Exploring Public Perceptions Regarding Sustainable Implementation of the National Health Insurance in South Africa

Mfanelo Ntsobi*, King Costa, Kholekile Ntsobi and Letlhogonolo Mofolo
Sci-Bono Discovery Centre, Global Centre for Academic Research and Davinci Institute of Technology Management, Johannesburg, Gauteng 2107, South Africa
*Corresponding Author: Mfanelo Ntsobi, Sci-Bono Discovery Centre, Johannesburg and Global Centre for Academic Research, South Africa.

Published: January 23, 2025

DOI: 10.55162/MCET.08.260

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Abstract  

Introduction: The implementation of National Health Insurance (NHI) in South Africa is a transformative initiative aimed at achieving universal health coverage and addressing historical health disparities. This ongoing study explicitly examines the perceptions of healthcare workers, policymakers, and citizens in Gauteng Province regarding the NHI initiative, acknowledging their essential contributions to its successful implementation.

Methods: A qualitative research design will be employed, utilizing semi-structured interviews and focus group discussions to gather in-depth data on stakeholder perceptions. Participants will be recruited through purposive sampling to ensure a diverse representation of views. Data analysis will be conducted using thematic analysis to identify key themes and patterns related to perceptions of the NHI.

Results: Preliminary findings suggest that stakeholder perceptions are influenced by factors such as trust in government, concerns about resource allocation, and expectations of service quality. Preliminary themes may include skepticism regarding implementation efficacy, perceived benefits of universal health coverage, and potential barriers to access.

Discussion: The anticipated results will provide valuable insights into the complexities surrounding the NHI initiative in South Africa. Understanding stakeholder perceptions is vital for identifying areas of resistance and fostering support for the NHI. The findings will contribute to the literature on health insurance systems and inform policymakers on strategies to enhance stakeholder engagement and address concerns.

Conclusion: This study aims to bridge the gap between policy intentions and public sentiment regarding the NHI initiative. By capturing the diverse views of healthcare workers, policymakers, and citizens, the research seeks to promote a more inclusive approach to health system reform in South Africa, ultimately advancing the goal of equitable healthcare access for all citizens.

Keywords: National Health Insurance (NHI); Universal Health Coverage; Stakeholder Perceptions; Healthcare Workers; Health Care Policy Makers

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