Yintoni elandelayo kwimpilo kunye nentlalo-ntle? Intlanganiso yamva nje yebhunga lezempilo likazwelonke liveze inani lolwazi.
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Gxila ekomelezeni amandla okwakha izibhedlele zeSinki
Ukwakha isifo senzululwazi yesayensi kunye nephethini yonyango
Nge-28 kaFebruwari, iKhomishini yezeMpilo yeSizwe (i-NHC) ibambe inkomfa yeendaba yokwazisa ulwazi malunga nokusebenza kwenkqubela phambili yezempilo.
Kwaxelwa kwintlanganiso engu-2024, ukukhula ekumgangatho ophezulu kukhathalelo lwempilo kuya kukhuthaza ngokupheleleyo, kwaye imvakalelo yabantu yokufumana impilo iya kuphuculwa ngokuqhubekayo. Ngokuphathelele kokubuyiswa kwezempilo okunzulu, kuya kukhuthaza ukwakhiwa kwe-Consortia, kulungelelanise ukwakhiwa kwamaziko onyango kazwelonke, amaZiko oNyango lweLizwe kunye nezonyango lweKliniki kunye nophuhliso lwekliniki, kunye nokukhuthaza ukuphuculwa kolwalamano kunye Ulawulo lwe "Mbethelelo, i-Inshurensi yezeMpilo kunye namayeza". Ngokuphathelelene nokuphuculwa komthamo weenkonzo, ugxininiso luya kuqinisa ukwakhiwa kweziphene izibhedlele, ukuphucula inqanaba lokuthintela izifo, ukuphuculwa komgangatho weenkonzo zengca, kunye nokuphucula iinkonzo zonyango kunye Amava abaguli onyango lwezonyango.
Inkqubo yokuxilongwa kwe-hierarchical kunye nenkqubo yonyango yenye yemixholo ebalulekileyo yokubuyiselwa kwezonyango.
UJiao yawai, UMlawuli wePhondo leSebe leMicimbi yezeMpilo yezeMpilo yezeMpilo neMpilo, watsho kwinkomfa ukuba ukuphela kwama-2023, ngaphezulu kwemibutho eyahlukeneyo ye-1823, ngaphezu kwenani lendlela ezimbini Ukudluliselwa kwilizwe liphela kwakufikelelwa kwi-30,321,700, ukunyuka kwe-9.7% yenani lokudlulisela phambili eli-15,499, kunye nenani lokudlulisela ezantsi kwi-14 700,000, i Ukunyuka kwe-29.9% xa kuthelekiswa ne-2022, ukunyuka kwe-29.9%.
Njengamanyathelo alandelayo, iKhomishini iya kuqhubeka nokuthatha ulwakhiwo lwenkqubo yonyango kunye nenkqubo yonyango njengendlela ebalulekileyo yokusombulula ingxaki yokufikelela kuluntu kunyango. Okokuqala, kuyakuphumeza iprojekthi yokulinga yokwakhiwa kwamaqela asezidolophini asezidolobeni, kwaye ukutyhalelwe phambili ukumiliselwa kwendlela elungelelanisiweyo yenzululwazi yokufikelela kunyango kunye nendlela eqhubekayo yokufumana unyango kunye nonyango. Ukwakhiwa kweendawo zonyango ezisondeleyo zezonyango kuye kwakukhuthaza ngokuzinzileyo ukuphucula amandla eenkonzo eziphambili zonyango nezempilo.
Okwesibini, iya kuqhubeka nokutyhatheka phambili ukuphuculwa komthamo wenkonzo obanzi lwezibhedlele, uqhutywa ngokukodwa ukuphuculwa kwenkonzo yengca, kwaye ngokuthe ngcembe ukumisela inkqubo eqhubekayo yezonyango ixhaswa ngamaziko, kunye neqonga njengesiseko.
Okwesithathu, ukudlala ngokupheleleyo kwindima exhasayo yetekhnoloji yolwazi, ukwakha iinethiwekhi zezonyango ezikude nezikhulileyo, kunye nokukhuthaza unxibelelwano phakathi kwezinto kunye nelokishi. Iindawo ezikhuthazwayo ziyakhuthazeka ukuba zihlole ulwakhiwo "lweMibutho enobuchule yonyango, ukwabelana ngedatha, ukunxibelelaniswa kwedatha kunye nokuqwalaselwa kweziphumo phakathi kwemibutho yezonyango, ukuze kuphuculwe ukuqhubeka kweenkonzo zonyango.
