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South Africa

Healthcare quality & costs · 2022

Limited — 42.7/100   Mixed system
Healthcare Index 42.7/100 +6.8pp vs Africa avg
Life Expectancy 64.2 yrs -2.6 vs region avg
GP / Doctor Visit $41 USD
Hospital Stay / Day $138 USD
Private Insurance / Month $110 USD
Public Coverage 45.0% of population
Health Spend (% GDP) 8.10%
Doctors per 1,000 0.90
Hospital Beds per 1,000 2.30
Infant Mortality Rate 24.90 per 1,000

Healthcare index trend

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Africa comparison

CountryIndexLife ExpGP VisitDoctors/1kCoverage
Tunisia 50.0 76.1 yrs $14 1.30 92.0%
Morocco 45.7 74.1 yrs $18 0.70 62.0%
South Africa 42.7 64.2 yrs $41 0.90 45.0%
Egypt 39.3 71.8 yrs $11 0.70 55.0%
Ghana 33.7 63.4 yrs $11 0.20 40.0%
Kenya 33.0 66.0 yrs $9 0.20 18.0%
Nigeria 28.0 54.1 yrs $14 0.40 5.0%
Tanzania 26.0 64.8 yrs $7 0.04 32.0%
Ethiopia 24.3 67.1 yrs $5 0.10 4.0%

Healthcare in South Africa — FAQs

How good is healthcare in South Africa in 2022?

South Africa scores 42.7 out of 100 on the LifeIndexed Healthcare Quality Index in 2022, rated as "Limited". Life expectancy is 64.2 years. The country runs a Mixed (combination of public insurance and private providers) and spends 8.10% of GDP on health services.

How much does a doctor visit cost in South Africa?

A typical GP / doctor visit in South Africa costs approximately $41 USD. Hospital accommodation costs around $138 USD per day. These are out-of-pocket costs; insured patients may pay significantly less.

Is healthcare free in South Africa?

Public healthcare in South Africa covers only 45.0% of the population. A significant portion of the population pays out-of-pocket or through private insurance. Health expenditure stands at 8.10% of GDP.

How much is private health insurance in South Africa?

Average private health insurance in South Africa costs approximately $110 USD per month. This provides access to private hospitals, shorter wait times and specialist care beyond what the public system offers.

What type of healthcare system does South Africa have?

South Africa has a mixed healthcare system combining public insurance with private providers. Public coverage extends to 45.0% of the population, with private options available for supplementary or faster care.

How many doctors are there per 1,000 people in South Africa?

South Africa has 0.9 doctors per 1,000 people. This is below the global average of approximately 1.8 per 1,000. The country also has 2.30 hospital beds per 1,000 people.

What is the life expectancy in South Africa?

Life expectancy in South Africa is 64.2 years in 2022, compared to the Africa average of 66.8 years. Life expectancy is a key indicator of population health, nutrition, and the effectiveness of the healthcare system.

What is the infant mortality rate in South Africa?

The infant mortality rate in South Africa is 24.9 deaths per 1,000 live births. This rate reflects significant challenges in maternal healthcare, nutrition and access to medical services.

How does South Africa compare to other Africa countries?

South Africa ranks 3 out of 9 Africa countries on the healthcare quality index. Its score of 42.7/100 is +6.8pp above the Africa average of 35.9/100. Life expectancy is -2.6 years versus the regional average.

Can expats and foreigners access healthcare in South Africa?

Foreign nationals and expats in South Africa typically rely on private health insurance, as public healthcare access may be limited or require employment-linked contributions. International health insurance is strongly recommended before relocating.

Is South Africa a good destination for medical tourism?

South Africa is not typically considered a primary medical tourism destination. Patients seeking cost savings usually prefer regional alternatives. However, emergency and specialist care is available in major cities.

How much does a hospital stay cost in South Africa?

A hospital stay in South Africa costs approximately $138 USD per day for private or uninsured patients. Insured patients typically pay a co-payment or deductible on top of the base rate. Hospital costs can vary significantly between public and private facilities.

Is South Africa's healthcare improving?

South Africa's healthcare quality index has improved by 2.5 points from 2022 to 2026, rising from 42.7/100 to 45.2/100. Life expectancy also rose from 64.2 to 64.9 years over the same period.

What is the quality of hospitals in South Africa?

Hospital quality in South Africa varies significantly. Urban private hospitals generally meet international standards, while rural public facilities may face resource constraints. The country has 2.30 beds per 1,000 people and 0.90 doctors per 1,000.

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