Question NW1181 to the Minister of Health
08 June 2016 - NW1181
America, Mr D to ask the Minister of Health
(1)(a) What is the target number of community health workers that are needed in each district in each province to ensure that all Ward-Based Primary Health Care Outreach teams are fully operational and (b) how many Community Health Workers are currently employed in each district in each province; (2) whether there is a shortfall between the target number and the total number of the currently employed community health workers; if so, (a) what is (i) his department and (ii) each provincial department of health doing to ensure that the target is reached and (b) when will the target be reached in each district in each province?
Reply:
(1) (a) The estimated numbers of Community Health Workers (CHWs) needed to serve 30 million poor people based on Upper Bound Poverty Line of Statistics South Africa, the number of CHWs currently deployed in all provinces and districts, the shortfall and surplus of CHWs are shown in the table below. The profiles of 52 health districts are presented.
Name of Province |
No of CHW needed |
No of CHW deployed |
Shortfall |
Surplus |
Eastern Cape Province |
4,494 |
4,506 |
12 |
|
Free State Province |
1,933 |
1,068 |
865 |
|
Gauteng Province |
4,985 |
6,012 |
1,027 |
|
KwaZulu-Natal Province |
6,475 |
4,410 |
2,065 |
|
Limpopo Province |
3,911 |
2,244 |
1,667 |
|
Mpumalanga Province |
2,536 |
890 |
1,646 |
|
North West Province |
2,185 |
2,496 |
311 |
|
Northern Cape Province |
664 |
828 |
164 |
|
Western Cape Province |
2,563 |
2,180 |
383 |
|
Shortfall/Surplus Total |
7,705 |
1,442 |
||
Total of all provinces |
29,747 |
24,634 |
5,112 |
EASTERN CAPE |
||||
District/Province |
No of CHWs needed |
No of CHWs Deployed |
Shortfall |
Surplus |
A Nzo DM |
578 |
456 |
122 |
|
Amathole DM |
677 |
876 |
199 |
|
Buffalo City MM |
433 |
150 |
283 |
|
C Hani DM |
589 |
936 |
347 |
|
Joe Gqabi DM |
260 |
270 |
10 |
|
Nelson Mandela Bay MM |
652 |
450 |
202 |
|
O Tambo DM |
1,031 |
1170 |
139 |
|
Sarah Baartman DM |
275 |
198 |
77 |
|
Shortfall/Surplus Total |
684 |
696 |
||
Eastern Cape Province |
4,494 |
4,506 |
12 |
FREE STATE
District/Province |
No of CHWs needed |
No of CHWs Deployed |
Shortfall |
Surplus |
Fezile Dabi DM |
333 |
300 |
33 |
|
Lejweleputswa DM |
442 |
138 |
304 |
|
Mangaung MM |
459 |
144 |
315 |
|
T Mofutsanyane DM |
592 |
408 |
184 |
|
Xhariep DM |
108 |
78 |
30 |
|
Free State Province |
1,933 |
1,068 |
865 |
GAUTENG
District/Province |
No of CHWs needed |
No of CHWs Deployed |
Shortfall |
Surplus |
City of Johannesburg MM |
1,737 |
1,698 |
39 |
|
City of Tshwane MM |
1,067 |
1,749 |
682 |
|
Ekurhuleni MM |
1,365 |
1,123 |
242 |
|
Sedibeng DM |
468 |
847 |
379 |
|
West Rand DM |
347 |
595 |
248 |
|
Shortfall/Surplus Total |
281 |
1,308 |
||
Gauteng Province |
4,985 |
6,012 |
1028 |
KWA ZULU-NATAL
District/Province |
No of CHWs needed |
No of CHWs Deployed |
Shortfall |
Surplus |
Amajuba DM |
337 |
198 |
139 |
|
eThekwini MM |
1,772 |
474 |
1,298 |
|
Harry Gwala DM |
343 |
342 |
1 |
|
iLembe DM |
416 |
312 |
104 |
|
Ugu DM |
501 |
378 |
123 |
|
uMgungundlovu DM |
594 |
486 |
108 |
|
Umkhanyakude DM |
478 |
438 |
40 |
|
Umzinyathi DM |
369 |
420 |
51 |
|
Uthukela DM |
485 |
402 |
83 |
|
Uthungulu DM |
600 |
426 |
174 |
|
Zululand DM |
582 |
534 |
48 |
|
Shortfall/Surplus Total |
2,118 |
51 |
||
KwaZulu-Natal Province |
6,475 |
4,410 |
2,065 |
LIMPOPO
District/Province |
No of CHWs needed |
No of CHWs Deployed |
Shortfall |
Surplus |
Capricorn DM |
872 |
235 |
637 |
|
Mopani DM |
831 |
935 |
104 |
|
Sekhukhune DM |
831 |
66 |
765 |
|
Vhembe DM |
977 |
956 |
21 |
|
Waterberg DM |
399 |
52 |
347 |
|
Shortfall/Surplus Total |
1,771 |
104 |
||
Limpopo Province |
3,911 |
2,244 |
1,667 |
MPUMALANGA
District/Province |
No of CHWs needed |
No of CHWs Deployed |
Shortfall |
Surplus |
Ehlanzeni DM |
1,160 |
309 |
851 |
|
G Sibande DM |
626 |
360 |
266 |
|
Nkangala DM |
750 |
221 |
529 |
|
Mpumalanga Province |
2,535 |
890 |
1,646 |
NORTH WEST
District/Province |
No of CHWs needed |
No of CHWs Deployed |
Shortfall |
Surplus |
Bojanala Platinum DM |
834 |
798 |
36 |
|
Dr K Kaunda DM |
410 |
534 |
124 |
|
Ngaka Modiri Molema DM |
591 |
786 |
195 |
|
Ruth Segomotsi Mompati DM |
349 |
378 |
29 |
|
Shortfall/Surplus Total |
36 |
347 |
||
North West Province |
2,185 |
2,496 |
311 |
NORTHERN CAPE
District/Province |
No of CHWs needed |
No of CHWs Deployed |
Shortfall |
Surplus |
Frances Baard DM |
212 |
222 |
10 |
|
J T Gaetsewe DM |
153 |
240 |
87 |
|
Namakwa DM |
60 |
108 |
48 |
|
Pixley ka Seme DM |
116 |
246 |
130 |
|
ZF Mgcawu DM |
123 |
12 |
111 |
|
Shortfall/Surplus Total |
111 |
275 |
||
Northern Cape Province |
664 |
828 |
164 |
WESTERN CAPE
District/Province |
No of CHWs needed |
No of CHWs Deployed |
Shortfall |
Surplus |
City of Cape Town MM |
1,622 |
1,100 |
522 |
|
Cape Winelands DM |
381 |
180 |
201 |
|
Overberg DM |
142 |
180 |
38 |
|
Eden DM |
257 |
285 |
28 |
|
Central Karoo DM |
80 |
105 |
25 |
|
West Coast DM |
81 |
330 |
249 |
|
Shortfall/Surplus Total |
723 |
340 |
||
Western Cape Province |
2,563 |
2,180 |
383 |
(b) No province nor districts is currently employing Community Health Workers.
(2) (a) (i) and (ii) No province nor district is currently employing Community Health Workers. CHWs are deployed in the district through engagement with NGOs. In addition, the National Health Council is leading the process of developing an investment case so as to determine equity in resource allocation for each province in order to determine a model for formal engagement of Community Health Workers in public sector.
(b) The target will be reached when formal mechanisms of employment have been agreed on and implemented.
END.