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Strengthening Health Care in South Africa through Faith-Based Community Networks

This presentation by Dr. Renier Koegelenberg at the Ahimsa Round Table explores the challenges of healthcare in South Africa, highlighting the persistent poverty, insufficient healthcare resources, and the impact of a legacy of colonialism and apartheid. It discusses the role of faith-based networks in addressing these challenges, emphasizing the importance of strong leadership and sustainable partnerships to improve health outcomes. The NRASD Health and Community Care Programme is presented as a model for holistic healthcare solutions that blend biomedical and community-centered approaches.

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Strengthening Health Care in South Africa through Faith-Based Community Networks

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  1. NRASD Health and Community Care Programme , SA The comparative strengths and advantages –faith-based networks in health programmes Presentation by: Dr Renier Koegelenberg Ahimsa Round Table on Global Health and Faith based Communities 16-18 June 2013, Lyon, France

  2. Presentation Outline • Introduction • Poverty in a rich country:South Africa • Challenges of healthcare in South Africa • Challenges of religious healthcare programmes • NRASD health and community care programme • Conclusion • Challenges and gaps

  3. Introduction • Historic role • Current role • Potential - primary healthcare (WHO) • Weaknesses & strengths

  4. Poverty in a rich country -SA • legacy of colonialism and apartheid • 50% of the population lives in chronic poverty; • 40% of the potential labour force is unemployed; • The richest 20% receives 74.3% of all income; 3.4% of income goes to the lower 30% of population • not limited to rural, remote areas

  5. Challenges of healthcare in SA • 175th out of 190 countries – South Africa has 5.5 doctors per 100,000 people • Burden of disease: • HIV/AIDS and TB • maternal and child morbidity and mortality; • non-communicable diseases • violence, injuries and trauma

  6. Priorities to address challenges • Developing strong leadership to turn around healthcare outcomes; • Implementing a National Health Insurance (NHI); • Overhauling healthcare systems and management; • Improving human resources and physical infrastructure; • Accelerated implementation of an HIV/AIDS plan and reduction of TB deaths; etc.

  7. Challenges of religious healthcare • Competition for scarce resources; • Unintended negative consequences of donor principles • E.g. PEPFAR ART programme • Global Fund programme • Financial concepts versus caring communities

  8. NRASD Programme • Developing strong leadership to turn around healthcare outcomes; • The ambiguity of religious communities • Responding to shortage of doctors, nurses • Establishing smart partnerships

  9. Conclusion • Tension: a biomedical versus a holistic and human behaviour approach • Tension: investment language versus caring communities • Challenge: cooperation between sectors

  10. Challenges/gaps • Balance between emergency, vertical responses - more horizontal, sustainable solutions • Flexibility & smart partnerships • Challenge to keep qualified staff • Foster inter-sectoral partnerships (leverage) • Community system strengthening – based on local needs

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