Ngokwezimvo zokukhokela ngokukhuthaza ukwenziwa okuqondanga ukwakhiwa kweendlela zonyango ezisondeleyo zonyango kunye nonyango lwezempilo ezikhutshwe yiKomishini yezeMpilo yeSizwe kunye namanye amasebe alithoba ngoDisemba ophelileyo, ukwakhiwa kwezonyango ekuhlaleni kuya kutyhilwa ngokupheleleyo kwi Isiseko sephondo ukuphela kukaJuni 2024, ngenjongo yokukhuthaza ukwakhiwa kweendawo zonyango ezisondeleyo zonyango kwilizwe liphela ekupheleni kwe-2025, igcwala ngaphezulu kwe-90% yamabali (County- Izixeko ezikwinqanaba, kunye nezithili zikamaspala ngeemeko zinokubhekisa kwi-Eleanofter enye) ngokusisiseko zakhiwe uluntu olunezonyango olunendawo efanelekileyo, kulawulo olufanelekileyo, umsebenzi ofanelekileyo, ukwahlula-hlulwa, ukuqhubeka kweenkonzo, kunye nokwabelana ngolwazi. Ekupheleni kuka-2027, uluntu lwezonyango olusondeleyo lwezonyango luya kuqonda ngokupheleleyo ukugubungela.
Kucetywa kwezi zimvo zingasentla ukuba uhlalutyo lwezoqoqosho lwangaphakathi koluntu lwezonyango kufuneka lwenziwe lomelezwe, ulawulo lophicotho-zincwadi lwangaphakathi kufuneka lwenziwe ngokungqongqo, kwaye iindleko kufuneka zilawulwa ngokufanelekileyo. Ulawulo lweziyobisi kunye nezitrato ziya komelezwa, kwaye ikhathalogu yamayeza emangalisayo, ukuthengiswa okungamanyano kunye nokusasazwa kuya kwenziwa.
Unonophelo lwezonyango lwezonyango luya kungena kwinqanaba elitsha lokuphucula ngakumbi, ekumgangatho ophezulu.
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Ezi projekthi zokwakha izibhedlele zilandelwa ngokukhawuleza
Kwaxelwa ukuba iKhomishini yezeMpilo yeSizwe ithathe isicwangciso kunye nokwakhiwa kwendlela yokuseta amaziko onyango nawommandla njengenyathelo eliphambili lokuqhubela phambili imali ephambili yonyango kunye nokuphucula ibhalansi yengingqi ubume.
Intlanganiso yabonisa ukuba ngoku, iindidi ezili-13 zamaziko onyango nangeendidi zamaziko engingqi kazwelonke asekwe, kwaye kwangaxeshanye, kunye namanye amasebe, i-125 yeNkululeko yeLizwe Iiprojekthi zokwakha zonyango zivunyiwe, zingaphezulu kwe-18,000 yemibutho yezonyango ziye zazisenziwa iiprojekthi zokwakha zeklinikhi ezingama-5,600 zeliphondo, ezikwinqanaba le-1,63 lezibhedlele elinamanqanaba aphezulu kunye ne-1,163 Ifikelele kwinqanaba lenkonzo yezibhedlele ezikwinqanaba eliphakamileyo, amaphondo angama-3 angama-30 eyakha amaqonga onyango lwephondo, kwaye zingaphezulu kwe-2,700 izibhedlele ezingama-2 700 ezivunyiweyo zaze zamiswa kwilizwe lonke.
Ngokutsho kwe- "MATIOFING" County Pormssite Inkqubo yeNkqubo yokuPhuhliswa kweMali (2021-2025), ngonyaka wama-2025, ubuncinci izibhedlele ezili-1 000 zesizwe lonke ziya kufika kwinqanaba lesibhedlele lesibhedlele lesibhedlele inkonzo yesibhedlele. Ngokutsho kwedatha evezwe entlanganisweni, le njongo iphunyeziwe kwangaphambili kweshedyuli.
