scholarly journals Correction: South African Renal Registry Annual Report 2015 - kidney transplants in KwaZulu-Natal

2017 ◽  
Vol 20 (1) ◽  
Author(s):  
Sudesh Hariparshad

This correction serves to update the reported numbers of new kidney transplants performed annually since 2012 in the public sector in the province of KwaZulu-Natal.

2020 ◽  
Vol 23 (1) ◽  
Author(s):  
M. Razeen Davids ◽  
Thabiet Jardine ◽  
Nicola Marais ◽  
Julian C. Jacobs ◽  
Sajith Sebastian

The seventh annual report of the South African Renal Registry summarises the 2018 data on kidney replacement therapy (KRT) for patients with kidney failure in South Africa. In December 2018, the number of patients who were being treated with chronic dialysis or transplantation stood at 10 730, a prevalence of 186 per million population (pmp). Most patients are treated with haemodialysis in the private healthcare sector, where the prevalence was 839 pmp. In the public sector, which serves 85% of the South African population, the prevalence of KRT (67 pmp) remained below the level reported for 1994. Limpopo and Mpumalanga remain the most under-served provinces and Blacks the most under-served population group. The Western Cape province had the highest public sector treatment rates by a large margin and was also where most of the country’s public sector kidney transplants were performed.


2019 ◽  
Vol 22 (1) ◽  
pp. 60-71
Author(s):  
M Razeen Davids ◽  
Thabiet Jardine ◽  
Nicola Marais ◽  
Moleen Zunza ◽  
Julian C. Jacobs ◽  
...  

The sixth annual report of the South African Renal Registry summarises the 2017 data on renal replacement therapy (RRT) for patients with end-stage renal disease (ESRD) in South Africa. In December 2017, the number of patients with ESRD who were treated with chronic dialysis or transplantation stood at 10 744, a prevalence of 190 per million population (pmp). The growing prevalence observed since the registry was established is due mainly to the increasing numbers of patients accessing haemodialysis in the private sector, where the prevalence was 855 pmp. In the public sector, which serves 84% of the South African population, the prevalence of RRT (66 pmp) remained below the level reported for 1994, so that the disparity in access continued to increase. The disparities between provinces remained, with Limpopo and Mpumalanga the most under-served, as did the disparities between ethnic groups, with Blacks being the most under-served group. The Western Cape was the province with the highest public sector treatment rates and was also where most of the country’s public sector kidney transplants were performed.


2011 ◽  
Vol 8 (3) ◽  
pp. 196-208 ◽  
Author(s):  
Nirmala Dorasamy ◽  
Soma Pillay

This purpose of this article is to explore impediments to effective whistleblowing as a strategy for promoting anti-corruption practices within the South African public sector. Corruption, which violates the public service code of conduct; deters foreign investment, increases the cost of public service delivery, undermines the fight against poverty and unnecessarily burdens the criminal justice system. The article addresses the question on whether legislation on whistleblowing is adequate to encourage whistleblowing in the public sector. A review of literature determines that the effective implementation of whistleblowing legislation is largely dependent on addressing the challenges identified in the article. The quantitative research method was employed in the study to ascertain the views of employees in the public sector on whistleblowing. Empirical findings confirm the hypothesis that the protection of whistleblowers through legislation is inadequate to encourage whistleblowing. The article provides a conceptual framework for the effective achievement of the intended outcomes of whistleblowing in the public sector.


Significance The negotiations follow the government’s refusal last year to pay the final annual tranche of a previous three-year deal. Containing the public-sector wage bill is seen as key for President Cyril Ramaphosa’s administration to rein in a spiralling debt burden. Impacts The three main rating agencies may postpone their next assessments until the wage talks gain greater clarity. Government firmness in the face of union demands could undermine Ramaphosa’s hold on the ruling ANC. With unions in a weak political position, they may have to stomach government intransigence due to lack of alternatives to Ramaphosa. Substantial concessions to unions would be divisive amid difficult budgetary choices such as below-inflation increases on social grants.


