Questions and Replies

Reply:

The tables below provides the details in this regard, as at 1 January 2018.

EASTERN CAPE

Hospital	Wheelchairs
MadzikaneKa Zulu District Hospital	2
ST Patricks Hospital	48
Taylor Bequest (Matatiele) District Hospital	0
Greenville Hospital	8
Siphetu Hospital	0
Khotsong TB Hospital	0
Nompumelelo District Hospital	4
Butterworth District Hospital	36
Victoria District Hospital	24
Fort Beaufort Hospital	2
Tower Psychiatric Hospital	0
Bedford Hospital	0
Madwaleni District Hospital	124
Tafalofefe Hospital	0
Grey District Hospital	28
EmpilweniGompo	5
Bisho Hospital	18
Nkqubela TB Hospital	0
Cecilia Makiwane Regional Hospital	111
Frere Tertiary Hospital	0
All Saints District Hospital	3
Cofimvaba District Hospital	0
Elliot Hospital	9
Frontier Regional Hospital	122
Komani Psychiatric Hospital	0
Cradock District Hospital	9
Glen Grey District Hospital	0
Dordrecht FPAH	0
Sterkstroom Hospital	0
Uitenhage District Hospital	21
Llivingstone Tertiary Hospital	20
Dora Nginza Regional Hospital	89
PE Provincial Hospital	19
Motherwell CHC	13
Letticia Bam CHC	11
Orsmond TB Hospital	0
Jose Pearsons TB Hospital	0
Empilweni TB Hospital	0
Elizabeth Donkin psychiatric Hospital	0
Dr MalizoMpehle District Hospital	24
St Lucys Hospital	2
Holly Cross District Hospital	16
St Elizabeth Regional Hospital	31
St Barnabas District Hospital	40
Mthatha Regional Hospital	26
Nelson Mandela Academic Hospital	0
Zithulele District Hospital	148
Bedford orthopaedic hospital	22
Mthatha O&P centre	103
Aliwal North District Hospital	1
Burgesdorp Hospital	0
Empilisweni District Hospital	46
Mlamli hospital	0
Taylor Bequest(Mt Fletcher)District Hospital	13
Midlands District Hospital	6
Andriesvosloo District Hospital	2
Humansdorp District Hospital	0
Settlers District Hospital	0
Fort England Psychiatric	0
Temba TB	0
MajorieParishTB	0
Port Alfred	14
P.Z Meyer	2

FREE STATE

Hospital	Wheelchairs
FeziNgumbentombi District Hospital	35
Parys District Hospital	17
Tokollo District Hospital	15
Boitumelo Regional Hospital	149
Mafube District Hospital	23
Mohau District Hospital	22
Bongani Regional Hospital	32
Thusanong District Hospital	22
Orthotic/ProsheticServ Centre (Health)	5
Katleho District Hospital	8
Nala District Hospital	21
Botshabelo District Hospital	54
Dr JS Moroka District Hospital	0
National District Hospital	19
PelonomiTersiary Hospital	186
Universitas (C) Hospital	0
MUCPP CHC	76
Elizabeth Ross District Hospital	49
Phekolong District Hospital	39
Senorita Ntlabathi District Hospital	2
Thebe District Hospital	0
Dihlabeng Regional Hosp	0
Itemoheng District Hospital	40
MofumahadiManapoMopeli Region Hosp	18
Phuthuloha District Hospital	32
John Daniel Newberry District Hospital	26
Albert Nzula District Hospital	12
Diamant District Hospital	0
Embekweni District Hospital	0
Stoffel Coetzee District Hospital	0

GAUTENG

Hospital	Number of wheelchairs
BhekiMlangeni	20
Charlotte Maxeke	101
Chris Hani Bara	177
Edenvale	32
Helen Joseph	271
RahimaMoosa	17
South Rand	42
Bertha Gqowa	37
Far East Rand	72
Pholosong	120
Tambo Memorial	66
Tembisa	170
ThelleMogoerane	63
Heidelberg	23
Kopanong	2
Sebokeng	85
Bronkhorstspruit	16
Dr G Mukhari	168
Jubilee	31
Kalafong	111
Mamelodi	81
Odi	4
Steve Biko	142
Tshwane District	20
Tshwane Rehabilitation	131
Carletonville	13
Dr Y Dadoo	31
Leratong	92

KWAZULU-NATAL

Hospital	Wheelchairs
Addington Hospital	8
Amajuba District Municipality	46
Appelsbosch Hospital	23
Benedictine Hospital	44
Bethesda Hospital	16
Catherine Booth Hospital	10
Charles James TB Hospital	4
Charles Johnson Memorial Hospital	78
Christ the King Hospital	51
Church of Scotland Hospital	23
Clairwood Hospital	1
Don McKenzie TB Hospital	1
Dundee Hospital	27
East Griqualand and Usher Memorial Hospital	26
Edendale Hospital	83
Ekhombe Hospital	5
Emmaus Hospital	5
Eshowe Hospital	4
Estcourt Hospital	31
GJ Crooke's Hospital	12
Greytown Hospital	12
Hillcrest Hospital	2
Hlabisa Hospital	20
Itshelejuba Hospital	31
King Dinuzulu Hospital	24
King Edward VIII Hospital	3
KwaMagwaza Hospital	2
Ladysmith Hospital	45
Madadeni Hospital	21
Mahatma Gandhi Hospital	14
Manguzi Hospital	55
Mbongolwane Hospital	2
Montebello Hospital	2
Mosvold Hospital	21
Mseleni Hospital	29
Murchison Hospital	29
Newcastle Hospital	6
Ngwelezana Hospital	56
Niemeyer Memorial Hospital	11
Nkandla Hospital	27
Nkonjeni Hospital	22
Northdale Hospital	7
Osindisweni Hospital	5
Port Shepstone Hospital	21
Prince Mshiyeni Memorial Hospital	36
Queen Nandi Regional Hospital	3
Rietvlei Hospital	23
RK Khan Hospital	13
Andrew's Hospital	8
Apollinaris Hospital	7
Stanger Hospital	41
Umgeni Waterfall Institute Hospital	22
Umphumulo Hospital	25
Untunjambili Hospital	7
Vryheid Hospital	30

LIMPOPO

Hospital	Number of wheelchairs
Tshilidzini	11
Hayani	0
Malamulele	0
Louis Trichardt	2
Elim	0
Musina	0
Siloam	15
Donald Fraser	3
MaphuthaMalatjie	14
Van Velden	12
Evuxakeni	0
Letaba	15
Kgapane	0
Nkhensani	7
Sekororo	0
CN Phathudi	5
FH Odendaal	6
George Masebe	19
Mokopane	22
Thabazimbi	0
Elisras	8
Witpoort	0
Warmbath	0
Voortrekker	27
Zebediela	0
Seshego	0
Helen Franz	0
Knobel	13
Lebowakgomo	5
Mankweng	1
Polokwane	10
Botlokwa	8
Thabamoopo	0
Philadelphia	0
Dilokong	0
Jane Furse	20
Groblersdal	6
Matlala	0
St Ritas	0
Mecklenberg	11

MPUMALANGA

Hospital	Wheelchairs
Witbank	97
Impungwe	0
Bernice Samuel	15
Middelburg	55
HA Grove	10
WatervalBoven	4
Kwamhlanga	0
Rob Ferreira	74
Themba	66
Amajuba	11
Bethal	15
Carolina	9
Ermelo	97
Embhuleni	0
Evander	26
Pit Retief	86
Standerton	31

NORTH WEST

Hospital	Wheelchairs
Klerksdorp/Tshepong	24
Christiana	48
Witrand	87
Job ShimankanaTabane	32
Potchefstroom	90
Mafikeng	27
Gelukspan	4

NORTHERN CAPE

Hospital	Wheelchairs
Kimberley Hospital	42

WESTERN CAPE

Hospital	Wheelchairs
Tygerberg Hospital	205
Groote Schuur Hospital	254
George Hospital	24
New Somerset West Hospital	53
Paarl Hospital	62
Red Cross Children’s Hospital	73
Worcester Hospital	50
Alexandra Hospital	20
Lentegeur Hospital	01
Valkenberg Hospital	10
Western Cape Rehabilitation Centre (WCRC)	661

END.

