government official a launch of NCDs+ NSP, Eastern Cape, 31 May

Planning Commission to analyse NDP implementation shortcomings

Planning Commission to analyse NDP implementation shortcomings

gungubele 11 April 2022
Minister in the Presidency, Mondli Gungubele, says a key issue commissioners appointed to the National Planning Commission (NPC) will be expected to address is the slow progress in the implementation of the National Development Plan (NDP) and to identify solutions to make sure that the country fast tracks its route to the NDP goals.

The Minister, who serves as chairperson of the NPC, was speaking during a first media briefing of the third NPC which was appointed in December last year. “One of the shortcomings that [the NPC] has identified…was the incapacity of the state to implement the proposals of the NDP. This often combined with poor leadership that pay lip-service to the NDP without understanding its goals has acted as an obstacle to implementation of developmental objectives.

“As government, we are clear that the greatest challenge has been around implementation and in the discussions held to date, this was my emphasis to guide the discussions,” Gungubele said.

The National Development Plan – which was adopted ten years ago – was created as an action plan for government to tackle several challenges facing the country including unemployment, poverty, inequality, safety and healthcare. “The NDP was designed to change the lives of all South Africans by taking a comprehensive approach where the reality of 2012 [would] become a different one by 2030. We must recognise that we have not met the goals as we intended 10 years ago, that is true.

“Recognising this is the first step to asking: how do we do things differently to change the trajectory that we are on. This is where [the commission] will assist us as we tackle this challenge where implementation of our plans has not met the targets,” he said.

NPC Deputy Chairperson, Professor Tinyiko Maluleke, said the third NPC begins its term at a precarious moment in our country’s history and the “tall order” it faces in bringing the country closer to what the NDP envisioned. “There is, of course, a reason why we are called the NPC…and not the National Implementation Commission. But if implementation is slow or non-existent, planning alone, is clearly insufficient. Given that ours is a tenure that is closest to the finish line of 2030, we cannot afford to be dismissive, smug or philosophical about implementation.

“We have to probe why it is, why it has been so hard to coordinate, to cohere, to cascade down, to streamline and pinpoint down the necessary catalytic interventions which will embed and institutionalise the NDP within the departmental, provincial and municipal plans,” he said.

Professor Maluleke said the NPC will also give attention to identifying catalytic areas for government to pursue. “Countries which have successfully achieved their national developmental goals and targets are those at the heart of whose plans are clear catalytic priorities around which the whole state machinery is mobilized.

“The third NPC will help to enhance the ability of the state to identify and pursue catalytic priorities which will expedite the attainment of NDP goals,” he said.  According to Maluleke, another focus area for the NPC will be mobilizing the country’s support for the NDP and its goals.

“Although the NDP is a plan for the whole country, it has not been sufficiently adopted by all sectors at all times. As we mark its tenth anniversary in September, the NPC is urging all South Africans to rally behind the NDP to ensure its implementation and to call government to account on the basis of the promise contained in the NDP. “To that end, the NPC is committed to building partnerships broadly across society and to pursing engagements that should ensure active citizenry and strong leadership for development,” he said. 

2023 NDoH Annual Performance Plan presentation

2023 NDoH Annual Performance Plan presentation

Today is the health budget speech at 14:00, and in the interests of transparency and inclusivity, it would be great if we, the people, had a look at it beforehand. The budget speech is a version of the Annual Performance Plan (APP) for the financial year to 31 March 2023.

So we are already into the financial year, and the APP23 s already in progress. Having asked for said APP23 PDF, and scouring government and parliamentary websites, we are still in the dark. The closest we came to is a presentation from the health portfolio committee.

The most positive aspect for NCDs+ is that NCDs+ are still in stream, branch or programme 3 along with communicable diseases. At least it hasn’t be shoved back in Programme 4 Primary Health Care where it languished without food or water.

Mind you it is unlikely to change much since the Medium Term Strategic Framework 2019-2024 (MTSEF24) does not prioritise NCDs+ or allocate funding. Except in the most peripheral way. I call this the legacy of 3M era: MDGs, Motsoaledi and Mkhize. Too bad that we are in SDG times and need different action to achieve universal health coverage (UHC target 3.8) and there is more than the target 3.4to achieve action on NCDs.

The MTSF 2019-2024 – a lasting legacy courtesy of the 3M era, MDGs, Motsoaledi and Mkhize.
The absence of national budgets for NCDs+ is not the only issue. At the last count maybe one province had a sort-of-NCDs plan. Clear budget line items are awaited as an evolutionary step like the missing link. It would would great to have progress at the implementation level and within National Health Insurance budgets.

Joy there is a change to the number of outcomes and outputs covering NCDs+ in the APP23. That means a lot without a programme budget and an implementation plan.

Advocating for Universal Health Coverage Workshop

Advocating for Universal Health Coverage Workshop

Advocating for Universal Health Coverage:

A workshop for civil society and community groups in Eastern & Southern Africa

EANNASO with the Civil Society Engagement Mechanism for UHC2030 (CSEM) and partners in the region invites all civil society and community representatives interested in achieving health for all to an advocacy workshop on universal health coverage (UHC) on 23 November 2021.

The online session will be an opportunity to explore the Health for All Advocacy Toolkit, a new resource for civil society and community advocates, and connect with others engaged in this space in the Asia Pacific.

This session will bring together advocates from across issue areas in the Eastern and Southern Africa region to learn more about the state of UHC, discuss the role of civil society and community engagement, and explore how they can meaningfully integrate their work in support of the global movement for UHC.

