
South Africa’s Healthcare Sector
- Report
- March 13, 2025
Overview of South Africa’s Healthcare Sector
South Africa’s healthcare system is set to undergo significant transformation in 2024, with the primary goal of increasing access and improving health outcomes for all South Africans. Several trends gained momentum in 2023, including the rise of virtual healthcare, a stronger focus on proactive and preventive care, and growing mental health awareness.
South Africans are increasingly prioritising overall wellness, reflecting a positive shift towards taking personal responsibility for both physical and mental health. Progress continues in the development of the National Health Insurance (NHI) framework, despite ongoing challenges within the healthcare system.
In 2023, South Africa had the highest healthcare index in Africa, with a score considered relatively high. The index evaluates factors such as healthcare quality, medical professionals, equipment, and costs. However, achieving a universally accessible, high-quality healthcare system will require greater commitment from industry stakeholders. Additionally, a healthcare system that prioritises the well-being of its citizens is essential for economic growth.
South Africa remains optimistic about 2024, striving for meaningful improvements in its healthcare sector.
Key Highlights
Dual Healthcare System – The country operates two parallel healthcare systems, with stark disparities in care delivery and financing.
Healthcare Spending – Around 9% of GDP is allocated to healthcare, with per capita health expenditure at approximately USD 428.
Public Healthcare Challenges – The system is burdened by corruption, inadequate services, long waiting times, and a high disease burden.
Human Resource Shortages – A critical skills gap exists, with a nurse-to-patient ratio of 1:218 and a doctor-to-patient ratio of 0.31:1000.