Reply:

1. A summary sheet of clinic information is attached as Annexure A.

2. The detailed spreadsheets per Province are included in the CD enclosed.

3. Community health centres provide Primary Health Care service 24 hours, 7 days a week.

END.

Reply:

Please refer to the table attached as Annexure 1.

END.

Reply:

Please refer to the attached detailed Burden of Disease Profile for Mangaung Metropolitan Municipality for the period 2010 to 2015 by age and gender.

END.

Reply:

(i) (aa) 2000 – No data available from PERSAL

(bb) 2005 – No data available from PERSAL

(cc) 2010 – Information indicated on Table (Annexure 1)

(dd) 2015 – Information indicated on Table (Annexure 1)

(ii) B2018 Information indicated on Table (Please note that some of the facility names are not the same every year)

END.

Reply:

i) (aa) 2000 – No data available

(bb) 2005 – No data available

(cc) 2010 – Information indicated on Table (Annexure 1)

(dd) 2015 – Information indicated on Table (Annexure 1)

ii) 2018 Information indicated on Table (Please note that some of the facility names are not the same every year)

END.

Reply:

a) (i), (ii) and (iii) Please refer to the attached Annexure

b) The vacancies in these clinics exist due to people that have left the service through natural attrition such as resignation, retirement, promotion and transfer.

END.

Reply:

a) Since the closure of the theatre in Lehurutshe Hospital due to upgrading, all caesarean sections are referred to the hospital previously known to be Bophelong Hospital (currently known as Mafikeng Provincial Hospital). The Hospital has since experienced patient overflow. The Hospital was initially called Bophelong Hospital as it was in the same grounds with a mental health hospital named as such, which was now moved to a new location. The remaining facility is now renamed Mahikeng.

Further, due to insufficient supply of linen savers as a result of insufficient budget, some mattresses were blood-stained during deliveries, however the institution has motivated for increase of supply to the section as the demand dictates.

b) The following measures have been put in place:

(i) Exension of the maternity ward into the obstetrics theatre to increase space to accommodate more patients;

(ii) Allocation of additional beds to replace floor beds;

(iii) Close monitoring of the project in Lehurutshe Hospital to accelerate completion of theatre.

END.

Reply:

a) It has not been procedure to inform the Minister of broken equipment in the facilities, however the incubators referred to were likely to have been incubators that were already due to be taken to the Tygerberg Hospital Clinical Engineering Department (CED) for assessment for damages and possible repairs or condemning. Necessary repairs if any, are effected, coordinated by the CED Department;

b) Recently in January 2018, a total of 30 brand-new incubators were purchased.

END.

Reply:

1. (a) The patient arrived in the Accident and Emergency Department at 08h05. She was attended by the nursing staff and the Medical Officer from Accident and Emergency Department. After the initial assessment she was referred to the Obstetrics and Gynaecology Department. A Senior Medical Officer from Obstetrics and Gynaecology Department assessed her on arrival to the ward at 10h05.

(b) Initially the patient presented herself to the Labour Ward. She was directed to the Accident and Emergency Department by the nursing staff as all patients with her condition are admitted to the Gynaecology ward via Accident and Emergency Department.

2. (a) and (b) The Gynaecology ward was full to its capacity at the time, therefore the patient was transferred to the Labour ward’s extension area. She was nursed in a room by herself to allow privacy.

(c) All patients are accommodated in a bed in the ward.

3. (a) The patient was first assessed by the Medical Officer in Accident and Emergency Department at 08h05. She was transferred to the Labour ward and was immediately examined by the Senior Medical Officer from Obstetrics and Gynaecology Department at 10h05.

(b) Answering this question will lead to disclosure of the diagnosis of this patient and I cannot do that.

(c) The patient stayed in the Labour ward from 10h00 to 23h00, where she delivered. During this time she was examined by the Medical Officer three (3) times. In between she was attended by the midwives. A consultation was also done by the consultant on call for that night. The doctor had numerous discussions/feedback sessions with the patient’s husband and the mother-in-law during the patient’s stay in the ward.

END.

Reply:

The following table reflects the details in this regard, according to the North West Provincial Department of Health

				Filled Post – Paramedics (April 2018)
	BASIC LIFE UPPORT	INTERMEDIATE LIFE SUPPORT	EMERGENCY CARE TECHNICIAN	PARAMEDICS	Grand Total
North West	360	105	97	1	563
Dr. Kenneth Kaunda	77	26	27	0	130
Ngaka Modiri Molema	88	20	38	0	146
Dr. Ruth Segomotsi Mompati	88	18	14	1	121
Bojanala	107	41	18	0	166
Grand Total	360	105	97	1	563

END.

Reply:

1. (a) (i) Please note that the following details pertain to fleet vehicles rented by the Department, i.e they are not wholly owned by the Department. The Department only pays for excess fee in the event of accidents and damages.

• One hundred and ten (110) accident damages occurred involving departmental rented vehicles for the financial year 2015/16;

• Eighty-nine (89) accident damages occurred involving departmental rented vehicles for the financial year 2016/17;

• One hundred and thirty (130) accident damages occurred involving departmental rented vehicles for the financial year 2018/18.

(ii) No accidents occurred involving departmental rented vehicles since 1 April 2018.

(b) - Insurance excess fee for the financial year 2015/16: R147,518.35

- Insurance excess fee for the financial year 2016/17: R139,897.96

- Insurance excess fee for the financial year 2017/18: R217,455.25

- Insurance excess fee for the period since 1 April 2018: R36,346.96

(c) (i) The details are as follows:

• One (1) accident occurred involving rented departmental vehicle for the financial year 2015/16;

• Two (2) accidents occurred involving rented departmental vehicle for the financial year 2016/17;

• One (1) accident occurred involving rented departmental vehicle for the financial year 2017/18;

• Twenty-four (24) accidents occurred involving rented departmental vehicle since 1 April 2018.

(ii) Supposedly beyond economical repair for the financial years: 2015/16; 2016/17 and 2017/18. No vehicles were written-off since 1 April 2018.

2. Yes, all rented departmental vehicles are fitted with tracking devices.

END.

Reply:

Please refer to the attached Annexure 1 for the response to the question.

END.

Reply:

The table below is the list of operational Emergency Care personnel that are employed in the Health Districts of Mpumalanga Province. The number of Paramedics per district is highlighted in bold.