Register for this workshop

Communities to Act on Non-Communicable Diseases (NCDs)

Communities to Act on Non-Communicable Diseases (NCDs)

This Global Week for Action on NCDs (6 – 12 September 2021), the South African Non-Communicable Diseases Alliance (SANCDA), of which the Cancer Association of South Africa (CANSA) is a founding partner, celebrate the progress made in raising the profile of people living with non-communicable diseases (NCDs) in SA. Together with other civil society members, the Global Week of Action on NCDs hails the power and potential of people to act together on and drive NCDs change. The aim is to ensure that commitments made by government to improve health for people living with NCDs, will become a reality. The challenges presented by COVID-19 will not compromise action to help relieve the NCDs burden.

#ActOnNCDs #NCDvoices

Dr Vicki Pinkney-Atkinson, Director of the SANCDA says, “In SA, the people’s NCDs movement struggles to make the government recognise and meaningfully involve diverse groups, including people living with NCDs to reduce the NCDs burden. Government and other stakeholders committed to global targets to prevent and control NCDs and improve the health of the nation. Now we need to these commitments translate into meeting the UN Sustainable Development Goals.”

Many NCDs are preventable, yet they remain the number one cause of death and disability globally and in SA. Diabetes is still the leading cause of death in SA women. NCDs are mainly driven by five preventable risk factors: tobacco use, unhealthy diet, physical inactivity, harmful use of alcohol and air pollution. Weak health systems, under-investment and lack of accountability by government contributes to increasing the NCDs burden. NCDs include health conditions which usually don’t spread from person to person. Examples are cancers, diabetes and cardiovascular diseases (such as heart attacks and stroke), chronic respiratory diseases (such as chronic obstructive pulmonary disease and asthma) and mental health conditions.

“If every person exercises the right to participate in decision making about their health we would have more accountability for NCDs prevention and care. The SANCDA and our many partners urge the people, including those living with NCDs, to join us in our quest to accelerate action on NCDs. Together we will hold the authorities to account for meeting our needs. What we demand is understanding community needs better, helping to identify gaps, developing options in response to challenges, understand the impact of decisions on different people, and balance input, perspectives and interests,” adds Pinkney-Atkinson, herself living with more than 20 NCDs.

By working together, civil society and the SANCDA highlights the actions undertaken to close the NCDs gap. Achievements include:

  • Teaming up with the Dullah Omar Institute with its expertise in constitutional law and human rights to explore how law and treaties advance the NCDs agenda. Legal measures against government for its failure to meet commitments to rights and equity are part of this.
  • Working with the National Department of Health to craft the national NCDs policy (due for publication soon).
  • Joining forces with local and global social movements representing people left behind, including those focussed on stigmatised NCDs conditions like disability, mental health and obesity.
  • Coordinating consistent civil society policy action across all Sustainable Development Goals (SDGs) linked to NCDs prevention and control such as poverty, hunger, and emergency-disaster preparedness and responses to COVID-19.
  • Calls for inclusive NCD governance mechanisms to secure the role of people living with NCDs and civil society in health policy at national, regional and international levels, since 2013. SANCDA endorses the Global Charter on Meaningful Involvement of People Living with NCDs. As a tool this will ensure meaningful involvement and transparency.
  • Consistently communicating by leveraging outrage, rebuking injustice, translating evidence, sharing personal stories, celebrating successes, and campaigning collaboratively for the annual Global Week of Action on NCDs and other milestone days, weeks and political campaigns. It includes using traditional social media to make noise, demand change, and put issues, insights, and possible solutions in front of policymakers based on human rights and dignity..

Pinkney-Atkinson states, “During COVID-19, we experienced the devastating effects of neglect of NCDs and failure to invest in our health systems. Role players can prevent a repetition of this and can help close gaps and deliver progress on NCDs.”

#ActOnNCDs through social media

People affected by NCDs can be a voice of change by sharing their own messages of support by going to the Global Week for Action on NCDs Map of Impact on . The Voices of Change online picture generator will quickly and easily upload a message and picture and share it on social media.

The SANCDA encourages all to get involved and share messages of support on social media platforms using the hashtags:  #ActOnNCDs #NCDvoices. Or mobilise action and be an agent of change –

 (For more information, please contact Vicki Pinkney-Atkinson, Director SANCDA email: [email protected] or mobile +27-83-38-38-159


Lucy Balona, Head: Marketing and Communication at CANSA at email [email protected]. Call 011 616 7662 or mobile 082 459 5230.

Comment on: WHO epilepsy & neuro global action plan 2021 Draft

Comment on: WHO epilepsy & neuro global action plan 2021 Draft

A first draft of the WHO integrated global action plan (GAP) on epilepsy and neurological disorders is available for comment by 5 August 2021. Click here. Use the web-based consultation form to make comments or send comments to [email protected]


The World Health Assembly (73rd session, 2020) endorsed a resolution on Global actions on epilepsy and other neurological disorders  (WHA 73.10), requesting WHO Director-General to develop an intersectoral GAP in consultation with Member States. The GAP must address the existing worldwide challenges and gaps in providing care and services for people with neurological disorders and ensure a comprehensive, coordinated response across sectors. 

In March 2021 WHO published a discussion paper on the intersectoral GAP on epilepsy and other neurological disorders. Member States, UN agencies and relevant non-state actors have shared comments via virtual and web-based consultations.  

 The first draft of the intersectoral GAP on epilepsy and other neurological disorders developed based on the inputs received, outlines the scope, vision, goal, and strategic objectives as well as specific actions for certain stakeholders.