Assessing Healthcare Workers' Perspectives: A Knowledge, Attitudes, and Practices (KAP) Survey on South Africa's National Health Insurance (NHI)
Knowledge, Attitudes and Practices Questionnaire
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Participant Information Sheet: Please Read Carefully
Informed Consent *
Required
I consent to participate voluntarily in this survey. Please insert your initials as your mark of consent. *
Date *
Please insert DD MMM YY. For example: 23 JAN 24
What is your Age? *
What is your sex? *
  What is your ethnicity?  
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Which undergraduate qualification do you hold? *
Do you have a post-graduate qualification?
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If Yes to a Post-Grad Qualification, please specify below:
If you are a student in a health faculty, what are you currently studying?
If you are a student currently studying, which year of study are you in?
1st year
2nd year
3rd Year
4th year
5th year
6th year
Internship
Community Service
BCurr
MBChB
Clin Associate
Psychologist
Pharmacist
BEMC
Lab Technician
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What is your current role or position in the healthcare sector?  
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  What is your area of specialization?  
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How many years have you been practicing in your profession?  
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In what type of healthcare setting do you primarily work?  
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  In which province do you primarily work/study if currently a student?  
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 How familiar are you with the National Health Insurance (NHI) policy and its implementation plans?  
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The Survey
Please answer the following questions to the best of your knowledge, based on your understanding of the Act. We appreciate your participation.
1. Does the NHI Fund aim to create a unified financial source for both private and public healthcare providers?
 *
2. Who governs the NHI Fund? (tick all that apply) *
Required
3. The NHI Fund will be established as a:  *
4. The NHI Fund will receive public funds from the following sources:  *
Required
5. Once NHI is fully implemented, when will medical aids no longer be able to provide benefits?
 *
6. Who is ultimately responsible for overseeing the implementation and administration of the NHI Fund in South Africa?
 *
7. Does the NHI entail the NHI Fund entering into agreements with public and private hospitals, specialists, and private general practitioners to offer  healthcare services to every South African citizen without user-payment at the point of service?
 *
8. Once the NHI is fully implemented, will there still be private practitioners and private healthcare services? *
Now we would like to ask for your views and opinions regarding the NHI Act. These questions are not based on the Act but what you think about the Act.
9. How likely do you believe it is that the NHI will improve working conditions for healthcare providers in both private and public sectors?
 *
10. Do you think the NHI will ultimately reduce healthcare costs for individuals and families who currently access private health care services in South Africa?
 *
11. To provide equitable, quality healthcare services to all eligible residents, do you see additional contributions to the fiscus as a necessary and valuable investment in healthcare? *
12. How strongly do you agree or disagree that the NHI will improve overall access to healthcare services for all socio-economic groups in South African citizens?
 *
13. How confident are you that the NHI will ensure equal access to healthcare
services irrespective of one's financial status? *
14. What is the best mechanism for the govt to achieve equity in healthcare resource distribution?
 *
15.  As part of the strategy to move towards a more equitable distribution of healthcare services across SA, one option might be for practices to move from cities to less well-served areas. Is this something that you would be willing to consider in the future?
 *
16. Do you think that rural providers should be paid a rural allowance under NHI? *
17. Do you fear that your practice will be over-subscribed and that you won’t be able to cope once the NHI is fully implemented? Non-Clinicians (Managers), please enter select Option 3 for this response.
 *
Very Concerned
Not Concerned at all
18. Do you think your salary will go up or down once the NHI is fully implemented?
 *
19. How satisfied are you with the quality of the current healthcare system in South Africa’s public sector? *
20. How satisfied are you with the quality of the current healthcare system in South Africa’s private sector? *
21. To what extent do you think the NHI will address the weaknesses or shortcomings of the current healthcare system?
 *
22. How much trust do you have in the government's ability to successfully implement and manage the NHI system?
 *
23. What does government need to do to expedite progress towards implementation of the NHI:
 *
Required
23.1 Please specify Other
24. Do you think the implementation of the NHI will improve the quality of healthcare in the country?
 *
25. What specific changes or improvements would you like to see in the healthcare system after the implementation of the NHI?
 *
26. NHI will not be implementable because of (select all those applicable):
 *
Required
27. What anti-corruption measures will reduce corruption in NHI?
 *
28. Indicate whether the following statements are true or false:
28.1. The NHI will reduce my ability to earn supplemental income by being able to work across multiple settings. 
 *
28.2. The Office of Health Standards Compliance (OHSC) is responsible for ensuring that health facilities meet the standards set by the government to operate. 
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28.3. The NHI will tell me where I must go and work, irrespective of where I am currently working or based.
 *
28.4.  I can choose whether or not I want to contract with the NHI Fund to provide healthcare services.
 *
28.5. I can choose not to use the NHI funded services as a user. 
 *
29. Where can healthcare workers find updated information and guidelines about the implementation process and changes in healthcare practices?
 *
Required
Please Specify Other
30. Have you actively sought information or resources to understand the workings of the NHI and its potential impact on healthcare access?
 *
31. If NHI is implemented, will you leave the country? *
Please explain your response for question 31. 
32. If you will leave SA, please rank your top five countries where you prefer to work.
33. I am concerned about the NHI Act in its current form for the following reasons (Please specify).
 *
34. I am concerned about the NHI Act in relation to my practice for the following reasons (Please specify). For non-clinicians, please capture N/A
 *
Thank you for taking the survey!
Please remember that your responses are completely anonymous. If you have any questions or concerns, please contact the PI on 082 965 5098 or jacqueline@projectlastmile.com 
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