posted by

Affordable maternity care for moms without medical aid


A new private maternity care service called The Birthing Team will offer affordable, quality care to pregnant women who do not have medical aid. Supported by healthcare management company PPO Serve, The Birthing Team has introduced a local support system to deliver end-to-end affordable maternity care that gives uninsured women access to private care.

As a part of the service, pregnancy and birth are overseen by medical teams made up of midwives, obstetricians and general practitioners. This promotes comprehensive and proactive care, including best use of clinical resources, all of which reduces the risks to mother and baby. It comes at a predetermined, fixed cost, avoiding unexpected costs that could put expectant parents seriously out of pocket.

The Birthing Team’s solution addresses the current crisis in the field of private obstetrics in South Africa. Many obstetricians and gynaecologists are ceasing active obstetric practice because of the very high litigation insurance premiums they must pay, which can reach R850 000 a year. Currently, practitioners work alone for very long hours and are overburdened by clinical and administrative duties. Despite best efforts, this can inadvertently lead to gaps in care, with higher risks and potentially avoidable health problems. This all contributes to higher costs, making private healthcare unaffordable for non-scheme patients.

“For families paying cash out-of-pocket, maternity care has become very costly and unpredictable. To achieve better outcomes at an affordable cost, we need systematic, data-driven improvement, which requires the restructuring of healthcare practitioners into coordinated teams, especially in the private sector,” says Dr Howard Manyonga, an obstetrician himself and a health systems management expert at PPO Serve.

Manyonga and the team at PPO Serve designed and launched The Birthing Team to deliver individualised care, beginning with pre-natal assessments and tests, through delivery and ending with postnatal care up to six weeks after birth. The initial screening requires a R1 500 upfront payment as a part of a total capped bill of R19 500, provided no complex clinical complications are identified.

The Birthing Team works with a clinical workflow and patient management IT system that ensures complete documentation from the first set of biomedical and psychosocial assessments that patients undergo. The system routinely flags any additional assessments that may be relevant – for example, a woman’s age may highlight the risk of deep vein thrombosis, prompting further assessments and special management.

Patient satisfaction with the care they are receiving is tracked and complex patients are discussed by the whole team at regular meetings. Midwives conduct regular assessments, update records and communicate regularly with patients, freeing obstetricians up to focus on complications and oversee many more births than they can do in the current system.

“Specialists are a rare and expensive resource and we need to use them more intelligently and efficiently. The Birthing Team makes this possible by putting midwives and obstetricians on the same team, earning together, rather than each working alone,” says Manyonga.

The Birthing Team pilot is operating from Netcare’s Rand Hospital in Hillbrow, Johannesburg.




Distributed by Be-cause Integrated Communications

Emma Proctor

021 447 1082 / 072 930 4412

 Distributed on behalf of PPO Serve

Founder: Dr Brian Ruff

Head of Birthing Team at PPO Serve: Dr Howard Manyonga:


  • Hi,

    I am working here in south Africa but my wife is in Zimbabwe were she is also working , we are about to have our first baby and wanted to know what we can do to have the baby delivered in south Africa and how much it will cost us, I am working as a contract worker and do not have medical aid. I opened one in Zimbabwe but the Aid will only be active in December , I was told this week that i am not yet active which means everything i do has to be on cash terms and hey are charging us around $2700 for normal birth and hospital stay.

    I need assistance. The baby is due in the month of October.

    Worried Father to be .

    • Hi Edwin – apologies that we are only responding to this now. We only just saw your message. I hope you were able to contact The Birthing Team directly for assistance. THanks, Be-cause.

Leave a Reply

Your email address will not be published.