Background: Nurse prescribing and dispensing are central to ensuring universal health access in South Africa.
Objective: To describe the historical development of the legal enablements of nurse prescribing and dispensing in South Africa and highlight gaps in the current legislative framework.
Method: This is a discussion article.
Background: The roll out of nurse-initiated and managed antiretroviral treatment (NIMART) was implemented in 2010 by the National Department of Health (NDoH) in South Africa in response to the large numbers of persons living with HIV who needed treatment. To enable access to treatment requires shifting the task from doctors to nurses, which had its own challenges, barriers and enablers.
Objectives: The aim of this narrative is to review content on the implementation of NIMART in South Africa over the period 2010-2020, with a focus on enablers and barriers to the implementation.
Purpose: To present a model of health care delivery in South Africa that made health care services accessible and affordable to members of the community who do not have medical insurance.
Data Sources: Statutes and laws governing the practice of health care professionals in South Africa, published professional guidelines, local research data, and the author's experience of the model of health care delivery.
Conclusions: The innovative and visionary approach of a few health care professionals has established a model of health care delivery specifically suited to their community's needs.
J Am Acad Nurse Pract
January 2002
Purpose: To present an overview of the impact of the nurse practitioner (NP) on the South African health care arena and describe the legislative framework for NP practice.
Data Sources: Statutes and laws of the government of South Africa; published professional guidelines; authors' experiences.
Conclusions: The key challenges for NPs in South Africa lie in lobbying for enabling legislation, obtaining access to education and training opportunities, and managing risks within the rapidly changing environment.