MPUMALANGA	BASIC AMBULANCE ASSISTANT	AMBULANCE EMERGENCY ASSISTANT	PARAMEDIC	EMERGENCY CARE TECHNICIAN	EMERGENCY CARE PRACTITIONER	TOTAL
Nkangala	208	58	9	7	0	282
Ehlanzeni	240	44	2	4	2	292
Gert Sibande	240	63	3	5	0	311
TOTAL	688	165	14	16	2	885

END.

Reply:

Please refer to the attached Annexure 1 for details in this regard.

END.

Reply:

a) The total number of babies born in clinics during 2017 were 34,992;

b) The total number of babies born in hospitals during 2017 were 778,720.

END.

Reply:

The attached Annexure 1 reflects the details in this regard.

END.

Reply:

1. (a) (i) The functionality of the 3480 public health facilities are assessed using the Ideal Clinic Realisation and Maintenance Tool developed by the department of health as part of the Operation Phakisa Ideal Clinic Laboratory. In preparation for the introduction of National Health Insurance (NHI), the Ideal Clinic programme is setting in place a systematic approach to transform all PHC facilities to meet national standards when inspected by the Office of Health Standards Compliance (OHSC). The National Health Amendment Act (12 of 2013) mandates the OHSC to protect and promote the health and safety of health service users through monitoring and enforcing compliance with prescribed norms and standards[1]. The Ideal Clinic programme is the NDoH’s internal mechanism for ensuring PHC facilities’ compliance with these norms and standards in order to satisfy the needs of South African communities.

A dashboard, using the standard traffic-light colours, was developed. The figure below depicts the arrangement of 32 sub-components under 10 components. The 32 sub-components are further subdivided into 206 elements. The number of elements change on an annual basis as the national team receive feedback from clinical staff and managers on clinic and district level about how to improve the framework. Elements are assigned a green colour when they are fully functional, an orange colour if they are partially functional and corrective actions are under way, and a red colour if the element is absent or non-functional.

 

The elements are assigned a vital, essential or important weight in line with the definitions below.

The table below indicates the scores required per element weight.

Weights	Silver	Gold	Platinum
Vital (10 elements)	90%	100%	100%
Essential (86 elements)	70%	80%	90%
Important (110 elements)	68%	78%	89%
AVERAGE	70%-79%	80%-89%	90%-100%

The Ideal Clinic Realisation and Maintenance (ICRM) Programme follows the PLAN, DO STUDY, Act (PDSA) cycle. The first large scale planning took place in October and November 2014. This in-depth planning in a laboratory setting called “Operation Phakisa Ideal Clinic Lab” resulted in a comprehensive implementation plan. The cycle starts with status determinations by PHC facility managers(April to June) and a re-planning session in May. This is followed by the correction of weaknesses (turning red and orange elements green during July to October). In November district peer reviews are done.

Peer review results are immediately captured on the web based ICRM monitoring software tool for the purpose of result analyses (Study). District scale-up teams then assist clinic managers and staff to turn the remaining orange and red elements to green (December to February). In March peer review updates are done to determine achievement for the financial year. The NDoH receives continuous feedback from managers and staff at provincial, district and facility level about changes required to guidelines, standard operating procedures and systems processes that currently cause bottlenecks. The results are used to plan the implementation for the next year. Planning for the following year includes amendments to the framework resulting in a subsequent version.

(ii) Professionals who do the status determinations through peer reviews are from South Africa's 52 health districts. Every year, since the implementation of the programme, 196 professionals are orientated to do the peer reviews.

(b) In the beginning of each financial year since 2015/2016 to date all fixed primary health care facilities in the country are subjected to status determination (assessment) exercise;

(c) The details of the outcome of the assessment from 2015/2016 to 2017/2018 is as follows

District/ Metro	Total Facilities	2015/16 Ideal Clinics	2016/17 Ideal Clinics	No clinics from 2015 to 2017 that remained Ideal in 2017/18	2017/18 Ideal Clinics	Total Ideal Clinics	% Ideal Clinics
Eastern Cape	771	14	128	93	64	157	20.4
Free State	221	22	49	75	39	114	51.6
Gauteng	367	89	133	200	91	291	79.3
KwaZulu-Natal	600	141	204	303	80	383	63.8
Limpopo	477	27	42	49	72	121	25.4
Mpumalanga	288	19	46	46	41	87	30.2
North West	314	7	86	75	46	121	38.5
Northern Cape	164	3	62	58	31	89	54.3
Western Cape	275		36	34	110	144	52.4
South Africa	3,477	322	786	933	574	1507	43.3

(2) The department does not use consultants for this task. District quality assurance and supervisory staff are formed into a team to do peer reviews.

END.

Republic of South Africa.National Health Amendment Act (12 of 2013). Cape Town: Government Gazette No. 367, 24 July 2013. ↑

Reply:

(1) (a) Money was spent from the Conditional Grant for the Inter Facility Transfer of patients in the province.

(b) In the 2016/17 and the 2017/18 financial years.

(c) The service procured was for inter facility transfers, that is the moving of patients between health facilities.

(d) The ambulance services procured were for inter-facility transfer of patient and for the financial years mentioned above the costs were as 2016/17 - R45,188,078 and 2017/18 - R207,531,593-50 by March 2018 with other invoices submitted by the service provider for payment amounting to R174,064,224-21, however subject to verification. The contract was for the movement of patient from one health facility to the next so that the patient could get a better level of care. This is for the movement of Priority One, two and three patients.

(e) It is an order based contract.

(2) Some of the invoices were paid in full. When invoices were verified it was noted that some were overcharged. An investigation is underway to try to recover the costs.

END.

Reply:

1. (a) The confirmed source of the Listeriosis outbreak, immediately triggered Regulation 4(b) in the Hazard Analysis and Critical Control Point System (HACC) Regulations (R908 of 2003) which requires the mandatory application of the Hazard analysis and Critical Control Point system, audited by the South African National Accreditation System (SANAS) accredited certifying bodies.

The review of the National Health Act, 2003 as well as the Foodstuffs, Cosmetics and Disinfectants Act, 1972 is underway to allow for the incorporation of reporting requirements for food testing.

(b) The South African Meat Processors Association (SAMPA) was consulted through official correspondence as well as a formal meeting.

(c) (i) SAMPA;

(ii) The industry association indicated that as they represent more than 60% of the Ready To Eat (RTE) processing industry, they have no objection that the sector be required to implement the mandatory Hazard Analysis and Critical Control Point system. Levels for Listeria Monocytogenes for the products that they manufactured were clarified in relation to the levels adopted by teh Codex Alimentaius, the joint World Health Organisation and Food and Agricultural Organisation, food standards setting body for protecting consumers and facilitating trade.

2. (a) The guideline levels will be published following extensive consultation with the industry as well as other important stakeholders such as academics, epidemiologists and consumers.

(b) The regulated levels will cover all food categories that are considered as ready to eat.

3. Owing to the risk that these ready to eat meat products pose, a zero tolerance is observed until the outbreak has been contained.

According to the internationally accepted Codex Alimentarius, the current industry practice of 10 cfm/gram in a 25g sample is only applicable for foodstuffs that do not promote the growth of Listeria monocytogenes. Ready to eat processed products implicated in the outbreak promote the growth of Listeria monocytogenes and the internationally agreed level is absent when tested according to the sampling plan.

