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The NHI as an alternative to developing South Africa's healthcare system : a retrospective analysis
Dissertation (MSoSci (Development Studies))--University of Pretoria, 2022.
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| Format: | Thesis |
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University of Pretoria
2022
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| _version_ | 1867613481471049729 |
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| access_status_str | Open Access |
| author2 | Bizos, Anthony |
| author_browse | Bizos, Anthony |
| author_facet | Bizos, Anthony |
| collection | Thesis |
| dc_rights_str_mv | © 2022 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. |
| description | Dissertation (MSoSci (Development Studies))--University of Pretoria, 2022. |
| format | Thesis |
| id | oai:repository.up.ac.za:2263/86298 |
| institution | University of Pretoria (South Africa) |
| last_indexed | 2026-06-10T12:36:50.231Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository |
| publishDate | 2022 |
| publishDateRange | 2022 |
| publishDateSort | 2022 |
| publisher | University of Pretoria |
| publisherStr | University of Pretoria |
| record_format | dspace |
| source_str | UPSpace — University of Pretoria Institutional Repository |
| spelling | oai:repository.up.ac.za:2263/86298 The NHI as an alternative to developing South Africa's healthcare system : a retrospective analysis Bizos, Anthony U16321732@TUKS.CO.ZA Mthetwa, Thobani Mthokozisi UCTD Policy Formulation NHI The Linear model Historical Institutionalism Path Dependency Dissertation (MSoSci (Development Studies))--University of Pretoria, 2022. The purpose of this study is to retrospectively analyse the formulation phase of the National Health Insurance (NHI) policy in South Africa. This policy was formulated in 2007 by the ANC-led government to bridge the gap between the private and public healthcare sectors so as to create a unified healthcare system. This study contends that the NHI policy faces implementation challenges today because the policy formulation stage reflected an exclusionary criterion when selecting stakeholders during the policy formulation stage. This study argues that policy formulation in South Africa is elite-driven and characterised by the bureaucracy adopting a top-down policy formulation approach. Furthermore, South Africa healthcare policies are incrementally path dependent. This suggests that new policies are only slightly different from older policies. This illuminates the reality that despite having laws and policies in place, South Africa still faces poor implementation of these policies. This is due to public policies remaining stuck on a specific historical path coupled with institutional rigidity. The study employs a retrospective policy analysis based on a document review of both primary and secondary data sources. The primary sources include the ANC’s 2007 Polokwane Conference resolutions document. This document outlines resolutions 53, 54, 55, and 67 which speak specifically to the NHI. This study also reviews the Green Paper (2011) and the White Paper (2017) of the South African National Department of Health. The secondary sources include the works of policy scholars to generate a deeper understanding of policy formulation, incrementalism, path dependency, bureaucratisation, and elitism in policymaking whilst expanding on the challenges that the NHI policy faces in its implementation. Anthropology and Archaeology MSoSci (Development Studies) Unrestricted 2022-07-19T12:36:52Z 2022-07-19T12:36:52Z 2022-09-08 2022 Dissertation * S2022 https://repository.up.ac.za/handle/2263/86298 © 2022 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria |
| spellingShingle | UCTD Policy Formulation NHI The Linear model Historical Institutionalism Path Dependency The NHI as an alternative to developing South Africa's healthcare system : a retrospective analysis |
| title | The NHI as an alternative to developing South Africa's healthcare system : a retrospective analysis |
| title_full | The NHI as an alternative to developing South Africa's healthcare system : a retrospective analysis |
| title_fullStr | The NHI as an alternative to developing South Africa's healthcare system : a retrospective analysis |
| title_full_unstemmed | The NHI as an alternative to developing South Africa's healthcare system : a retrospective analysis |
| title_short | The NHI as an alternative to developing South Africa's healthcare system : a retrospective analysis |
| title_sort | nhi as an alternative to developing south africa s healthcare system a retrospective analysis |
| topic | UCTD Policy Formulation NHI The Linear model Historical Institutionalism Path Dependency |
| url | https://repository.up.ac.za/handle/2263/86298 |