a recent statement, Dr Reno Morar, the Director of the Medical School in the Faculty of Health Sciences at Nelson Mandela University in Gqeberha, articulated the pivotal role that collaborative efforts and strategic planning play in the success of the National Health Insurance (NHI) Act, aimed at ensuring equitable access to quality healthcare for all citizens.

He said the introduction of the NHI signifies a monumental step in South Africa’s healthcare journey, with the promise of inclusive healthcare options that transcend economic and geographical barriers.

"Transforming this vision of UHC into reality requires much more than policy reflected in the NHI, it calls for robust planning, thoughtful resource allocation, and above all, collaboration across sectors," Morar stated.

He highlighted that medical schools play an instrumental role in nurturing the talent necessary to realise this ambitious endeavour.

“As the country reels from the lessons learned during the Covid-19 pandemic, the importance of unified action between public and private healthcare sectors has never been clearer. The past years have underscored the necessity for a resilient and inclusive healthcare system,” he said.

Morar pointed out that collaboration between sectors is essential not only for resource sharing but also for strengthening patient care and increasing access to vaccination and essential health services.

However, the journey towards UHC is fraught with challenges. The success of the NHI hinges on effective governance, resource allocation, and the establishment of accountability mechanisms, he said.

He added that achieving the ambitious goals of NHI without a solid foundation in governance and accountability would be a costly misstep.

Morar further cautioned the public, emphasising that a future-forward approach is needed, one that addresses current gaps while anticipating emerging healthcare demands and technological advancements.

He reflected on the structural deficits within under-resourced and underserved regions, which he said necessitate concerted efforts to fortify healthcare infrastructure and ensure adequate staffing.

He stated that: "dedicated efforts in providing adequate healthcare infrastructure and equipment, staffing, and strong governance and leadership are essential.

“Looking forward, planning for the healthcare needs of future generations is crucial.”

He said the rapid evolution of healthcare technologies and the need for data security present unique hurdles that South Africa must navigate.

“As we transition into a digital age, protecting patient information and ensuring uninterrupted services will be paramount.”

He said the medical school is laying the groundwork for graduating its first cohort of ‘Mandela Doctors’ in 2026.

“This historic event will be more than just an academic milestone; it represents a collective commitment to building a health system that truly reflects the ideals of equity and access enshrined in South Africa’s constitution.

"Our success will depend on strategic planning, effective governance, and a commitment to collaboration across sectors. We have a unique opportunity to forge a resilient and equitable healthcare system for all South Africans, reaffirming our dedication to both health and humanity," he said.

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