4. The international guidance has been considered. Consultation referred to in (2)(a) above will need to explore whether a zero tolerance needs to be considered owing to the new scientific research regarding the emerging nature and virulence of Listeria monocytogenes and the current health status of the South African population.

5. (a) The relevant authorities (Department of Health; Department of Agriculture, Forestry and Fisheries; Department of Trade and Industry with its two entities (National Consumer Commission and National Regulator for Compulsory Specifications) have been tasked to review the existing food control system, including legislation and recommend the best way to regulate food safety in the country.

(b) Once the review has been finalised by all parties involved, it will then be taken to the relevant stakeholders for the requisite consultation and comment.

END.

Reply:

The Free State Department of Health embarked on a tender process to procure services for Inter Facility ambulance services in order to augment the current Provincial EMS inter facility services within the Province.

The Province took the decision because of shortage of Intermediate and Advance life support staff within the Province that could be deployed on obstetric and critical ambulance inter-facility services.

Since the whole private ambulance matter in the Free State and North West is under investigation by National Treasury, we will have to wait for the findings of the investigation, to arrive at a well informed conclusion.

END.

Reply:

(1) I took a total of 49 international trips in the past five financial years.

a) I travelled with my spouse, Mrs TD Motsoaledi on four of the 49 trips mentioned above. One of these four trips was a fully sponsored trip by the host.

b) None

The table below presents a summary of the trips on which I was accompanied by my spouse.

Purpose of trip	Destination	Total Cost to Dept	Breakdown of cost
			Air ticket	Daily allowance
2013 International Symposium for Design and Health	Doha, State of Qatar	None, the trip was fully paid for by the hosts who invited me to to attend the Symposium	R63 381-00	R6 352-00
Celebration of Diplomatic relations between China and SA World Economic Forum Annual meeting of the New Champions 2014	Tiajin, People's Republic of China	R57 340-47	R51 496-00	R5 844-47
4th meeting of the BRICS Health Ministers	Brasilia, Brazil	R74 038-20	R69 537-39	R4 500-81
Stop TB Partnership Board retreat, meeting and other activities	Paris, France	R71 758-58	R64 996-72	R6 761-86
TOTAL		R203,137.25

(2) Yes, each of the specified trips were approved by the President in terms of the provisions of Section1, Annexure A of the Ministerial Handbook.

END.

Reply:

Entity	(1)(a)	(b)	(2)
National Health Laboratory Service	(i) 2016	1	The case involves a male supervisor who gave a lift to one of the junior female staff members after they had completed their shift. The supervisor was alleged to have made inappropriate comments to the lady colleague and also wanted to touch her inappropriately. The matter was reported and the supervisor was subsequently charged and dismissed. He then referred his matter to the CCMA for adjudication. The CCMA ruled in his favour and the NHLS applied to the Labour Court to have the matter reviewed and set aside.	After the matter was reported there was an investigation conducted which led to the conclusion that there was a case to be answered hence the supervisor was charged and dismissed from the NHLS.
	(ii) 2017	1	The case involves a senior manager who is alleged to have shown two junior staff members an inappropriate explicit picture of a pornographic nature. The manager concerned was charged and subjected to a disciplinary enquiry and the matter is still ongoing.	The Matter was investigated and also referred to a disciplinary enquiry as a result of the recommendation from the investigation. This was after prima facie evidence was unearthed.
Council Medical Schemes	(i) 2016	None	None	None
	(ii) 2017	None	None	None
Office of Health Standards Compliance	(i) 2016	None	None	None
	(ii) 2017	None	None	None
South African Medical Research Council	(i) 2016	None	None	None
	(ii) 2017	None	None	None

END.

Reply:

(1) (a) There are 50 538 doctors (Medical and dental) on the HPCSA register.

(b) (i) The following table reflects the details in this regard.

Province	No. of Doctors in Province
Eastern Cape	3494
Free State	2102
Gauteng	18062
KwaZulu Natal	8747
Limpopo	1976
Mpumalanga	2001
North West	1614
Northern Cape	775
Western Cape	11765
TOTAL	50538

(ii) The HPCSA does not keep a register/record of practitioners leaving the country to practice elsewhere.

(2) (a) Total number of doctors facing disciplinary hearing are as follows:

• Preliminary- 1523
• Professional Conduct – 418

PRELIMINARY

TYPE OF OFFENCE	MEDICAL AND DENTAL
Unethical Advertising	2
Incompetence	607
Over servicing	13
Breach of confidentiality	20
Damaging Professional Reputation of Colleague	12
Insufficient Care/Treatment & Mismanagement of Patients	263
Negligence	2
Unacceptable/Inappropriate Relationship with Patients	25
Refusing to treat patients	53
Misdiagnosis	0
Practicing Outside Scope of competence	0
Fraudulent Certificates/Incorrect Information on Death Certificates	95
Refusing to complete forms / producing inaccurate reports	74
Overcharging / charging for Services not Rendered	56
Issues relating to Consent	23
Fraud and theft	77
Bringing the Professions into disrepute	25
Employing unregistered practitioners	0
Unethical dispensing, using of unregistered medicine and prescribing of drugs	5
Contempt of Council	0
Supersession / Contravening the Hazardous Substances Act, 1973	37
Incorrect Accounts	49
Bad Communication	27
Touting	5
Expose patients to danger	40
Section 51	2
Practicing without registration	11
TOTAL	1523

 

PROFESSIONAL CONDUCT CASES FOR PROSECUTION

TYPE OF OFFENCE	MEDICAL AND DENTAL
Unethical Advertising	4
Incompetence	51
Breach of confidentiality	1
Insufficient Care/Treatment & Mismanagement of Patients	58
Negligence	98
Unacceptable/Inappropriate Relationship with Patients	18
Refusing to treat patients	4
Misdiagnosis	4
Practicing Outside Scope of competence	14
Fraudulent Certificates/Incorrect Information on Death Certificates	16
Refusing to complete forms / producing inaccurate reports	6
Overcharging / charging for Services not Rendered	40
Issues relating to Consent	14
Fraud and theft	52
Bringing the Professions into disrepute	7
Employing unregistered practitioners	6
Unethical dispensing, using of unregistered medicine and prescribing of drugs	2
Contempt of Council	15
Practicing without registration	8
TOTAL	418

(b) This is a matter for South African Police Services

END.

Reply:

Responses were received from the following Provinces. We are still waiting for responses from the remaining six Provinces and will submit such as soon as we get them.

1. GAUTENG PROVINCE

a) (i) The total number of items of medical equipment that each hospital has is 61 884 (sixty one thousand, eight hundred and eighty four); and

(ii) The total number of items of medical equipment that each clinic has is 10 151 (ten thousand, one hundred and fifty one).

The information is as at the 6th March 2018 per the consolidated departmental asset register.

(b) (i) These equipments fall under the category of medical and allied medical equipment;

(ii) The dates of the equipment for both hospitals and clinics range from 15 March 2000 to 27 February 2018; and

(iii) The total purchase price for the hospitals' equipment is R3 477 066 479.41 (three billion four hundred and seventy seven million, sixty six thousands and four hundred and seventy nine rand and forty one cents) and in respect of the clinics, the total purchase price is R264 962 790.54 (two hundred and sixty four million, nine hundred and sixty two thousands, seven hundred and ninety rand and fifty four cents).

