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Healthcare Delivery.

H Schneider1, T Kredo2, W A Odendaal3

  • 1School of Public Health, University of the Western Cape, Cape Town, South Africa; Health Services to Systems Research Unit, South African Medical Research Council, Cape Town, South Africa. hschneider@uwc.ac.za.

South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
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Summary
This summary is machine-generated.

Research priorities for universal health coverage (UHC) in South Africa were identified. Leadership and governance themes ranked highest, guiding future health policy and systems research, especially post-COVID-19.

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Area of Science:

  • Health Policy and Systems Research
  • Public Health
  • Health Economics

Background:

  • South Africa is implementing National Health Insurance (NHI) and recovering from the COVID-19 pandemic.
  • Previous research priorities for universal health coverage (UHC) require revisiting in light of new challenges and strengths revealed by the pandemic.
  • Health policy and systems research is crucial for guiding reforms and practice.

Purpose of the Study:

  • To conduct and report on a research prioritisation exercise for UHC in South Africa.
  • To identify key knowledge needs for UHC implementation and policy development.
  • To provide a roadmap for future health policy and systems research in the country.

Main Methods:

  • A stepwise methodology involving evidence collation and expert brainstorming.
  • Development and distribution of a survey to 68 members of the Public Health Association of South Africa.
  • Analysis of survey responses to rank research priorities.

Main Results:

  • Leadership and governance themes were ranked as the highest research priorities.
  • Other generated priorities offer guidance for institutions and funding bodies.
  • The exercise highlighted the need for researcher-decision-maker dialogue.

Conclusions:

  • The identified research priorities provide an initial roadmap for UHC in South Africa.
  • Strengthening health policy and systems research is essential for effective policy and practice.
  • Revisiting priorities is timely given NHI rollout and pandemic recovery.