Question NW2558 to the Minister of Health
10 December 2021 - NW2558
Van Staden, Mr PA to ask the Minister of Health
(1)Whether the Pelonomi Academic Hospital in Bloemfontein, Free State, is maintained in accordance with a five-year maintenance plan; if not, why not; if so, what are the relevant details of the specified plan; (2) whether his department has reviewed the plan; if not, why not; if so, (a) on what date was it reviewed and (b) what changes were implemented; (3) what are the relevant details of the current shortages of (a) beds, (b) medicine, (c) oxygen, (d) theatre beds, (e) theatre equipment and (f) general medical equipment; (4) (a) what are the names of the various suppliers contracted for the specified resources and (b) how frequently is medical waste products removed from the specified hospital (5) whether he will make a statement on the matter?
Reply:
1. It can be confirmed that Pelonomi Hospital is maintained in accordance with a 5-year maintenance plan. The objective of the departments’ maintenance plan is to address maintenance backlog, user needs, clinical standards, and statutory requirements (as per the occupational health and safety act).
2. The department is reviewing the plan on an annual basis through the User Asset Management Plan and Infrastructure Programme Implementation Plan (IPMP). This is to allow for new activities that need to be added and escalation of costs.
3. (a) The hospital is experiencing shortages in beds due to the maternity ward not yet being complete. The contractor terminated when progress was still at 40% to complete due to poor workmanship. New contractor is expected to be on site by March 2022 for 14 months.
(b) Medicine Shortages experienced as per the table below:
Medicine Name |
Suppliers |
Amphotericin B |
Waiting for Buy-Out |
Acetylcysteine Vials |
Equity not paid by depot |
Ganciclovir 500mg vials |
Waiting for Buy-Out |
Nylon 3/0 |
Waiting for Buy-Out |
Phenylephrine drops |
Waiting for Buy-Out |
Prontosan cleaning solution 350 and 1000ml |
Waiting for Buy-Out |
Tramadol 100mg ampoules |
Waiting for Buy-Out |
Sodium Valproate 400mg vials |
Waiting for Buy-Out |
Nylon 1/0 |
Waiting for Buy-Out |
Soda Lime |
Depot cancelled order and awaiting buy-out |
AMIKACIN 100 MG |
Waiting stock – Medical Depot (DDV) |
Cefepime 1g and 2g |
Waiting stock – Medical Depot (DDV) |
SALBUTAMOL RESP SOL 5MG/1ML 20 |
Depot out of stock |
FLUMAZENIL 0.5 MG/5 ML AMP |
Waiting for Buy-Out |
CARBIMAZOLE 5 MG TAB |
Waiting Buy-Out |
CLOTHIAPINE 40 MG TAB |
Waiting Buy-Out |
DIGOXIN 0.25MG 28'S 1 TAB |
Depot out of stock |
RINGER'S LACTATE SOLUTION 200 |
Waiting stock – B-Braun awaiting stock |
Saline 50ml, 100ml and 200ml |
Waiting stock – B-Braun awaiting stock |
Paracetamol syrup |
Barrs not being paid |
Augmentin syrups |
Sandoz not being paid |
Aldactone tabs |
Sandoz not being paid |
Hydralazine 25mg |
Sandoz not being paid |
Hibiscrub and Steriprep |
Barrs not being paid |
Tuberculin PPD |
Company out of stock |
Actilyse |
Awaiting buy-out |
Artesunate |
Equity not being paid |
Midazolam 5 and 15mg |
Worldwide problem |
(c) Oxygen Shortages
There is currently no challenge with oxygen. All vacuum and oxygen points are serviced. The medical gas plant room was upgraded to provide the following capacity:
- Main tank = 19 500 Tons
- Standby tank = 8 500 Tons
Tanks were also furnished with sensors that are directly linked to Afrox supply chain platform. Afrox is thus informed when levels go beyond 50% and is then actioned to refill such.
(d) Theatre Beds Shortages:
There are currently 4 theatre beds shared between surgical and maternity. This shortage dur to the maternity Ward and its theatre still being under upgrade and renovation.
(e) Theatre Equipment Shortages:
The following equipment is required:
- Orthopaedic Drills = 6
- Operating Light with Camera = 6
- Anesthetic Machine = 3
- Dermatome = 2
- Tourniquet Machine = 4
- Autoclave for non-heat item = 2
- Mobile Suction Machine = 20
- Electrical Suction Machine = 10
- Theatre Chair = 18
- CMAC = 2
- Video System, Laparoscopic, General Surgery with Instruments = 1
- f) General Medical Equipment Shortages
The following general medical equipment shortages exists:
- Cardiotocography (CTG) or Fetal Monitor = 15
- Transport Incubator = 3
- Hemodialysis Machine = 16
- Mobile Theatre Light = 2
- Dental Chair = 10
- CPAP Machine = 10
- Examination Light = 6
- Ultrasound (Sonar) Machine = 4
- Plaster (Cast) Cutter with Vacuum System = 6
- Defibrillator = 15
- AEEG Machine = 2
- Instrument Washer = 2
- Bronchoscope = 1
- Electrosurgical Unit Tester = 2
- ECG Simulator = 4
- Examination Couch, Paediatric = 4
- Electrical Safety Analyzer = 2
- Digital Bucky X-Ray Machine = 4
- Anesthetic Machine, MRI Compatible = 1
- Contrast Warmer = 1
- Injector Pump = 1
4. (a) Suppliers:
• Medical waste service provider is Buhle Waste.
• General waste service provider is Mangaung Metro Municipality.
• Recyclable waste: (e.g. white paper, card boxes and plastic cartons) the service is Waste Recyclers.
(b) Medical waste services are provided daily from Monday to Friday.
(5) No.
END.