SECTION27 is a public interest law centre that seeks to influence, develop and use the law to protect, promote and advance human rights. Our name is drawn from the section in the South African Constitution which enshrines everyone's right to health care, food, water and social security.
More than a year after their finalisation and after many frustrated attempts by civil society organisations and the media to access them – including through the Promotion of Access to Information Act, 2000 – SECTION27 and the Rural Health Advocacy Project (RHAP) have finally been leaked copies of all the provincial reports compiled by the Integrated Support Teams (ISTs). Up to this point, the only report we have received officially is a consolidated report available here. This report is important, but lacks the necessary detail to allow civil society to engage with different challenges in different provinces.
The IST reports on each province were commissioned by the former Minister of Health, Barbara Hogan, in response to the massive budgetary shortfalls that over-whelmed provincial departments of health (PDoHs) in the 2008/2009 financial year, which reached crisis levels when the Free State Department of Health issued a moratorium on the initiation of new patients onto antiretroviral treatment in November 2008. After civil society pressure, that moratorium was finally lifted in February 2009.
The reports on this page are those of the Integrated Support Teams (ISTs) which have been provided to SECTION27 and the Rural Health Advocacy Project (RHAP). The IST reports were commissioned by the former Minister of Health, Barbara Hogan, in response to the massive budgetary shortfalls that over-whelmed provincial departments of health (PDoHs) in the 2008/2009 financial year, which reached crisis levels when the Free State Department of Health issued a moratorium on the initiation of new patients onto antiretroviral treatment from November 2008 to February 2009.
10 reports were commissioned in total, one for each provincial department of health and one for the National Department of Health – which we have not been able to access as of yet. In addition, a Consolidated Report was produced that pulled together findings from the individual department reports. These reports contain an honest, sobering assessment of the inadequate financial capacity of provincial departments of health that have led to the development of over R7.5 billion in provincial debt as of April 2009. The findings in these reports reveal fundamental failures in political and bureaucratic leadership, inappropriate financial management systems, inadequate monitoring and evaluation systems, and a failure to plan appropriately for human resources, amongst others.
A week into the public sector strike the Treatment Action Campaign and SECTION27 regret that no agreement has been reached between striking public service workers and the government. We support the demands of workers and their right to strike. But we regret the growing polarisation, pain and loss of life. This is now a political crisis that requires political leadership and a solution.
Much confusion has been generated recently regarding the legality of performing medical male circumcision on boys below the age of 16 in South Africa. This confusion seems to be based on a poor reading of the Children’s Act 38 of 2005. This confusion has caused some providers to be hesitant to perform circumcisions on infant boys, even where the parents have provided consent and slowed down the implementation of programmes ultimately aimed at preventing new HIV infections in the future.
The South African Child Gauge is the only publication in the country that provides an annual snap-shot of the status of South Africa’s children.
It is published by the Children’s Institute, University of Cape Town, to track South Africa’s progress towards realising children’s rights.
The latest issue focuses on the theme ‘Healthy children: From survival to optimal development‘.