Table 6 List of common topics identified in the content analysis with explanations and examples from the text
Topic | Explanation (Texts focused on…) | Examples in media |
|---|---|---|
Access | Any aspect regarding who can access current system/NHI, including inequalities in the system | Inequality between public and private sectors Access to care regardless of SES Cross-subsidisation Who has access to NHI |
Governance | The government and their role/responsibility in NHI | Corruption Bureaucracy Lack of competency |
Health financing | Any financing and funding mechanisms of NHI | Unaffordability of NHI Different funding mechanisms How much NHI will cost Removal of medical scheme tax credits More money will not solve the problem |
Health workforce | The SA health workforce (public and private) | Shortage of health workforce Doctors leaving the country |
Middle class | How NHI will affect ‘you’ (typically implied to be a ‘middle class’ SA citizen) | Middle class ‘paying twice’ Mandatory contributions (no choice) Burden on taxpayers |
NHI content/process | Discussion of any of the contents of NHI policy documents or process | Purpose, functions etc. of NHI Pilot projects Release of documents for public comment |
Other | All other topics of focus not included on this list | Public participation Clarity needed on many aspects of NHI |
Politics | Discussion/contestation between different policy actors in the NHI process (not limited to political parties) | Responses to policy documents (for or against NHI) Questioning constitutionality Government claims/rebuttal to comments |
Private sector | Any aspect of the private sector e.g. health facilities, medical schemes | Private sector ‘destroyed’ New role of medical schemes Potential for collaboration with the private sector |
Public Sector | Any aspect of the public sector | Fix the quality in the public sector OHSC audits |