JOHANNESBURG - South Africa stands at a pivotal crossroads as it assumes the presidency of the G20 this year. This role provides an unparalleled opportunity for the nation to advocate for African interests on a global stage, particularly in the realm of healthcare. With the African Union (AU) as a permanent member of the G20, there is a unique chance to elevate the African agenda and push for meaningful implementation of industrial initiatives that will enable the continent to catch up with its developed counterparts.
Global Health was first included on the G20 agenda in 2017, during Germany’s Presidency, to underscore the political support needed for health initiatives and the economic dimensions of health issues.
At the heart of South Africa’s G20 presidency lies a commitment to advancing the Sustainable Development Goals (SDGs). Millions of people across Africa continue to suffer from inadequate access to quality healthcare services. Africa remains disproportionately affected by diseases such as malaria, cholera, and HIV/AIDS, and were ill-equipped to deal with the Covid-19 pandemic. The continent's healthcare systems are often underfunded and lack critical infrastructure, leading to dire consequences for public health.
To address these challenges, South Africa must prioritise healthcare access in its G20 agenda. This involves not only advocating for equitable distribution of resources but also fostering partnerships with more advanced economies to build capacity within local healthcare systems. South Africa can facilitate collaboration that enhances vaccine production capabilities and improves access to essential medications. Things that are key for any healthcare system.
The COVID-19 pandemic highlighted the vulnerabilities within global health systems, particularly in developing nations. Vaccine nationalism during this crisis served as a stark reminder that African countries must be better prepared for future health emergencies. As Deputy Health Minister, Joe Phaahla noted, “As we assume the G20 presidency in 2025, South Africa will continue to champion the agenda of universal health coverage through equity, solidarity, and innovation”. This proactive approach is essential for creating a resilient healthcare system capable of responding effectively to future pandemics.
Moreover, addressing systemic inequalities is crucial in breaking the cycle of vulnerability that exacerbates health crises. The antidote to dealing with these challenges lie in our ability to effectively garner resources through multilateral platforms such as the G20.
Furthermore, South Africa must focus on strengthening its healthcare infrastructure in order to achieve universal health coverage (UHC). The Second Presidential Health Compact outlines a commitment to enhancing health system performance and implementing National Health Insurance (NHI) effectively. This initiative aims to ensure that all citizens have access to quality healthcare services without facing financial hardship.
However, achieving these goals requires significant investment in human resources and finances for health. A study conducted by the African Epidemiological Association identified inadequate human resources as one of the foremost challenges facing healthcare systems across Africa. Training and capacity building for healthcare workers should be prioritised alongside increased budgetary allocations to the sector. Public-private partnerships could play a vital role in this regard as multinational companies operating in Africa could be encouraged to invest in local healthcare initiatives as part of their corporate social responsibility efforts.
South Africa's G20 presidency also presents an opportunity to foster international collaboration aimed at addressing global health challenges. South Africa can advocate for policies that promote equitable access to healthcare resources and strengthen multilateral responses to pandemics, particularly in the African continent. The focus should be on creating resilient health systems capable of adapting to emerging threats while ensuring that vulnerable populations are not left behind.
Likewise, initiatives aimed at increasing regional production of life-saving medical products can significantly enhance self-sufficiency in healthcare delivery. As highlighted during recent discussions at G20 meetings, boosting local production capabilities is essential for ensuring timely access to vaccines and treatments during crises.
South Africa must embrace this moment as an opportunity not just for national advancement but for continental transformation. South Africa can lead efforts toward achieving universal health coverage characterised by equity and accessibility by placing healthcare at the forefront of its agenda
The path ahead will require concerted efforts from all stakeholders - government entities, civil society organisations, private sector partners, and international allies to build a robust healthcare framework that meets the needs of all citizens. Through solidarity and collaboration, South Africa can not only enhance its own healthcare system but also set a precedent for other nations facing similar challenges.
The time is ripe for action as President Cyril Ramaphosa stated during his remarks at the G20 closing ceremony in Brazil: “We must stand in solidarity with those countries that are most vulnerable to pandemics and other global public health emergencies”. In doing so, South Africa can pave the way toward a healthier future for all Africans—one where quality healthcare is not just an aspiration but a reality.