
These two provinces need R160 million to fix damaged healthcare facilities
The Eastern Cape and North West provinces have a worrying backlog of unmaintained and damaged healthcare facilities.
Six of the nine provinces recently revealed their expenditure linked to disaster repairs, with two standing out due to the number of projects that have yet to be allocated the required budget.
The numbers exclude any recent weather events, as the figures provided date back to 2023 at the latest.
R128 million on 79 projects
The Department of Health (DoH) compiled the figures for a recent written response to a question submitted in parliament.
Since the 2023-24 financial year, R128 million was spent on 79 external repair projects at healthcare facilities across four provinces.
The repairs were made necessary by weather damage that was negatively affecting patients and staff, but some took the opportunity to simultaneously address maintenance issues.
'Some of the facilities cost more than the rain damages because the provinces took advantage of the repair of storm damage to renovate some parts of the facilities, which deteriorated because of ageing and not necessarily rain damage,' the department's response clarified.
Mpumalanga, the Free State, and the Northern Cape did not submit their figures, with the department explaining the reason for one of those.
'The Mpumalanga budget is divided equally per facility because they procured materials in bulk and gave them to the artisans to repair the damages,' stated the department.
Outstanding projects
The cost of the unaddressed repairs in the Eastern Cape and North West surpassed the amount spent by the four provinces that disclosed their expenditure.
The Eastern Cape has 17 projects outstanding with a combined value of R128.3 million, while the North West has 29 repairs unattended to with an estimated cost of R40 million.
In all 46 cases, the provincial departments report that they are waiting for budget allocations.
Areas of concern in the North West include a combined R18.5 million needed at three major hospitals where casualty, theatre, X-ray rooms and maternity wards were damaged by rain.
The North West department's figures exclude the R100 million needed for the Witrand Specialised Hospital in Potchefstroom because the whole facility 'requires refurbishment as the building is over 100 years [old]'.
Among the biggest financial outlays needed in the Eastern Cape are R11 million for roof fittings at Victoria Hospital in Alice, as well as R16 million and R21 million to replace the roofs at Needs Camp Clinic near East London and Willowmore Hospital, respectively.
Added stress on staff
The backlog in the Eastern Cape is amplified by the recent floods in the province, which claimed the lives of more than 100 people.
'The failure to repair existing damage compromises the province's ability to respond to this growing humanitarian crisis,' stated Michele Clarke, the Democratic Alliance's spokesperson for health.
As well as affected patients, Clarke highlighted the stress placed on staff by a lack of administrative urgency.
'Public health personnel [need to] focus on providing treatment without worrying about the hazardous conditions in which they have to work,' she said.
Of the successfully completed repairs, Limpopo spent R4.2 million on 12 projects, while Gauteng spent R16.5 million on roofs, sewer pipelines and drainage systems at four facilities.
KwaZulu-Natal had the highest completed expenditure, with R59 million spent on 15 projects. This excludes R29 million listed for upcoming flood damage repairs at Addington Hospital.
The Western Cape had the largest number of weather-related repairs, with 47, but kept its total expenditure down to R19 million.
NOW READ: Team appointed to probe death at Witrand Psychiatric Hospital
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2 days ago
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These two provinces need R160 million to fix damaged healthcare facilities
The budget required to fix damaged healthcare facilities in the Eastern Cape and North West exceeds R160 million. The Eastern Cape and North West provinces have a worrying backlog of unmaintained and damaged healthcare facilities. Six of the nine provinces recently revealed their expenditure linked to disaster repairs, with two standing out due to the number of projects that have yet to be allocated the required budget. The numbers exclude any recent weather events, as the figures provided date back to 2023 at the latest. R128 million on 79 projects The Department of Health (DoH) compiled the figures for a recent written response to a question submitted in parliament. Since the 2023-24 financial year, R128 million was spent on 79 external repair projects at healthcare facilities across four provinces. The repairs were made necessary by weather damage that was negatively affecting patients and staff, but some took the opportunity to simultaneously address maintenance issues. 'Some of the facilities cost more than the rain damages because the provinces took advantage of the repair of storm damage to renovate some parts of the facilities, which deteriorated because of ageing and not necessarily rain damage,' the department's response clarified. Mpumalanga, the Free State, and the Northern Cape did not submit their figures, with the department explaining the reason for one of those. 