Less than 1 in 10 people living with a mental health condition in South Africa receive the care that they need.
The UN's global health policy related to universal health coverage should be grounded in primary health care -- with meaningful benchmarks to ensure patient participation.
Top-down reforms like those proposed in the NHI Bill need to be complemented by a bottom-up process of health system strengthening.
South Africa's planned NHI has no equivalent in any setting in the world. It's deeply flawed on a number of fronts.
Health systems are generally structured around nation-states. Migration, especially across national borders, therefore leads to challenges.
Excluding international migrants from the public health care system can result in a population wide risk.
South Africa's health care needs to be reformed so that everyone has access regardless of affordability or location.
The bill to provide universal health care in South Africa is not the silver bullet for the challenges in the health sector.
For healthcare to be accessible, affordable and equal, policies and programmes that promote universal health coverage need to be based on evidence.
A critical part of attaining universal health coverage is access to published research.