Review paper by Solanki et al (2020) Strategic purchasing to address challenges in access and quality of Caesarean Sections (CS) in South Africa and reflect and report back on the following:
• What are the key challenges in both the private and public sector for the delivery of CS in South Africa?
• What is potential role of strategic purchasing and specifically the purchasing functions (i.e. benefits specification, contracting arrangements, provider payment and performance monitoring) in addressing the challenges?
• Key findings from paper
• Public sector CS rate (27.4% ) in line with global trends
• Private sector CS rate (73%) amongst highest in the world.
• Issues related to safety of CS in public sector:
• CS case fatality rate (CFR) in SA is 3 times higher than for vaginal delivery.
• Variation in CS-related CFR across provinces linked to lack of appropriately skilled staff
• Potential challenge of supplier-induced demand in private sector

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Answer Based on the review paper by Solanki et al 2020 on strategic purchasing to address challenges in access and quality of Caesarean Sections CS in South Africa here are the key points regarding th... View the full answer