Foreword
Foreword
I proudly present the updated 2024 editions of both the Primary Healthcare (PHC) and Adult Hospital Level (AHL) Standard Treatment Guidelines (STGs) and Essential Medicines List (EML). These guidelines aim to enhance transparency and support the delivery of high-quality treatment options at both PHC and hospital levels. They reflect the evolving clinical needs of our population as well as the introduction of new medicines.
Universal Health Coverage (UHC) aims to eliminate disparities in healthcare access and outcomes, providing financial protection and access to quality healthcare for all South Africans, as mandated by the constitution of South Africa. The National Essential Medicines List Committee (NEMLC) has incrementally increased the use of Health Technology Assessment processes in the selection of essential medicines, providing transparent priority-setting and value-based guidance for efficient resource allocation. The PHC and AHL STGs and EML are a key pillar of UHC, laying the groundwork for structuring health service benefits and ensuring equitable access to safe, effective and affordable medicines for all.
I commend the diligent work of the PHC and AHL Expert Review Committee (ERC), along with the NEMLC, in developing the 2024 editions of the PHC and AHL STGs and EML according to good governance and evidence-based decision principles.
I encourage stakeholders across all sectors to actively participate in the continuous review, development and implementation of these guidelines. I encourage engagement with the NEMLC process of STG development through the external comment process. I appreciate your engagement in presentations and webinars hosted by the NDoH, as well as dissemination of communication published on the National Department of Health web page. Your active involvement is crucial for the successful implementation of these STGs and the improvement of health outcomes for our nation.
DR PA MOTSOALEDI, MP
MINISTER OF HEALTH
DATE: 25 June 2025
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Standard Treatment Guidelines and Essential Medicines List for South Africa, Primary Healthcare Level, 2024 Edition