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.
On 16 and 17 September 2010, over 60 members of civil society organisations and trade unions met to discuss their work and their efforts – independently and through the South African National AIDS Council (SANAC) – to strengthen the national response to HIV and to achieve the goals of the National Strategic Plan (NSP). The aim of the meeting was to define a new agenda going forward for civil society activism both within and independent of SANAC and to focus on our human right to health.
India’s Department of Industrial Policy and Promotion (DIPP) recently published a discussion paper on compulsory licensing and made a call for interested parties to make submissions. On 7 October 2010, SECTION27 made a submission.
TAC and SECTION27 call on government and unions to find an urgent solution to the human resource crisis in the health system.
On 6th September 2010 the public sector strike was suspended to allow trade unions to consult their members on whether to accept the government’s revised offer on pay and other conditions. We urge the union members to seriously consider this offer as the public health system cannot afford a return to the strike. We are aware that many workers will regard acceptance of the offer as a compromise and that it may not satisfy public sector workers’ demands for a reasonable standard of living or a salary commensurate with the contribution they make to our society. Nonetheless we believe that it should be accepted.
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.