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National expenditure on health research in South Africa: what is the benchmark?
S Afr Med J. 2014 May 27; 104(7):468-74.SA

Abstract

The Mexico (2004), Bamako (2008) and Algiers (2008) declarations committed the South African (SA) Ministry of Health to allocate 2% of the national health budget to research, while the National Health Research Policy (2001) proposed that the country budget for health research should be 2% of total public sector health expenditure. The National Health Research Committee has performed an audit to determine whether these goals have been met, judged by: (i) health research expenditure as proportions of gross expenditure on research and development (GERD) and the gross domestic product (GDP); and (ii) the proportion of the national health and Department of Health budgets apportioned to research. We found that total expenditure on health research in SA, aggregated across the public and private sectors, was R3.5 billion in 2009/10, equating to 16.7% of GERD. However, the total government plus science council spend on health research that year was only R729 million, equating to 3.5% of GERD (0.03% of the GDP) or 0.80% of the R91.4 billion consolidated government expenditure on health. We further found that R418 million was spent through the 2009/2010 Health Vote on health research, equating to 0.46% of the consolidated government expenditure on health or 0.9% of the R45.2 billion Health Vote. Data from other recent years were similar. Current SA public sector health research allocations therefore remain well below the aspirational goal of 2% of the national health budget. We recommend that new, realistic, clearly defined targets be adopted and an efficient monitoring mechanism be developed to track future health research expenditure.

Authors+Show Affiliations

Director, Cardiothoracic Intensive Care Unit, Department of Anaesthesiology and Division of Critical Care, Charlotte Maxeke Johannesburg Academic Hospital, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; member, Human Research Ethics Committee, University of the Witwatersrand; member, National Health Research Committee, Department of Health, South Africa. fathima.paruk@wits.ac.za.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25214045

Citation

Paruk, Fathima, et al. "National Expenditure On Health Research in South Africa: what Is the Benchmark?" South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde, vol. 104, no. 7, 2014, pp. 468-74.
Paruk F, Blackburn JM, Friedman IB, et al. National expenditure on health research in South Africa: what is the benchmark? S Afr Med J. 2014;104(7):468-74.
Paruk, F., Blackburn, J. M., Friedman, I. B., & Mayosi, B. M. (2014). National expenditure on health research in South Africa: what is the benchmark? South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde, 104(7), 468-74. https://doi.org/10.7196/samj.6578
Paruk F, et al. National Expenditure On Health Research in South Africa: what Is the Benchmark. S Afr Med J. 2014 May 27;104(7):468-74. PubMed PMID: 25214045.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - National expenditure on health research in South Africa: what is the benchmark? AU - Paruk,Fathima, AU - Blackburn,Jonathan M, AU - Friedman,Irwin B, AU - Mayosi,Bongani M, Y1 - 2014/05/27/ PY - 2012/12/01/received PY - 2014/04/06/accepted PY - 2013/07/22/revised PY - 2014/9/13/entrez PY - 2014/9/13/pubmed PY - 2014/12/15/medline SP - 468 EP - 74 JF - South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde JO - S Afr Med J VL - 104 IS - 7 N2 - The Mexico (2004), Bamako (2008) and Algiers (2008) declarations committed the South African (SA) Ministry of Health to allocate 2% of the national health budget to research, while the National Health Research Policy (2001) proposed that the country budget for health research should be 2% of total public sector health expenditure. The National Health Research Committee has performed an audit to determine whether these goals have been met, judged by: (i) health research expenditure as proportions of gross expenditure on research and development (GERD) and the gross domestic product (GDP); and (ii) the proportion of the national health and Department of Health budgets apportioned to research. We found that total expenditure on health research in SA, aggregated across the public and private sectors, was R3.5 billion in 2009/10, equating to 16.7% of GERD. However, the total government plus science council spend on health research that year was only R729 million, equating to 3.5% of GERD (0.03% of the GDP) or 0.80% of the R91.4 billion consolidated government expenditure on health. We further found that R418 million was spent through the 2009/2010 Health Vote on health research, equating to 0.46% of the consolidated government expenditure on health or 0.9% of the R45.2 billion Health Vote. Data from other recent years were similar. Current SA public sector health research allocations therefore remain well below the aspirational goal of 2% of the national health budget. We recommend that new, realistic, clearly defined targets be adopted and an efficient monitoring mechanism be developed to track future health research expenditure. SN - 0256-9574 UR - https://wwww.unboundmedicine.com/medline/citation/25214045/National_expenditure_on_health_research_in_South_Africa:_what_is_the_benchmark L2 - https://core.ac.uk/reader/39676467?utm_source=linkout DB - PRIME DP - Unbound Medicine ER -