Staff shortages a concern The SAHRC feels that the country's public health system is failing miserably, citing several reasons
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A public enquiry issued by the South African Human Rights Commission on the
eve of the 15th year anniversary of democracy in the country, has found that the
public health system is in a state of disarray and failing those who it was
created to serve miserably.
According to the SAHRC report, the public health system is supposed to
cover the needs of around 90% of the country's population, but is, in fact, "in
a lamentable state".
"It is difficult to assess with accuracy whether the situation regarding
health care services in South Africa has improved or worsened over time," read
the report, "and whether there is indeed a progressive realization of the right
to access to health care services. Access to health care services, especially to
the poor, is severely constrained by the expensive, inadequate or non existent
transport, by serious shortages with regard to emergency transport, and by long
waiting times at clinics and other health care service providers."
There are many challenges facing the South African public health care system
today, including severe staff shortages and the inability to implement policy in
a satisfactory way.
Demotivation was one of the key reasons why the public health system could
not manage to find enough staff. One nurse in the report was quoted as saying:
"We always have to rush; we wash, we medicate, we move on. You miss some things.
You cannot implement things that would improve health care and staff morale. We
become demotivated and no longer have empathy."
In addition, the HIV/AIDS epidemic has taken a heavy toll on the system's
funds, considering that nearly 20% of citizens ranging from age 15 to 49 are
infected with the disease.
Those who can afford it turn to private health insurance which covers their
needs and those of their family members.