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National Health Act, 2003 (Act No. 61 of 2003)


National Health Insurance Policy towards Universal Health Coverage

Chapter 6 : Reorganisation of the Health Care System and Services under NHI

6.5 Information and Research for Monitoring of progress to UHC


192. Information and research for monitoring UHC and equity of access combines the experiences of users of health services across socioeconomic groups, especially the socially disadvantaged, taking into account social determinants of health such as vulnerability, livelihoods, empowerment, health seeking and navigation skills; whilst also monitoring the characteristic of the health system in terms of resources, the organisation, service outreach, participation and permeability.Measuring and monitoring the equity dimension entails understanding health needs, availability of services, accessibility, utilisation patterns and whether coverage is effective or not69.


193. A monitoring system for NHI implementation will be established. UHC consists of three dimensions namely: health services, finance, and population coverage and these dimensions are influenced by demographic, epidemiological and technological trends70. Health service coverage indicators that are being developed include: (a)services for health promotion and illness prevention; and (b) treatment including rehabilitation and palliative care services71.


194. For financial protection72, indicators that are being developed include:(i) the incidence of impoverishment resulting from Out-of-pocket (OOP) health payments, and (ii) the incidence of financial catastrophe from the same cause. Other indicators that will be monitored include collecting data on the extent to which people are pushed further into poverty, and the severity of financial catastrophe.