(c) (i) The total number of the dysfunctional equipment and / or require service for the hospitals is 668 (six hundred and sixty eight); and

(ii) The total number of the dysfunctional equipment and / or require service for the clinics is 165 (one hundred and sixty five).

2. EASTERN CAPE

(a) (i) The total number of items of medical equipment that each hospital and

(ii) each clinic combined are 233 206 (two hundred and thirty three thousand two hundred and six).

(b) (i) These equipments fall under the category of medical and allied medical equipment ;

(ii) The dates of the equipment for both hospitals and clinics range from prior 2011/2012 to 2016/2017; and

(iii) The total purchase price is R1 834 734 38 (one billion eight hundred and thirty four million seven hundred and thirty four thousand three hundred and eighty eight).

(c) (i) (ii) The total number of the dysfunctional equipment and / or require service for the hospitals and clinics not indicated.

3. FREE STATE

a) (i) The total number of items of medical equipment that each hospital and

(ii) each clinic combined are 28 594 (twenty eight thousand five hundred and ninety four).

(b) (i) These equipments fall under the category of medical and allied medical equipment ;

(ii) The dates of the equipment for both hospitals and clinics are available

(iii) The total purchase price is R749 691 340 (seven hundred and forty nine million six hundred and ninety one thousand three hundred and forty).

(c) (i) (ii) The total number of the dysfunctional equipment and / or require service for the hospitals and clinics are 365.

END.

Reply:

A total of 1 291 South African medical practitioners who were eligible for community service were appointed. From month-to-month new interns complete and are accommodated as we become aware of them. To date an additional 37 have been allocated.

 

END.

Reply:

All health facilities including hospitals and clinics in the country do have water supply services. However, like any other services there might be interruptions from time to time for various reasons such as breakdowns, drought, etc. in such cases temporary supply services, i.e water cartage takes place to remedy the emergency situation. Depending on the geographical location of the facilities, local authorities like municipalities do assist in emergency cases. Since such activities are at operational level for a short span of time, it is not necessary to keep detailed recording of these activities at the National Department of Health.

END.

Reply:

All health facilities including hospitals and clinics in the country do have water supply services. However, like any other services there might be interruptions from time to time for various reasons such as breakdowns, drought, etc. in such cases temporary supply services, i.e water cartage takes place to remedy the emergency situation. Depending on the geographical location of the facilities, local authorities like municipalities do assist in emergency cases. Since such activities are at operational level for a short span of time, it is not necessary to keep detailed recording of these activities at the National Department of Health.

END.

Reply:

All health facilities including hospitals and clinics in the country do have electricity supply system except for those that are listed in the attached Annexure 1. However, like any other services when there are interruptions from time to time for various reasons such as system breakdowns, etc. standby generator(s) of the facility kicks in and allow the operation of the facilities to continue. All hospitals do have backup generators and those Primary Health Care facilities that do not have backup generators are as reflected in Annexure 1. Since power interruptions are at operational level for a short span of time, it is not necessary to keep detailed recording of these activities at the National Department of Health.

END.

Reply:

All health facilities including hospitals and clinics in the country do have electricity supply system except for those that are listed in the attached Annexure 1. However, like any other services when there are interruptions from time to time for various reasons such as system breakdowns, etc. standby generator(s) of the facility kicks in and allow the operation of the facilities to continue. All hospitals do have backup generators and those Primary Health Care facilities that do not have backup generators are as reflected in Annexure 1. Since power interruptions are at operational level for a short span of time, it is not necessary to keep detailed recording of these activities at the National Department of Health.

END.

Reply:

(1) Not all SMS members declared their financial interests;

(a) The SMS member submitted the form day after the system closure (30 April 2018);

(b) Only one SMS member did not declare his financial interest for past year (2017/2018).

(i) Mr. Kgereshi Mokwenal

(ii) Interim Registrar: Interim Traditional Health Practitioners Council of South Africa

(2) The process of instituting disciplinary action against the member is currently underway;

(3) (a) One official currently suspended on full salary;

(b) Longer than 120 days;

(4) R191 115.76

END.

Reply:

I am not clear as to what the Honourable Member means by a medical machine. Perhaps if the Honourable Member is specific then I would be able to help.

END.

Reply:

The following table reflects the details in this regard, according to the Eastern Cape Provincial Department of Health

	Filled Post – Paramedics (April 2018)
	EMS LECTURER (PARAMEDIC) GRADE 1	EMS LECTURER (PARAMEDIC) GRADE 2	EMS LECTURER (PARAMEDIC) GRADE 3	EMS LECTURER (PARAMEDIC) GRADE 4	PARAMEDIC GRADE 1	PARAMEDIC GRADE 2	PARAMEDIC GRADE 3	PARAMEDIC GRADE 4	Grand Total
Eastern Cape	1	1	3	1	9	6	16	5	42
BUFFALO CITY					3	2	4	1	10
EASTERN CAPE: DEPARTMENT OF HEALTH					3	2	4	1	10
DISTRICT OFFICE:AMATOLE					3	2	3	1	9
SECTION:PARAMEDICS EMS AMATHOLE						2	2		4
SECTION:BUFFALO CITY STATION EMS AMATHOLE					3		1	1	5
DISTRICT OFFICE:NELSON MANDELA BAY							1		1
SECTION:PARAMEDICS NELSON MANDELA EMS MET							1		1
EMERGENCY RESCUE SERVICES	1	1	2	1	6	4	11	4	30
EASTERN CAPE: DEPARTMENT OF HEALTH	1	1	2	1	6	4	11	4	30
DISTRICT OFFICE:ALFRED NZO							1	1	2
SECTION:PARAMEDICS EMS ALFRED NZO							1		1
SECTION:MALUTI STATION EMS ALFRED NZO								1	1
DISTRICT OFFICE:OR TAMBO					1	1			2
SECTION:PARAMEDICS EMS OR TAMBO						1			1
SECTION:KING SABATA DALINDYEBO STATION EM					1				1
DISTRICT OFFICE:AMATOLE							1		1
SECTION:PARAMEDICS EMS AMATHOLE							1		1
DISTRICT OFFICE:UKHAHLAMBA								1	1
SECTION:PARAMEDICS EMS UKHAHLAMBA METRO								1	1
DISTRICT OFFICE:NELSON MANDELA BAY	1	1	2	1	4	3	8	2	22
SECTION:PARAMEDICS NELSON MANDELA EMS MET					1	1	5	1	8
SECTION:P.E STATION NELSON MANDELA					1				1
	EMS LECTURER (PARAMEDIC) GRADE 1	EMS LECTURER (PARAMEDIC) GRADE 2	EMS LECTURER (PARAMEDIC) GRADE 3	EMS LECTURER (PARAMEDIC) GRADE 4	PARAMEDIC GRADE 1	PARAMEDIC GRADE 2	PARAMEDIC GRADE 3	PARAMEDIC GRADE 4	Grand Total
SECTION:DISPATCH STATION EMS NELSON MANDE					1				1
SECTION:MEDICAL EC EMERGENCY RESCUE			1	1					2
SECTION:RESCUE DRIVING EASTERN CAPE	1	1	1						3
SECTION:PARAMEDICS EMS CACADU METRO						2	3	1	6
SECTION:KOUGA STATION EMS CACADU METRO					1				1
DISTRICT OFFICE:CHRIS HANI					1		1		2
SECTION:PARAMEDICS EMS CHRIS HANI					1		1		2
EASTERN CAPE: DEPARTMENT OF HEALTH			1				1		2
EASTERN CAPE: DEPARTMENT OF HEALTH			1				1		2
DISTRICT OFFICE:NELSON MANDELA BAY			1				1		2
SECTION:MEDICAL EC EMERGENCY RESCUE			1						1
SECTION:PARAMEDICS EMS CACADU METRO							1		1

END.

