Year | Event | Key actors involved |
---|---|---|
1994 | African National Congress Health Plan released | African National Congress (ruling party) |
1997 | White Paper for Transformation of the Health System released | Ministry of Health |
2003 | National Health Act (2003) | Ministry of Health |
2010 | PHC re-engineering discussion document released | Ministry of Health |
August 2011 | NHI Green Paper released | Ministry of Health |
March 2012 | 10 NHI pilot districts announced | Ministry of Health |
April 2012 | NHI piloting in 10 selected districts commences | Â |
2011–2012 | National Technical Task Team (NTTT) constituted to drive GP contracting initiative | National policymakers, NTTT, provincial, district NHI coordinators, academics, representatives of professional associations |
2012–2013 | Policy intent and contracting model finalized (centralized-purchaser model) | National policymakers |
Ministerial roadshows held to engage with relevant stakeholders and promote buy-in for NHI and the GPCI | Minister of Health | |
February 2013 | PDOH announces intention to pursue decentralized-purchaser model in the selected pilot district | PDOH, District level managers |
2013 | Centralized-purchaser model in implemented in selected districts Independent payroll company contracted to manage the payroll process at national level (centralized-purchaser model) | National policymakers, provincial, district level managers, facility managers GPs National policymakers |
July 2013 | Decentralized-purchaser model is implemented in one pilot district | Provincial, district and sub-district managers, facility managers, GPs |
Early 2014 | Decision taken by NDOH to pursue a contracted-purchaser model | National policymakers |
November 2014 | Service provider appointed and contracted to recruit, place and manage GPs (contracted-purchaser model) Contracted-purchaser model is implemented in selected districts | National policymakers |
December 2016 | Draft NHI White Paper is released for public consultation | Ministry of Health |
June 2017 | NHI White Paper is released | Ministry of Health |