Page 29 - SAMRC Strategic Plan

PART B: SAMRC STRATEGIC FOCUS
continued

CAUSES OR DRIVERS OR
FINDINGS SYMPTOMS RECOMMENDATIONS
1. Gaps in ethical • Gaps are exacerbated by evidence of A. Enhance governance and leadership for
leadership, management mismanagement, inefficiencies and quality and equity.
and governance incompetence at various levels of the (a) Prevent fraud and corruption
contribute to poor quality health system. (b) Strengthen community health structures
of care • Corruption and fraud are major (c) Invest in, and increase the capacity of, the
threats to equitable access to quality Office of Health Standards Compliance
health care (d) Enhance the capacity and effectiveness of
the Council for Medical Schemes
(e) Strengthen governance, effectiveness and
2. Poor quality of care costs Inadequate management of neonatal efficiency of the various health professions
lives deaths, hypertension, diabetes and councils
mental health
3. Malpractice cases and Contingent liabilities for medical B. Revolutionise quality of care
medical litigation are malpractice place a huge burden (a) Revitalise the provision of responsive, high-
threats to the realisation on the distressed health system and quality clinical care that responds to the
of the right to health care reduce financial resources available for burden of disease
in South Africa health service provision (b) Prevent medical malpractice and litigation
(c) Embark on a national campaign to educate
4. The human resources Staff shortages, inequities and mal- patients and communities about their
for health (HRH) crisis distribution between urban and rural health rights and responsibilities
will undermine the areas and between the public and (d) Design an integrated, quality improvement
achievement of high- private health sectors; unprofessional Programme of Action
quality universal health behaviour and poor staff motivation
coverage and performance. C. Invest in, and transform, human resources
for health in support of a high quality health
5. Health information Existing health measurement platforms system
system gaps constrain that provide information on health
the country’s ability to system inputs, processes, service (a) Develop a transformative HRH plan
(b) Strengthen or include a compulsory
measure or monitor delivery, outcomes and impacts do
quality and its not provide sufficient and appropriate module on quality of care in both pre-
service training and continuing professional
improvements information on health outcomes
and impacts, nor are they sufficiently development programmes of health
professionals
person-centred
D. Measure, monitor and evaluate to ensure a
6. Fragmentation and Impact of the quality improvement high-quality health system
limited impact of quality initiatives in South Africa is limited (a) Develop and enforce an integrated national
of care initiatives. because of fragmentation across health health system performance dashboard
conditions, levels of care and between
the public and private health sectors

28 SAMRC STRATEGIC PLAN 2025/26 – 2029/30