Reply:

The following table reflects the details in this regard, according to the KwaZulu Natal Provincial Department of Health

	Filled Post – Paramedics (April 2018)
	EMS LECTURER (PARAMEDIC) GRADE 1	EMS LECTURER (PARAMEDIC) GRADE 2	EMS LECTURER (PARAMEDIC) GRADE 4	PARAMEDIC GRADE 1	PARAMEDIC GRADE 2	PARAMEDIC GRADE 3	PARAMEDIC GRADE 4	Grand Total
KwaZulu-Natal	2	1	14	5	18	25	43	108
AMAJUBA DISTRICT					2	1	2	5
KWAZULU-NATAL: HEALTH					2	1	2	5
MINISTER: HEALTH					2	1	2	5
EMS AMAJUBA: MADADENI STATION					1	1		2
EMS AMAJUBA: NEWCASTLE STATION					1		2	3
ETHEKWINI DISTRICT					4	7	17	28
KWAZULU-NATAL: HEALTH					4	7	17	28
MINISTER: HEALTH					4	7	17	28
EMS ETHEKWINI: PLANNED PATIENT TRANSPORT					1		1	2
EMRS ETHEK:INTERIM STRUCTURE						1	2	3
EMS ETHEKWINI: ILLOVO STATION						1		1
EMS ETHEKWINI: WARWICK AVENUE STATION						3	4	7
EMS ETHEKWINI: PHOENIX STATION							3	3
EMS ETHEKWINI: WENTWORTH STATION							1	1
EMS ETHEKWINI: MARIANHILL STATION						2	2	4
EMS ETHEKWINI: UMLAZI STATION					1		3	4
EMS ETHEKWINI: KWAMASHU STATION					2		1	3
HARRY GWALA DISTRICT					1	1		2
KWAZULU-NATAL: HEALTH					1	1		2
MINISTER: HEALTH					1	1		2
EMS HARRY GWALA: UNDERBURG STATION						1		1
	EMS LECTURER (PARAMEDIC) GRADE 1	EMS LECTURER (PARAMEDIC) GRADE 2	EMS LECTURER (PARAMEDIC) GRADE 4	PARAMEDIC GRADE 1	PARAMEDIC GRADE 2	PARAMEDIC GRADE 3	PARAMEDIC GRADE 4	Grand Total
EMS HARRY GWALA: IXOPO STATION					1			1
HEALTH-HEAD OFFICE PMB	2	1	14		1	1	4	23
KWAZULU-NATAL: HEALTH	2	1	14		1	1	4	23
MINISTER: HEALTH	2	1	14		1	1	4	23
HO: EMS COLLEGE	2	1	14				1	18
HO: EMS AERO MEDICAL SERVICES					1	1	2	4
EMS ETHEKWINI: PHOENIX STATION							1	1
ILEMBE DISTRICT					1	1	6	8
KWAZULU-NATAL: HEALTH					1	1	6	8
MINISTER: HEALTH					1	1	6	8
ILEMBE EMRS:INTERIM STRUCTURE							1	1
EMS ILEMBE: ISITHEBE STATION						1		1
EMS ILEMBE: KWADUKUZA STATION							5	5
EMS ILEMBE: NDWEDWE STATION					1			1
KING CETSHWAYO DISTRICT					3	1	2	6
KWAZULU-NATAL: HEALTH					3	1	2	6
MINISTER: HEALTH					3	1	2	6
EMS KING CETSH:UMLALAZI STATION					1		1	2
EMS KING CETSH:MELMOTH STATION							1	1
EMS KING CETSH:UMFOLOZI STATION					2	1		3
UGU DISTRICT					3	4	3	10
KWAZULU-NATAL: HEALTH					3	4	3	10
MINISTER: HEALTH					3	4	3	10
EMS UGU: PORT SHEPSTONE STATION					2	1		3
EMS UGU: UMDONI STATION						1		1
EMS UGU: VULAMEHLO STATION					1		2	3
EMS UGU: UMZIWABANTU STATION						2	1	3
UMGUNGUNDLOVU DISTRICT				1		7	9	17
KWAZULU-NATAL: HEALTH				1		7	9	17
MINISTER: HEALTH				1		7	9	17
EMS UMGUNGUNDLOVU: APPELSBOSCH STATION				1		1	2	4
EMS UMGUNGUNDLOVU: IMBALI STATION						2	2	4
EMS UMGUNGUNDLOVU: PIETERMARITZBURG STATIO						1	3	4
EMS UMGUNGUNDLOVU: HOWICK STATION							2	2
HO: EMS OPERATIONS SERVICES						3		3
UMZINYATHI DISTRICT				2	1	1		4
KWAZULU-NATAL: HEALTH				2	1	1		4
MINISTER: HEALTH				2	1	1		4
EMS UMZINYATHI: NQUTHU STATION				1		1		2
	EMS LECTURER (PARAMEDIC) GRADE 1	EMS LECTURER (PARAMEDIC) GRADE 2	EMS LECTURER (PARAMEDIC) GRADE 4	PARAMEDIC GRADE 1	PARAMEDIC GRADE 2	PARAMEDIC GRADE 3	PARAMEDIC GRADE 4	Grand Total
EMS UMZINYATHI: UMVOTI GREYTOWN STATION				1				1
EMS UMZINYATHI: DUNDEE STATION					1			1
UTHUKELA DISTRICT				2	1	1		4
KWAZULU-NATAL: HEALTH				2	1	1		4
MINISTER: HEALTH				2	1	1		4
EMS UTHUKELA: ESTCOURT STATION				1		1		2
EMS UTHUKELA: BERGVILLE STATION				1				1
EMS UTHUKELA: LADYSMITH STATION					1			1
ZULULAND DISTRICT					1			1
KWAZULU-NATAL: HEALTH					1			1
MINISTER: HEALTH					1			1
EMS ZULULAND: ULUNDI STATION					1			1
Grand Total	2	1	14	5	18	25	43	108

END.

Reply:

The following table reflects the details in this regard, according to the Free State Provincial Department of Health

	Filled Post – Paramedics (April 2018)
	EMS LECTURER (PARAMEDIC) GRADE 3	EMS LECTURER (PARAMEDIC) GRADE 4	PARAMEDIC GRADE 2	PARAMEDIC GRADE 4	Grand Total
Free State	10	3	1	2	16
FREE STATE: HEALTH	10	3	1	2	16
CONTROL SUBCOMPONENT	10	3	1	2	16
FREE STATE DEPARTMENT OF HEALTH	10	3	1	2	16
ACADEMIC (COLLEGE OF EMS) HEALTH	10	3			13
EMERGENCY MEDICAL SERVICES: XHARIEP DISTR			1		1
EMERGENCY MEDICAL SERVICES: MANGAUNG DIST				1	1
EMERGENCY MEDICAL SERVICES: FEZILE DABI				1	1
Grand Total	10	3	1	2	16

END.

