12. Mr N E Hinana to ask Mr T L Botha, Minister of Health:

Posed by: 
Question Number: 
12
Question Body: 

 

  1. What is the doctor to patient ratio in all provincial health facilities;

 

  1. whether all provincial health facilities are capacitated with sufficient human resources; if not, what is the current vacancy rate;

 

  1. whether there are any retention or recruiting measures in place; if not, why not; if so, what are the relevant details?
Answer Body: 

 

REPLY

 

  1. Nurses and doctors across the service against the population:

Population

Total Doctor

Total Nurse

Doctor to patient ratio

Nurse to patient ratio

6 130 791

   2 628

   12 556

           2 333

                    488

 

 

Hospital Patient Day Equivalents (PDE’s) to nurses and doctors in hospitals and PHC headcount to nurses and doctors in PHC facilities using 2013-14 patient data

 

2013-14 DATA AGAINST CURRENT STAFFING

FACILITY TYPE

Doctor

Nurse

PDE

PHC headcount

PDE per Nurse

PDE per doctor

PHC headcount per nurse

PHC headcount per doctor

Central and Tertiary Hosp

   1 283

       4 028

1 132 433

 

                 281

          883

 

 

Regional Hosp

       357

       1 530

 576 489

 

                 377

      1 615

 

 

District hospital

       454

       2 683

1 296 142

 

                 483

       2 855

 

 

Psychiatric

         99

       1 000

 569 423

 

                 569

       5 752

 

 

TB Hospital

         22

          337

 272 867

 

                 810

     12 403

 

 

Rehab hosp (WCRC)

           5

          149

   47 589

 

                 319

       9 518

 

 

                 

PHC facilities (PGWC excl CoCT)

       330

       2 684

 

11 084 556

 

 

        4 130

  33 590

 

 

  1.  

 

As with any health department, our department also experience challenges to fill scarce and limited skills posts. Scarce skills posts include: Medical Orthotists, Clinical Technologists, Pharmacists, Industrial Technicians. Limited skills posts include: Nursing posts in specific specialty areas such as: emergency care, theatre and intensive care; advanced psychiatry, advanced midwifery and paediatric; Family physicians; Radiographers in specialty areas (ultrasound, oncology and nuclear medicine); Engineering technicians and Forensic pathology officers.

A core group of skilled financial and supply chain management staff also need to be established in the field of budgetary and expenditure control, financial forecasting, financial audits and Financial Business Unit management. The department is in the process of identifying/developing mechanisms to develop, recruit and retain such skills in order to better address the burden of disease at all levels of care and to manage the funding envelope.

 

Vacant funded positions: As on 8 September 2014, the total of vacant funded posts accumulated to 789 which constitute a 4.94% vacancy rate.

 

  1.  

 

 

 

 

 

 

 

Question Year: 
2014
Question Month: 
August
Question Day: 
29
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