National Directives in Health

Quality in Healthcare for South Africa, 2007
This policy aims to improve the quality of care in the public and private health sectors, by addressing
access to healthcare; increasing patients’ participation and the dignity afforded to them; reducing
underlying causes of illness, injury and disability through preventive activities; expanding research on
evidence of effectiveness; ensuring the appropriate use of healthcare services; and reducing healthcare
errors. These improvements generally reflect the needs of various vulnerable populations.
Integrated School Health Policy, 2012
To deal with past injustices, democratic South Africa has had many school health policies, including
this most recent one which aims to improve existing school health services, as well as to strengthen
collaboration between key roleplayers such as the Departments of Health, Basic Education, and Social
Development. This policy focuses on addressing health issues that cause barriers to learning, morbidity
and mortality among learners during childhood and adulthood. The provision of health services (as
opposed to screening and referral) in schools is prioritised.
National Health Insurance (NHI), 2017
This policy aims to promote equity and efficiency in the health sector, and to ensure that all South Africans
have access to affordable, quality healthcare services regardless of their socioeconomic status. The NHI will
be phased in over 14 years and derives its mandate from South Africa’s Constitution, which states that the
state should ensure healthcare for all. The implementation is underpinned by the National Development
Plan, which envisions that, by 2030, a common fund should enable equitable access to healthcare,
regardless of what people can afford or how frequently they need to use a service.
National Emergency Care Education and Training Policy, 2017
After 1994, the need to increase geographical reach meant that emergency care personnel were required
to operate independently and provide an increased level of clinical care. This necessitated a higher level
of training. This policy therefore aims to facilitate the alignment of emergency care education and training
with current education legislation and national training needs. Similar to other health professions, the
Emergency Care Qualification Framework would have three tiers consisting of an entry-level, mid-level, as
well as a professional qualification allowing access to postgraduate studies.