2019 ◽  
Vol 8 (4) ◽  
pp. 500-512
Author(s):  
Boris Urban ◽  
Mmapoulo Lindah Nkhumishe

Purpose Many unanswered questions remain regarding the authors’ understanding of how entrepreneurship can be fostered in the public sector. To fill this knowledge gap, the purpose of this paper is to conduct an empirical investigation to determine the relationship between different organisational factors and entrepreneurial orientation (EO) in the South African public sector. Design/methodology/approach Primary data are sourced from middle-level managers at municipalities in the three largest provinces across South Africa. Hypotheses are statistically tested using regression analyses. Findings Results reveal that the organisational antecedents of structure and culture explain a significant amount of variation in the EO dimensions of innovativeness, risk taking and proactiveness. Additionally, the findings on organisational rewards converge with an emerging stream of research which highlights that while rewards works well to motivate individuals in the private sector, they are negatively correlated with entrepreneurship in the public sector. Research limitations/implications The study implications relate to the efficiency and effectiveness of service delivery of municipalities in South Africa. Due to increases in community protest actions, it is necessary not only to maximise efficiency in the provision of services, but also to innovate and be proactive in order to achieve more with less resources. Originality/value By investigating previously unrelated factors in the public sector, the authors create closer conceptual and empirical links between the role of organisational factors and each of the EO dimensions. Furthermore, the study takes place in a relatively under-researched entrepreneurship and public sector context.


2021 ◽  
Author(s):  
Reeya Singh ◽  
Frasia Oosthuizen ◽  
Ebenezer Wiafe ◽  
Kofi Boamah Mensah ◽  
Varsha Bangalee

Abstract Background The development of tyrosine kinase inhibitors (TKIs) has improved chronic myeloid leukemia (CML) management and increased CML prevalence due to low mortality rates. CML management is potentially lifelong and expensive and requires pharmacoeconomic approaches and regular review of therapy to ensure that patients obtain cost-effective therapeutic outcomes. Although the introduction of TKIs generics has improved the availability of TKIs, the high-cost implications continue to hinder TKIs accessibility and translate into poor quality of life. To improve the availability and accessibility of TKIs in South Africa, interventional programs have been instrumental. A notable intervention is the collaborative effort of Novartis pharmaceuticals and The Max Foundation which has provided free access to Imatinib to patients in need. In recognition of the needs of CML patients, this study aimed to provide an overview of TKIs regulatory approval, availability, and cost profile in the South African (SA) context for the 2019 period. Methods The researchers searched the South African Health Products Regulatory Authority (SAHPRA) website on 20 August 2019 to identify TKIs, generic and innovator brands, that was duly registered. The costs of the registered TKIs were extracted from the Medicines Price Registry (2019) and the Department of Health awarded tenders for oncology medications (2019). The results were analysed quantitatively using Microsoft Excel and presented as tables. Results Three TKIs were registered in SA: Imatinib, Dasatinib, and Nilotinib. Generics were only available for Imatinib. Despite the numerous Imatinib generics available in the private sector, treatment for CML chronic phase (CP) patients in the private sector was more expensive than in the public sector. Apparent cost inequality was noted where the same TKI (Nilotinib 200 mg) costs substantially less (by 92.4%) in the public sector than in the private sector. Conclusion The study concluded that the accessibility to CML management in the private sector is hindered by the high cost of therapy compared to the public sector. The availability of generic forms of Imatinib eliminated monopoly and improved medicated access compared to Dasatinib and Nilotinib. To improve CML medication access, stakeholders' engagement is required to control cost.


2014 ◽  
Vol 13 (5) ◽  
pp. 981 ◽  
Author(s):  
Chengedzai Mafini ◽  
David Rabolane Isaac Pooe

Organisational performance in the public sector in South Africa remains an issue of concern, due to the fact that most government departments continue to perform below the expected standard. This presented an impetus to conduct research on organisational performance in the sector on a continuous basis, in order to find current solutions. In this study, the relationship between organisational performance and four organisational process factors; namely, organisational structure, change, teamwork, and leadership in a South African government department was examined. A conceptual framework and four hypotheses which linked these four process factors and organisational performance were proposed. A six-section survey questionnaire was administered to 272 randomly selected members of a government department who were based in Gauteng Province. The proposed relationships were tested using a combination of Pearsons correlation coefficient and multiple regression analysis. Positive and statistically significant relationships were observed between organisational performance and the four process factors, leading to the acceptance of all hypotheses. The framework proposed in the study may be used in the diagnosis of performance problems in the public sector.


Curationis ◽  
1991 ◽  
Vol 14 (1) ◽  
Author(s):  
M.E. Muller

The threatening crisis in the nursing profession, especially in the public sector, led to a national investigation that was directed to the HMAC. A national nursing manpower analysis was undertaken by private consultants by means of a descriptive survey. A registered nurse/population ratio of 1:416 was recommended by the South African Nursing Council and accepted by the HMAC. The demand presently exceeds the supply and an actual annual student output of 4000 is required It was also emphasized that only 65% of the college capacities are being utilised and a potential supply of matriculants amounts to 3300 p.a. Important recommendations include active marketing of the profession, phasing in of a registered nurse/population ratio of 1:416, as well as an appropriate increase of posts for students, tutors and clinical nurses.


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