Question NW303 to the Minister of Cooperative Governance and Traditional Affairs

Reply:

The information requested by the Honourable Member is not readily available within the Department. The Department thus made a request to Metropolitan Municipalities to provide the relevant information. Information was received from the following Metropolitan Municipalities:

BUFFALO CITY METROPOLITAN MUNICIPALITY (BCMM)

The BCMM does not provide Primary Health Care Services, hence there is no service level agreement with the relevant provincial department of health. This function was provincialized and devolved to the Eastern Cape Province, Department of Health.

CITY OF TSHWANE (CoT)

1. A Service Level Agreement between the Gauteng Department of Health and the CoT for the provision of Primary Health Care is available and signed.

     (a) The City is rendering Primary Health Care services in 26 fixed facilities; Operating hours are from 07:30 – 16:00, Monday to Friday; 2 mobile units and 1 satellite clinic; Extended service hours are rendered on Saturdays from 08:00 to 13:00 in a selected 13 facilities to accommodate those clients that could not manage to visit the clinic during week days.

     (b) Full comprehensive PHC package is rendered in 26 facilities.

     (c) 9 Clinics were built and upgraded, namely: Lotus, Danville, Doornpoort, Gazankulu, Pretorius Park, Stanza Bopape, Olievenhoutbosch, Zithobeni and Soshanguve JJ.

     (d) The CoT allocated R43 million towards the construction and upgrade of three clinics, namely: Soshunguwe, Gazankulu and Zithobeni during the 2015-16 financial year. The projects are all in the final phase of construction and upgrading.

EKURHULENI METROPOLITAN MUNICIPALITY

a) The Ekurhuleni Metropolitan Municipality manages ninety one (91) Primary Health Care Services as at February 2016 as indicated in the table below.

All Community Health Centres and Medical Male Circumcision Sites are managed by the Gauteng Department of Health.

PRIMARY HEALTH CARE FACILITIES BOTH PROVINCIAL AND EKURHULENI EXCLUDING MALE MEDICAL CIRCUMCISION SITES
FACILITY TYPE	EMM	GDoH	GRAND TOTAL
Community Day Centre		2	2
Community Health Centre (24-Hours)		7	7
Clinic	78	3	81
Satellite Clinic	1		1
Mobile Clinic	12	2	14
Grand Total	91	14	105

b) The Primary Health Care Facilities managed by the Ekurhuleni Metropolitan Municipality render health services relevant for the type of facility as defined in the Primary Health Care Core Package of Services, namely:

Clinics: Render the basic range of Primary Health Care Services as follows:

• Child Health Services:
• Expanded Programme on Immunization;
• Vitamin A supplementation;
• Protein Energy Malnutrition Programme;
• Integrated Management of Childhood Illnesses; and
• Growth monitoring and developmental screening.

• Women and Maternal Health Services:
• Reproductive Health including Family Planning;
• Cervical cancer screening;
• Antenatal Care Services;
• Prevention of Mother-to-Child Transmission of HIV;
• Postnatal Care Services; and
• Counselling and referral for Termination of Pregnancy.

• Men’s’ Reproductive Health:
• Prostate cancer screening (Selected facilities).

• HIV, AIDS, Sexually Transmitted Infections and Tuberculosis Programme:
• Health and HIV Counselling and Testing;
• Elimination of Mother-to-Child-Transmission of HIV;
• Antiretroviral Therapy;
• Post Exposure Prophylaxis;
• Comprehensive Care, Management and Treatment of HIV Positive clients and treatment of opportunistic infections;
• Management of Sexually Transmitted infections; and
• Tuberculosis Control Programme.

• Acute and Chronic Diseases Management:
• Acute Curative Care;
• Management of Chronic Diseases.

• Specialised Services:
• Primary Mental Health Services; and
• Secondary Level Mental Health Services (Selected facilities);

• Health Information, Education and Communication

• Multi-sectoral HIV/AIDS Programme:
• Door-to-Door Ward-based HIV/AIDS Education and awareness programme;
• Stakeholder engagements including traditional health practitioners and vulnerable and marginalized groups;
• Health awareness and screening programme; and
• AIDS Council.

c) Twenty-one (21) new clinics, as listed in the table below, were built and they are all operational. In the current financial year (2015-16), six (6) clinics are under construction.

NEW PRIMARY HEALTH CARE FACILITIES 2011 TO DECEMBER 2015
Number	Facility Name	Year opened	Ward	Address
1	Katlehong North Clinic	2011	52	2098 Khotso street Katlehong
2	Phutanang Clinic	2011	84	7522 Kgaga street  Tsakane
3	Reedville Clinic	2011	74	Stands 604 + 605 Ottawa Street, Reedville
4	Slovo Park Clinic	2011	75	Erf 1932,1933 + 1954 Durban Drive, Slovo Park
5	Tsakane Ext 10 Clinic	2011	86	Stand 45522 & 45523, Simelane Street, Tsakane
6	Wannenburg Clinic	2011	21	C/o Pretoria and Mimosa Road, Primrose
7	Ethafeni Clinic	2012	14	43 Bennin Steet, Ethafeni Section, Ethafeni Park
8	Itireleng Clinic	2012	13	2959 Posmor & Inauguration Road, Phomolong Section, Chloorkop Ext 52, Tembisa
9	Tsakane Clinic (Ward 83)	2012	83	33334 Fingo Street, Tsakane
10	Vosloorus Poly Clinic	2012	47	New: Vosloorus ERF30, EXT1, Vosloorus
11	Alrapark Ext 3 Clinic	2014	88	Cnr Sasstri and Molopo street Ext 3 Alra Park
12	Joy Clinic	2014	67	Erf 1343 Etwatwa West
13	Ramaphosa Clinic	2014	42	Ingwamza Street, Reiger Park Ext 5
14	Springs Clinic	2014	75	Middle Six and Plantation Road, Springs
15	Tamaho Clinic	2014	51	Erf 2141 Nhlapo Section, Cnr. Sokele and Matsose Street, Katlehong
16	White City Clinic	2014	79	Thema Road, Kwa -Thema, Springs
17	Daveyton East Clinic	2015	68	Stand No 869, Chris Hani, Ext 9 Daveyton East
18	Motsamai Clinic	2015	50	260 Motsamai Section Katlehong
19	Palmridge Clinic	2015	58	RE 41 Palmridge Road, Palmridge Community Centre, Palmridge
20	Tswelopele Clinic	2015	44	22 Lusika Street, Eastfield, Vosloorus
21	Villa Lisa Clinic	2015	43	22 Camel Street, Villa Liza
	TOTAL			21

d) The budget for health infrastructure upgrades for 2015/16 is R96 727 171(ninety-six million, seven hundred and twenty-seven thousand, and one-hundred and seventy-one rand).

MANGAUNG METROPOLITAN MUNICIPALITY

There is no Service Level Agreement between the Municipal Health Services of the Mangaung Metro and the Provincial Department of Health.

NELSON MANDELA BAY METROPOLITAN MUNICIPALITY (NMBM)

Since July 2012 the NMBM is no longer providing Primary Health Care Services following the provincialisation of these services. There is no Service Level Agreement in place since the above-mentioned date. The only clinic service rendered by the NMBM is for Occupational Health Services for Municipal employees.