{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T09:16:02Z","timestamp":1785402962596,"version":"3.56.0"},"reference-count":64,"publisher":"AOSIS","issue":"1","license":[{"start":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T00:00:00Z","timestamp":1756944000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background:\u00a0Social media has become a platform where unheard voices within different communities are shared with government.\nAim:\u00a0The study explored and described expressed reactions of social media users regarding the implementation of the National Health Insurance (NHI) in South Africa.\nSetting:\u00a0This study was conducted online on existing social media platforms that share current news. These social media platforms included X (formerly known as Twitter), Facebook, Instagram and TikTok.\nMethods:\u00a0This was a qualitative study that applied an explorative-descriptive approach. Using convenience sampling, raw data from screenshots of the first 10 social media users\u2019 reactions from each news media company were collected. The authors collected information verbatim from the screenshots and created two main transcripts with 10 reactions from each of the selected news media accounts. Thematic analysis was used to analyse data.\nResults:\u00a0Eight main themes emerged from the reactions of the users. These include concerns about the public financial and taxation burden, corruption and mismanagement by the government, concerns about the quality of healthcare services, fear of medical staff exodus, issues of equity and access to healthcare, government\u2019s political motives and electioneering, user\u2019s preference for improving current public healthcare system and doubts about NHI implementation feasibility.\nConclusion:\u00a0The findings emphasise the need for government officials to include the community before introducing, signing and implementing different bills.\nContribution: Through highlighting the public\u2019s sentiments on challenges, readiness and feasibility of implementing the NHI, policymakers will be encouraged to ensure adequate health communication and community participation.<\/jats:p>","DOI":"10.4102\/phcfm.v17i1.4997","type":"journal-article","created":{"date-parts":[[2025,9,3]],"date-time":"2025-09-03T07:23:02Z","timestamp":1756884182000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Digital pulse: Social media reaction to South Africa\u2019s National Health Insurance implementation"],"prefix":"10.4102","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2112-8666","authenticated-orcid":false,"given":"Hlabje","family":"Masemola","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/009xwd568","id-type":"ROR","asserted-by":"publisher"}],"name":"University of the Free State"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9178-3412","authenticated-orcid":false,"given":"Mutshidzi","family":"Mulondo","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/009xwd568","id-type":"ROR","asserted-by":"publisher"}],"name":"University of the Free State"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7770-6931","authenticated-orcid":false,"given":"Sphamandla","family":"Nkambule","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04qzfn040","id-type":"ROR","asserted-by":"publisher"}],"name":"University of KwaZulu-Natal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2942-589X","authenticated-orcid":false,"given":"Bafana","family":"Madida","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/003hsr719","id-type":"ROR","asserted-by":"publisher"}],"name":"Sefako Makgatho Health Sciences University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6459-9065","authenticated-orcid":false,"given":"Raikane","family":"Seretlo","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/003hsr719","id-type":"ROR","asserted-by":"publisher"}],"name":"Sefako Makgatho Health Sciences University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2025,9,4]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Evans DB, Etienne C. 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