Question NW1181 to the Minister of Health

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08 June 2016 - NW1181

Profile picture: America, Mr D

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.

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