Thread by @Bhekisisa_MG

Our #BhekisisaWebinar is now live — ‘procurement, policy and partnerships: pandemic lessons for the #NHI’. Follow the link to join our panel or follow along on Twitter bit.ly/3rAcn8u

A reminder of our speakers this afternoon. #BhekisisaWebinar #NHI

@SibusisoNkomo
(@afrobarometer) Presents a report on the impact of #COVID19 on South Africans. #BhekisisaWebinar

More from panellist @SibusisoNkomo's presentation #BhekisisaWebinar

Findings from @afrobarometer "less than a third of South Africans have health insurance"

Dr. Nicholas Crisp of @HealthZA: "Parliament received 64 000 written submissions"
#BhekisisaWebinar

Crisp of @HealthZA: The process of hearings should ideally be completed by the end of the year BhekisisaWebinar

Crisp: Lists the different reforms and changes within the health system that they would ideally like to achieve #BhekisisaWebinar #NHI

Crisp/ @HealthZA: Lessons from #COVID19 "dual and divergent systems make it extremely difficult to respond in an agile way" #BhekisisaWebinar #NHI

Crisp: "We also saw that countries with national systems are able to respond quicker to emergencies "

Crisp: "We need in order to build a coherent health system, to have the data that allows people to move within the system" #BhekisisaWebinar #NHI

Crisp: #VaccineRolloutSA

Crisp: re obtaining of PPE "this was for all of us a disaster"

Crisp: "we have witnessed human nature at the absolute best, and absolute best during the pandemic" #BhekisisaWebinar #NHI

@umunyana_rugege: "Seeing the development of more transparency, we could have more accountability" #BhekisisaWebinar

@umunyana_rugege: "One of the things that became very clear was the extreme levels of inequality within our systems" #BhekisisaWebinar

@umunyana_rugege: We have 18mil people on social systems, and that's likely to grow #BhekisisaWebinar #NHI

@umunyana_rugege: there is a trust deficit [between civil society and government' #BhekisisaWebinar

Tebogo Phaleng, @Discovery_SA: 'the social and economic implications of the pandemic is clear to all of us now' #BhekisisaWebinar

Phaleng, @Discovery_SA: #VaccineRollOutSA, is the most important health and economic intervention of our time. #BhekisisaWebinar

Phaleng, @Discovery_SA: We have to do 6.5mil vaccinations/ month for the next 5 months. To do that we need 300 000 - 350 000 vaccinations per day #VaccineRollOutSA #BhekisisaWebinar

Phaleng, @Discovery_SA completes 14 000 vaccinations/ day through 9 vaccination sites. That's about 5% of the national vaccines load #VaccineRollOutSA #BhekisisaWebinar

Phaleng: 25% of @Discovery_SA clients are accessing vaccines through public sites #BhekisisaWebinar

Phaleng says he sees that there is more of a collaboration between public and private healthcare systems #BhekisisaWebinar

Phaleng, on lessons the #NHI can learn from #COVID19: importance of governance, transparency and accountability. A clear common goal also helps and open communication, and a 'spirit of sharing ideas' #BhekisisaWebinar

Phaleng, 'the importance of a well-functioning health system' #BhekisisaWebinar

Stavros Nicolaou / @businessforsa: firstly thanks media and health sector colleagues in what he calls "the most challenging environment that we have faced politically, socially, economically and from a public health perspective in our country" #BhekisisaWebinar

Nicolaou / @businessforsa: organised business in SA supports universal coverage #BhekisisaWebinar

Nicolaou: the achievement of universal coverage can be advanced and achieved in various ways, and we understand that it requires investment in various structures #NHI #BhekisisaWebinar

Nicolaou: there is probably nothing more important in our country right now than efficiently and effectively rolling out vaccines #BhekisisaWebinar

Nicolaou: when we launched 17 May, we were vaccinating 0.025/ 100 citizens. Last Friday we touched 3/ 100 citizens. That's a 15 fold increase over a 10 week period. #VaccineRollOutSA #BhekisisaWebinar

Nicolaou: there is an 'unprecedented' collaboration between the public and private sector. #BhekisisaWebinar

Nicolaou: collaboration between private and public = uninsured patients can now turn up at private sector providers and receive a vaccine #VaccineRollOutSA #BhekisisaWebinar

@umunyana_rugege/ @SECTION27news: some health services are available to migrants/ refugees and others, so there is a recognition in that regard

@umunyana_rugege/ @SECTION27news: section 27 of our constitution talks about everyone having access to healthcare. excluding asylum seekers from the #NHI is problematic #bhekisisawebinar

@umunyana_rugege/ @SECTION27news: it's unclear what is happening about undocumented people accessing vaccines #BhekisisaWebinar

Q: which areas are hard for collaboration between public & private?
Crisp/ @HealthZA : we will always differ on profit. We have a problem with working for share/ profit and not working for the patient. #bhekisisawebinar

Crisp (@HealthZA): We don't see healthcare as a tradeable commodity. Healthcare itself is a public good. If you spend money on healthcare it is an investment #BhekisisaWebinar

Nkomo (@afrobarometer): half of the issues that you see around vaccinations for example is issues of trust and what has happened in government over the last few years. #BhekisisaWebinar

Nkomo (@afrobarometer): There is a trust deficit and it needs to be built quite a bit. Until then, you will probably get some hesitancy. #BhekisisaWebinar

Crisp: there are very good services in the public service. But there are parts of the public service which "are horrendous and an embarrassment" #BhekisisaWebinar

Q: how do we prevent corruption in the #NHI?
@umunyana_rugege/ @SECTION27news: we have to ensure that at every level that the systems are in place that we don't have errors that we pay more than we need to be paying #BhekisisaWebinar

Q: how do we prevent corruption in the #NHI?
Crisp: Everywhere - theft, fraud, corruption we must not tolerate it. There also needs to be accountability and consequences #bhekisisawebinar