Op-ed: Govt urged to embrace the power of tech in the delivery of primary healthcare for all

Prior to the creation of SAHPRA, all new health technologies had to be approved by the Medicines Control Council, a process that could take years. File (Photo: PATH/Gabe Bienczycki)
Written by Health-e News

The research released by Percept this week shows the real potential of technology in the effective delivery of primary healthcare services across South Africa. The research should thus be used as a road map to better healthcare services for all. By Shivani Ranchod, CEO of Percept.

We looked at practical examples from across Africa and investigated how other countries used technology in their specific environments. Our work shows that a lot can be achieved despite existing problems such as poor technological literacy, poor uptake of smartphone capabilities, and poor power supply.

We will be sharing our findings with key stakeholders in the health sector and hope that it will be valuable for their work improving healthcare service delivery for all.

While Covid-19-linked recessions have highlighted the need for healthcare models that deliver primary healthcare in more cost-effective ways, the lockdowns have also created vast opportunities for the rapid growth and evolution of tech-enabled healthcare delivery models.

In time, technological solutions will increasingly ensure that healthcare systems run more efficiently and effectively. It is their focus on specific points of the patient journey, or specific parts of the system, that their ability to ensure overall continuity of care and continued engagement with the primary healthcare system will require ongoing attention.

Innovations such as the ones highlighted in our research could provide solutions across multiple settings, while a more connected health space would offer tangible economic benefits. To unlock these benefits, it is, however, necessary to address tech-related challenges, and also relook at restrictive legislation and policies, as this will ease the implementation of virtual health services.

Our research looked at a range of innovations that were rolled out in countries like Rwanda, Uganda, Kenya and Mozambique. The investigation focused on each application’s value proposition, uptake and potential scalability, as well as the factors that promoted or undercut its success.

Clear themes emerged across the board

Enabling factors that consistently contribute to innovations fulfilling the goal to expand access to primary healthcare included partnering with governments; sustainable sources of funding; consumer trust; and keeping tools simple while adapting them to meet specific technological and logistical challenges.

At the same time, there are constraints prevalent throughout the region which require tech-enabled innovations to fine-tune their offering to accommodate local contexts.

This includes limited network coverage, limited or costly mobile data, poor connectivity, limited access to electricity, smartphone illiteracy, low levels of literacy and education, a diverse range of languages and limited funding.

The success of tech-enabled innovations in the region largely depends on sustainability and scalability, building trust and transparency, and keeping the applications simple and seamless and, in particular, enabling integration with public health sector systems.

By looking at these examples, we believe the South African and other African governments could go a long way to delivering the primary healthcare our nations deserves, despite the technology and resource challenges we face. – Health-e News

  • Ranchod is the CEO of Percept, a South African multi-disciplinary consultancy driven by heart and curiosity. For more information, visit
  • The Percept team focused on innovations used across Sub-Saharan Africa: Smart Health (Uganda and Kenya), upScale (Mozambique), babyl (Rwanda), Triggerise (Kenya), and WelTel (Kenya, Rwanda and Uganda).
  • The full research papers can be viewed at

About the author

Health-e News

Health-e News is South Africa's dedicated health news service and home to OurHealth citizen journalism. Follow us on Twitter @HealtheNews