QUESTION ONE [25] "Delivery of quality health care is a constitutional obligation in South Africa (Stuckler, Basu & Mcke

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Question One 25 Delivery Of Quality Health Care Is A Constitutional Obligation In South Africa Stuckler Basu Mcke 1 (179.59 KiB) Viewed 39 times

QUESTION ONE [25] "Delivery of quality health care is a constitutional obligation in South Africa (Stuckler, Basu & Mckee 2011:165). Government has therefore introduced numerous developments and programmes to improve health care, efficiency, safety and quality of delivery and access for all users (Mogashoa & Pelser 2014: 142), and there have been major changes in health policy and legislation to ensure compliance in delivering quality care (Moyakhe 2014:80). Despite a number of commendable goals having been set by government for improved quality of service delivery in healthcare settings, reports by media and communities in 2009 revealed that services in public health institutions were nonetheless failing to meet basic standards of care and patient expectations (National Department of Health 2012:4). This has caused the public to lose trust in the healthcare system (Zubane 2011:1). Koelble and Siddle (2014:1118) describe the healthcare system in South Africa as ruined and in serious need of repair. Many of problems in the South African healthcare system can be traced back to the apartheid period (1948–1993) in which the healthcare system was highly fragmented, with discriminatory effect, between four different racial groups (black, mixed race, Indian and white) (Baker 2010:79). To worsen the situation, the apartheid government developed 10 Bantustans (the so-called ethnic homelands) into which Africans were unwillingly segregated, and each of which had their own departments of health with their professional bodies (Baker 2010:80). This led to deterioration in health system delivery because of lack of resources, and poor communities were especially affected (Chassin & Loeb 2013:462). Huge efforts have been made to improve the quality of healthcare delivery in South Africa since 1994 elections, but several issues have been raised by the public regarding public institutions". (Source: Maphumulo, W.T. & Bhengu, B.R., 2019, 'Challenges of quality improvement in the healthcare of South Africa post-apartheid: A critical review', Curationis 42(1), a1901). Question: With reference to the excerpt above, the case description of healthcare in South Africa, "Delivery of quality health care is a constitutional obligation in South Africa (Stuckler, Basu & Mckee 2011:165). Government has therefore introduced numerous developments and programmes to improve health care, efficiency, safety and quality of delivery and access for all users (Mogashoa & Pelser 2014:142) Provide a critical discussion on the vehicle of delivery to a free, fair and community efficient healthcare model.