'The Mpumalanga budget is divided equally per facility because they procured materials in bulk and gave them to the artisans to repair the damages,' stated the department. Outstanding projects The cost of the unaddressed repairs in the Eastern Cape and North West surpassed the amount spent by the four provinces that disclosed their expenditure. The Eastern Cape has 17 projects outstanding with a combined value of R128.3 million, while the North West has 29 repairs unattended to with an estimated cost of R40 million. In all 46 cases, the provincial departments report that they are waiting for budget allocations. Areas of concern in the North West include a combined R18.5 million needed at three major hospitals where casualty, theatre, X-ray rooms and maternity wards were damaged by rain. The North West department's figures exclude the R100 million needed for the Witrand Specialised Hospital in Potchefstroom because the whole facility 'requires refurbishment as the building is over 100 years [old]'. Among the biggest financial outlays needed in the Eastern Cape are R11 million for roof fittings at Victoria Hospital in Alice, as well as R16 million and R21 million to replace the roofs at Needs Camp Clinic near East London and Willowmore Hospital, respectively. Added stress on staff The backlog in the Eastern Cape is amplified by the recent floods in the province, which claimed the lives of more than 100 people. 'The failure to repair existing damage compromises the province's ability to respond to this growing humanitarian crisis,' stated Michele Clarke, the Democratic Alliance's spokesperson for health. As well as affected patients, Clarke highlighted the stress placed on staff by a lack of administrative urgency. 'Public health personnel [need to] focus on providing treatment without worrying about the hazardous conditions in which they have to work,' she said. Of the successfully completed repairs, Limpopo spent R4.2 million on 12 projects, while Gauteng spent R16.5 million on roofs, sewer pipelines and drainage systems at four facilities. KwaZulu-Natal had the highest completed expenditure, with R59 million spent on 15 projects. This excludes R29 million listed for upcoming flood damage repairs at Addington Hospital. The Western Cape had the largest number of weather-related repairs, with 47, but kept its total expenditure down to R19 million. NOW READ: Team appointed to probe death at Witrand Psychiatric Hospital


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'These services, which encompass counselling and emotional debriefing, are foundational to the healing and recovery process. Given the profound impact of the incident, we recognise this journey may be prolonged for those most deeply affected,' said Williams. The Department of Health has deployed on-site healthcare services, providing medical assistance and replacing chronic medication swept away by the floods. Ongoing assessments are being conducted to evaluate health risks in temporary shelters. Over 400 ID applications received Williams said the Department of Home Affairs has been active in shelters across the Amathole and OR Tambo districts, assisting families with applications for essential documents, including IDs, birth and death certificates. To date, 478 ID replacement applications have been submitted, with three mobile units deployed in each of the two districts. Local schools have resumed classes, and provisions were made for learners who missed exams due to the disaster. Postponed examination papers were written on Monday. 'Through the Department of Education, we have begun to deliver learner and teacher support material lost or destroyed during the disaster. We are also ensuring that uniform sets for learners in the flood-affected schools are being delivered,' Williams said. Restoration of basic services Despite the devastation, significant progress has been made in restoring water and electricity in affected areas. According to Williams, electricity supply has been restored to over 80% of affected customers, and over 95% of water supply has been restored in the OR Tambo and Amathole district municipalities, which were the hardest hit. However, the floods caused extensive damage to roads, schools and healthcare facilities. The cost of repairing damaged infrastructure is estimated at R5.1b, including about R3.2b required across sector departments and R1.8b for municipal infrastructure, as per Municipal Infrastructure Support Management assessments. A total of 6 869 households were affected, with 4 724 people left homeless across the province — excluding the Nelson Mandela Bay Municipality — while 2 145 homes were partially damaged. 'R461m is required for Temporary Residential Units (TRUs). However, the province has R120m, and we are looking to national government for intervention in this area,' said Williams. Housing support and temporary shelters The Department of Human Settlements, in partnership with the OR Tambo District Municipality, has activated mass-care shelters, including community halls and bed-and-breakfast facilities, for displaced families in OR Tambo and Mnquma. These arrangements will remain in place for at least 30 days. 'The provincial government is also securing land to facilitate the delivery of temporary residential units and permanent housing, ensuring our response addresses both urgent needs and long-term stability for these vulnerable communities. 'Currently, land has been identified in Mnquma for approximately 1 100 TRUs, while in the King Sabata Dalindyebo Municipality, land has been identified and we await a council resolution on the matter,' said Williams. The floods also caused extensive damage to road infrastructure, with total repair costs estimated at R935m. The Department of Transport has reprioritised R102m from its budget, leaving a shortfall of R832m. Emergency road clearance operations are underway, but 29 roads in Chris Hani and 22 in OR Tambo districts remain impassable. Major repairs began on Monday, and alternative routes are being used. In terms of public facilities, 431 schools and 69 health centres were affected across the province. Repairs worth R600 000 have already been completed at healthcare facilities. Agricultural sector impact In the agricultural sector, interventions include damage assessments, provision of veterinary services and technical advice. 'In the main, farmers have lost 1 339 units of livestock, 1 803 hectares of crops have been destroyed, and they have suffered damage to machinery, irrigation material such as pipes and risers, water tanks and fencing materials,' said Williams. – At Caxton, we employ humans to generate daily fresh news, not AI intervention. Happy reading!