Reply:

The following table reflects the details in this regard, according to the Gauteng Provincial Department of Health

	Filled Post – Paramedics (April 2018)
	EMS LECTURER (PARAMEDIC) GRADE 2	EMS LECTURER (PARAMEDIC) GRADE 3	EMS LECTURER (PARAMEDIC) GRADE 4	PARAMEDIC GRADE 1	PARAMEDIC GRADE 2	PARAMEDIC GRADE 3	PARAMEDIC GRADE 4	Grand Total
Gauteng	3	4	6	8	11	16	9	57
EMERGENCY MEDICAL SERVICES	2		1	8	11	16	9	47
GAUTENG HEALTH	2		1	8	11	16	9	47
DEPARTMENT OF HEALTH	2		1	8	11	16	9	47
EMS SERV JHB			1	3	2	2	2	10
EMS SERV EKURHULENI				1	3	1	1	6
EMS SERV TSHWANE				2	3	3	4	12
EMS SERV WEST RAND				1	2	5	1	9
PPT SERV SEDIBENG	1			1	1	5		8
EMS SEDIBENG PROV	1						1	2
LEBONE COLLEGE OF EMERGENCY CARE	1	4	5					10
GAUTENG HEALTH	1	4	5					10
DEPARTMENT OF HEALTH	1	4	5					10
ACADEMIC SERVICES	1	4	5					10
Grand Total	3	4	6	8	11	16	9	57

END.

Reply:

The following table reflects the details in this regard, according to the Limpopo Provincial Department of Health

	Filled Post – Paramedics (April 2018)
	EMS LECTURER (PARAMEDIC) GRADE 2	EMS LECTURER (PARAMEDIC) GRADE 3	PARAMEDIC GRADE 1	PARAMEDIC GRADE 2	PARAMEDIC GRADE 3	PARAMEDIC GRADE 4	Grand Total
Limpopo Province	1	2	2	5	1	14	25

VERTICAL PROGRAMMES: HEALTH	1	2	2	5	1	14	25
CONTROL SUB-COMPONENT: HEALTH	1	2	2	5	1	14	25
MEC HEALTH	1	2	2	5	1	14	25
POLOKWANE (L) EMS						1	1
W.F. KNOBEL (S) EMS						1	1
MASHASHANE (NEW STATION) EMS				1			1
MANKWENG (M) EMS						1	1
MAKHADO (L) EMS				1			1
THOHOYANDOU (L) EMS						2	2
GIYANI (L) EMS				1			1
SEKORORO (M) EMS						1	1
TZANEEN (L) EMS						1	1
MECKLENBERG (NEW STATION) EMS				1			1
DILOKONG (M) EMS						2	2
MOKOPANE (L) EMS						2	2
MODIMOLLE (M) EMS						1	1
THABAZIMBI (S) EMS					1		1
MOOKGOPHONG (S) EMS						1	1
BELA-BELA (S) EMS			2				2
LEPHALALE (S) EMS				1		1	2
AUXILLIARY TRAINING: SUBSECTION	1	2					3
Grand Total	1	2	2	5	1	14	25

END.

Reply:

The following table reflects the details in this regards, according to the Northern Cape Provincial Department of Health

	Filled Post – Paramedics (April 2018)
Row Labels	EMS LECTURER (PARAMEDIC) GRADE 3	EMS LECTURER (PARAMEDIC) GRADE 4	PARAMEDIC GRADE 2	Grand Total
Northern Cape	2	1	1	4
DEPARTMENT OF HEALTH HEAD OFFICE	1	1	1	3
NORTHERN CAPE:HEALTH	1	1	1	3
PIXLEY KA SEME	1			1
NORTHERN CAPE:HEALTH	1			1
Grand Total	2	1	1	4

END.

Reply:

The following table reflects the details in this regard, according to the Western Cape Provincial Department of Health

	Filled Post – Paramedics (April 2018)
	EMS LECTURER (PARAMEDIC) GRADE 1	EMS LECTURER (PARAMEDIC) GRADE 2	EMS LECTURER (PARAMEDIC) GRADE 3	EMS LECTURER (PARAMEDIC) GRADE 4	PARAMEDIC GRADE 1	PARAMEDIC GRADE 2	PARAMEDIC GRADE 3	PARAMEDIC GRADE 4	Grand Total
Western Cape	1	1	5	11	41	26	35	37	157
EMERGENCY MEDICAL SERVICES	1	1	5	11	41	26	35	37	157
DEPT OF HEALTH	1	1	5	11	41	26	35	37	157
CSP:DDG SPECIALISED AND EMERGENCY SERVICESTH & EMS	1	1	5	11	41	26	35	37	157
WESTERN DIVISION.					10	2	6	6	24
SOUTHERN DIVISION					4	7	3	2	16
EASTERN DIVISION					4	5	6		15
NORTHERN DIVISION					5	6	5	3	19
METRO MEDICAL RESCUE SERVICES					1		3	4	8
OUDTSHOORN EMS								1	1
MOSSEL BAY EMS							1	1	2
GEORGE EMS					1	1	1	1	4
KNYSNA EMS					2		1		3
UNIONDALE EMS					1				1
HERMANUS EMS							1	1	2
SWELLENDAM EMS								1	1
CALEDON EMS						1			1
MEDICAL RESCUE SERVICES OVERBERG								1	1
GRABOUW EMS						1		1	2
RIVIERSONDEREND EMS						1			1
	EMS LECTURER (PARAMEDIC) GRADE 1	EMS LECTURER (PARAMEDIC) GRADE 2	EMS LECTURER (PARAMEDIC) GRADE 3	EMS LECTURER (PARAMEDIC) GRADE 4	PARAMEDIC GRADE 1	PARAMEDIC GRADE 2	PARAMEDIC GRADE 3	PARAMEDIC GRADE 4	Grand Total
VREDENDAL EMS							1	1	2
CLANWILLIAM EMS							1		1
VREDENBURG EMS					2	1		1	4
MALMESBURY EMS					2		1	2	5
MEDICAL RESCUE SERVICES WEST COAST								1	1
LAINGSBURG EMS					1				1
EMERGENCY MEDICAL SERVICES BEAUFORT WEST					1				1
LEEU GAMKA EMS					2				2
EMS CERES HOSPITAL					2		1		3
ROBERTSON EMS					1				1
WORCESTER EMS					2		2	2	6
PAARL EMS							1	2	3
STELLENBOSCH EMS						1	1	2	4
EMS QUALITY ASSURANCE								3	3
OCCUP & HEALTH SAFETY EMS								1	1
ILS TRAINING		1		2					3
ALS TRAINING			2						2
ECT TRAINING			2	4					6
DISTRICT TRAINING	1		1	5					7
Grand Total	1	1	5	11	41	26	35	37	157

END.