Intlanganiso ikwaqaphele ukuba inyathelo elilandelayo liya kuba nokuphucula ukwandiswa kwezixhobo ezisemgangathweni ezisemgangathweni kunye nobume bengingqi.
Intlanganiso ichaze ukuba inani lamaziko onyango nawommandla angama-National lonyango kufuneka lisetelwe, kwaye kwangaxeshanye, kuba la maziko ahlukeneyo avunywa ngokudibeneyo nolungiso lophuhliso lwelizwe lonke. Ukuseka kunye nokuphucula indlela yokulandela umkhondo, kwaye kusikhokele la maziko "ahlukeneyo" ukuya phambili ukudlala indima.
Iprojekthi "yesigidi" ye-"yesigidi" yezonyango eziphambili zeklinikhi ziya kwenziwa ukuze zandise izixhobo ezikwizolo zoyilo ezisemgangathweni zeklinikhi kwaye zilungelelanise ubume bezixhobo ezikhethekileyo. Ukukhuthaza ubunzulu bezibhedlele ezikwinqanaba lesithathu ukunceda izibhedlele zamaGqekethi, "oogqirha abangama-10,000 ukuxhasa iiprojekthi zempilo zasemaphandleni", iQela lezoNyango lweSizwe elihambayo, "iprojekthi yamazwe ahlukeneyo" kwaye rhoqo iphucula imeko ebanzi yezibhedlele izibhedlele inqanaba lolawulo.
Ngokuphathelele kuphuhliso oluphezulu lwezibhedlele zikarhulumente, intlanganiso yachaza ukuba kwiminyaka yakutshanje, iKhomishini yezeMpilo yeSizwe yomeleze ukudityaniswa kwenkqubo yohlengahlengiso kunye nokukhuthaza uhlengahlengiso lwenqaku kunye nomphezulu. Okokuqala, kwinqanaba lesibhedlele, likhokelele izibhedlele ezikwinqanaba eliphezulu eli-14 lokwenza iinqwelomoya eziphezulu zophuhliso, ezenza iinguqulelo kwiindlela zokuqeqeshwa, itekhnoloji, iinkonzo, zolawulo lwetalente kunye ne-CARME Ixabiso kunye nepesenti yotyando lwesine.
Okwesibini, kwinqanaba leSixeko, imiboniso yotshintsho sele iphunyeziwe kwizixeko ezingama-30 zokungenisa ingxelo yokubuyiselwa kwamava aphezulu kwizibhedlele zikarhulumente kwindawo yezixeko nakwimigangatho yedolophu. Okwesithathu, kwinqanaba lephondo, egxile kumaphondo ali-11 alingeneyo ngolungiso olupheleleyo, lukhokele amaphondo ukuba enze iithayimthethi, iindlela kunye nezicwangciso zokwakha ukukhuthaza izibhedlele zikarhulumente ngokweemeko zendawo.
Kwinkomfa yeendaba egcinwe yiOfisi yeBhunga likaRhulumente kunyaka ophelileyo, kwacaciswa ukuba ngexesha leSicwangciso seSicwangciso seminyaka eli-14, urhulumente, amaphondo, amaziko, ama-5,000 ane-10,000 ephambili Iikliniki zekliniki, ngokwahlukeneyo. Kuyabalazela ukwenza ukuba amaziko onyango kwizixeko ezinamanqanaba amakhulu ukufikelela kwinqanaba lesithathu selinganisesi. Ubuncinci i-1 000 yezibhedlele izibhedlele kwilizwe lonke iya kufikelela kwinqanaba lenkonzo kunye nenqanaba lesibhedlele lesithathu. Kuya kugxila ekukhuthazeni amaziko emfundo angama-1 000 aselokishi yokufikelela kwinqanaba lenkonzo yesibhedlele lesibini kunye nokukwazi.
Ngokuphuculwa kwezibhedlele kuwo onke amanqanaba kwaye kuzo zonke iindawo zelizwe, inqanaba lokuxilongwa kunye nonyango luya kuphuculwa, kwaye imakethi yamayeza kunye nezixhobo zonyango ziya kuqhubeka nokuphumelela.
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IXESHA LOKUGQIBELA: Mar-04-2024