Question NW1545 to the Minister of Health
29 November 2019 - NW1545
Wilson, Ms ER to ask the Minister of Health
(1)What percentage of (a) persons living with mental health conditions are receiving the professional care they need, (b) the total budget of his department is used for the care of patients with mental health conditions in each province, (c) the mental health care budget is used on treating severe symptoms and (d) the mental health care budget is used for the early evaluation and prevention of mental health conditions; (2) what total number of public hospitals (a) are compliant with the mental health care legislation, (b) are providing the requisite 72 hours assessments and (c) have qualified child psychiatrists in each province?
Reply:
(1) (a) The Nationally representative psychiatric epidemiological study, the South African Stress and Health (SASH) survey, found that 25,2% of participants with a mental disorder had sought treatment within the previous 12 months of which 5,7% with a mental disorder received mental health care.
(b) The national survey on the evaluation of health system costs of mental health services and programmes in South Africa undertaken by the University of Cape Town using the 2016/17 Financial Year provincial health budget expenditure found the following in respect of expenditure on Mental Health in 2016/17.
|
Province |
2016/17 financial year total inpatient and outpatient mental health expenditure |
|
Millions |
|
|
Eastern Cape |
R806 |
|
Free State |
R253 |
|
Gauteng |
R2,334 |
|
KwaZulu-Natal |
R1,831 |
|
Limpopo |
R422 |
|
Mpumalanga |
R178 |
|
Northern Cape |
R177 |
|
North West |
R296 |
|
Western Cape |
R1,504 |
The above budgets does not include funds that are transferred to private health care providers who are contracted by some provincial departments of health to provide mental health services in provinces where such contracts exist.
(c)-(d) The budget for provision of mental health care, treatment and rehabilitation is not separated in terms of severity of mental health symptoms or type of mental health intervention. Available budget data separation is in terms of percentage spent on inpatient mental health care and percentage spent on outpatient mental health care as reflected in the table below.
|
Province |
Total mental health budget |
% of total mental health budget spent on inpatient mental health care |
% of total mental health budget spent on outpatient mental health care |
|
Millions |
% |
% |
|
|
Eastern Cape |
R806 |
86% |
14% |
|
Free State |
R253 |
88% |
12% |
|
Gauteng |
R2,334 |
89.1% |
10.9% |
|
KwaZulu-Natal |
R1,831 |
82.3% |
17.7% |
|
Limpopo |
R422 |
70.2% |
29.8% |
|
Mpumalanga |
R178 |
76.2% |
23.8% |
|
Northern Cape |
R177 |
82% |
18% |
|
North West |
R296 |
86.2% |
13.8% |
|
Western Cape |
R1,504 |
90.5% |
9.5% |
The above budgets do not include funds that are transferred to private health care providers who are contracted by some provincial departments of health to provide mental health services in provinces where such contracts exist.
(2) The following table reflects the details in this regard.
|
Total number of public hospitals |
||||
|
Province |
Compliant with Mental Health Care Legislation |
Providing 72 hour assess-ments |
Have qualified child psychiatrists |
|
|
(a) |
(b) |
(c) |
||
|
Eastern Cape |
7 |
39 |
0 |
|
|
Free State |
1 |
29 |
1 |
|
|
Gauteng |
13 |
17 |
5 |
|
|
KwaZulu-Natal |
27 |
56 |
1 |
|
|
Limpopo |
5 |
35 |
0 |
|
|
Mpumalanga has 28 public health facilities providing mental health services BUT they do not meet the basic requirements prescribed |
0 |
28 |
0 |
|
|
Northern Cape |
13 |
1 |
1 |
|
|
North West |
2 |
6 |
0 |
|
|
Western Cape |
11 |
31 |
3 |
|
|
TOTAL |
67 |
254 |
11 |
END.