Reply:

The response is as follows, according to the Provincial Departments of Health:

Eastern Cape (110 facilities)

The table below indicates the facilities that do not have electricity:

Facility Name	Facility Type (Clinic/CHC/Hospital)	District Municipality Name
Mnceba clinic	Clinic	Mzimvubu (Alfred Nzo)
Mngungu clinic	Clinic	Mzimvubu (Alfred Nzo)
Qobo clinic	Clinic	Mzimvubu (Alfred Nzo)
Amantshangase Clinic	Clinic	Mzimvubu (Alfred Nzo)
Hlamandana clinic	Clinic	Mzimvubu (Alfred Nzo)
Ntlenzi clinic	Clinic	Mzimvubu (Alfred Nzo)
Meje clinic	Clinic	Mzimvubu (Alfred Nzo)
Zulu clinic	Clinic	Mzimvubu (Alfred Nzo)
Qaqa clinic	Clinic	Mzimvubu (Alfred Nzo)
Matubeni clinic	Clinic	Mzimvubu (Alfred Nzo)
Mwaca clinic	Clinic	Mzimvubu (Alfred Nzo)
Tela clinic	Clinic	Mzimvubu (Alfred Nzo)
Lugangeni clinic	Clinic	Mzimvubu (Alfred Nzo)
Ntlabeni clinic	Clinic	Mzimvubu (Alfred Nzo)
Mzongwana clinic	Clinic	Mzimvubu (Alfred Nzo)
Qasa	Clinic	Mzimvubu (Alfred Nzo)
Ntlola clinic	Clinic	Mzimvubu (Alfred Nzo)
Cancele	Clinic	Mzimvubu (Alfred Nzo)
Machibini	Clinic	Mzimvubu (Alfred Nzo)
Umtumase	Clinic	Mzimvubu (Alfred Nzo)
Baleni clinic	Clinic	Mzimvubu (Alfred Nzo)
Ndela clinic	Clinic	Mzimvubu (Alfred Nzo)
Mpetsheni Clinic	Clinic	Mzimvubu (Alfred Nzo)
Sigidi	Clinic	Mzimvubu (Alfred Nzo)
Shepard’s hope clinic	Clinic	Maluti (Alfred Nzo)
Likhetlane clinic	Clinic	Maluti (Alfred Nzo)
Queen’s Mercy clinic	Clinic	Maluti (Alfred Nzo)
Paballong clinic	Clinic	Maluti (Alfred Nzo)
Rolweni clinic	Clinic	Maluti (Alfred Nzo)
Magadla clinic	Clinic	Maluti (Alfred Nzo)
Madlangala	Clinic	Maluti (Alfred Nzo)
Mpharane	Clinic	Maluti (Alfred Nzo)
Makwantini	Clinic	Maluti (Alfred Nzo)
Mount Hargreaves	Clinic	Maluti (Alfred Nzo)
Dundee	Clinic	Maluti (Alfred Nzo)
Daliwe	Clinic	Amahlathi
Cumakala 1	Clinic	Amahlathi
Cumakala 2	Clinic	Amahlathi
Stutterheim Town	Clinic	Amahlathi
Nqabarha	Clinic	Mbhashe
Qwaninga	Clinic	Mbhashe
Keti	Clinic	Mbhashe
Mpozolo	Clinic	Mbhashe
Mahasana	Clinic	Mbhashe
Guba Clinic	Clinic	Emalahleni
Mhlanga Clinic	Clinic	Emalahleni
Tsembeyi Clinic	Clinic	Emalahleni
Xonxa Clinic	Clinic	Emalahleni
Rodana Clinic	Clinic	Emalahleni
Rwantsana Clinic	Clinic	Emalahleni
Lanti Clinic	Clinic	Emalahleni
Sinqumeni Clinic	Clinic	Ngcobo
Eluhewini	Clinic	Ngcobo
Tylenol Clinic	Clinic	Lukhanji
Fransbury Clinic	Clinic	Lukhanji
Braakloof Satellities	Clinic	Lukhanji
Enoch Mgijima Clinic	Clinic	Lukhanji
Sada Clinic	Clinic	Lukhanji
Ncedolwethu Clinic	Clinic	Sakhisizwe
Thembalethu Clinic	Clinic	Sakhisizwe
Mhlwazi Clinic	Clinic	Sakhisizwe
Nieu Bethesda Clinic	Clinic	Camdeboo
Willowmore Clinic	Clinic	Camdeboo
Baviaans Clinic	Clinic	Camdeboo
Rietbron Clinic	Clinic	Camdeboo
Kwanonqubela Clinic	Clinic	Makana
Marselle Clinic	Clinic	Makana
Kenton on Sea Clinic	Clinic	Makana
Nolukhanyo Clinic	Clinic	Makana
Kwanonzwakazi Clinic	Clinic	Makana
Misgund Clinic	Clinic	Kouga
Imizamo Yethu Clinic	Clinic	Kouga
Masakhane Clinic	Clinic	Kouga
St Francis Clinic	Clinic	Kouga
Lukhanyiso Clinic	Clinic	Kouga
Woodlands Clinic	Clinic	Kouga
Loerie Clinic	Clinic	Kouga
Mtambalala Clinic	Clinic	Nyandeni
Ngcoya Clinic	Clinic	Nyandeni
Lutshaya Clinic	Clinic	Nyandeni
Qandu	Clinic	Nyandeni
Kanyayo Clinic	Clinic	Qaukeni
Bala Clinic	Clinic	Qaukeni
Xopozo Clinic	Clinic	Qaukeni
Lubala Health Post Clinic	Clinic	Qaukeni
Nxotwe Clinic	Clinic	Mhlontlo
Shawburry Clinic	Clinic	Mhlontlo
Mdyobe	Clinic	Mhlontlo
Maxhwele Clinic	Clinic	KSD
SOS Clinic	Clinic	KSD
Sonwabile Clinic	Clinic	Elundini
Mangoloaneng Clinic	Clinic	Elundini
Tsitsana Clinic	Clinic	Elundini
Mqokolweni Clinic	Clinic	Elundini
Seqhobong	Clinic	Elundini
Bethania	Clinic	Elundini
Ulundi	Clinic	Elundini
Isikhoba Clinic	Clinic - Paid	Chris Hani
Meje	CHC -Paid	Alfred Nzo
Nkwenkwana Clinic	Clinic - Paid	Chris Hani
Sipetu Hospital	Hospital _ Paid
Magwa	Clinic - Paid	OR Tambo
Ntshentshe	Clinic - Paid	OR Tambo
Sulenkama Hospital	Hospital
Gengqe Clinic	Clinic - Paid	OR Tambo
Mahlubini	Clinic	Chris Hani
Zabasa	Clinic	Chris Hani
Qebe	Clinic	Chris Hani
Nyaniso	CHC
Flagstaff	CHC

Free State (One facility)

Only one facility does not have electricity, but does have a generator on-site.

Facility Name	Facility Type (Clinic/CHC/Hospital)	District Municipality Name
Memel Clinic	Clinic	Thabo Mafutsanyana

Gauteng (One facility)

Only one facility was identified as having no electricity.

Facility Name	Facility Type (Clinic/CHC/Hospital)	District Municipality Name
Thusanong 2	Clinic	West Rand

KwaZulu Natal

All health facilities have electricity.

Limpopo

All health facilities have electricity.

Mpumalanga

All health facilities have electricity.

North-West

All health facilities have electricity.

Northern Cape

All health facilities have electricity.

Western Cape

All health facilities have electricity.

END.