By Nomantu Nkomo-Ralehoko
In recent weeks, pressing infrastructure challenges facing our public hospitals have been in the spotlight. The recent incidents including the patient complaint at Helen Joseph Hospital and two alarming fires at Tembisa Provincial Tertiary Hospital, have intensified the public discourse around the state of our healthcare facilities. As the MEC for Health and Wellness in Gauteng, I want to assure residents that we are committed to revitalising our health infrastructure for quality patient care.
We understand and acknowledge the public concerns and we are taking active steps to address these issues. The establishment of in-house Infrastructure Unit at the Gauteng Department of Health is a positive step towards accelerating our efforts to improve the health infrastructure in the province. This Unit has developed a maintenance and refurbishment plan and collaborates closely with facility managers to expedite necessary upgrades.
This initiative is a fundamental shift on how we manage health infrastructure which previously was mainly overseen by our sister Department of Infrastructure Development. Since the formation of Unit, several facilities have already undergone maintenance and refurbishments. Notable projects include the overhaul of several areas at Mamelodi Regional Hospital such as Radiology department, ART Waiting Area, HOD’s Offices, Eye Clinic, Rest Rooms and Triage and Casualty waiting area. In addition, three wards have been extended, namely, the Female Medical Ward, Male Surgical Ward and Paediatric Ward to increase the bed capacity to take in more patients.
Significant progress continues at Chris Hani Baragwanath Hospital, where we have completed numerous projects, including the new Psychiatric Admission Ward, ICU wards and extensions to the Adult Burns Unit. The Poly Clinic, Paediatric Ward mother’s waiting area, new outpatient waiting area and restrooms at Edenvale Hospital have also been refurbished. Maintenance and the renovation of critical departments at Rahima Moosa Hospital are at an advanced stage towards completion, so far, renovations of the Breast Milk Bank in Dietetics department and Neonatal isolation room are complete.
Helen Joseph Hospital’s Emergency Department which we opened in May 2024, boast eight resuscitation and two isolation rooms, 15 medical rooms, 10 surgical rooms and 6 rooms for critically stable patients. The building has been restructured, receiving new ceiling and roofing, flooring, plumbing, electrification and HVEC as well as an enhanced IT system. It also has improved units for persons living with disabilities and improved staff workstations, including those for porters and cleaners.
Another facility that has raised public concerns is Charlotte Maxeke Johannesburg Academic Hospital. Since the fire incident that occurred four years ago, key milestones and progress has been made in restoring the hospital to its full capacity. The appointment of a contractor to undertake the ongoing remedial work project has been completed and the process of destruction and reconstruction is actively underway and progressing well. This remedial work project is being implemented in a phased approach to ensure continuity of the healthcare delivery throughout the reconstruction process. To date, several areas have been completed including the Radiation Oncology Unit, Accident and Emergency Department, access ramp was constructed to allow staff members to easily access 300 parking bays at P3. A new state-of-the-art dry store facility has been constructed to improve storage and accessibility.
These projects are just key highlights of our infrastructure revitalisation plan that is underway across all five health districts in the province. A comprehensive maintenance and refurbishment plan developed will ensure that every hospital and clinic undergo the necessary upgrades. We must understand that many of our public hospitals were built decades ago and the aging infrastructure we now face creates challenges for our healthcare system.
It is also important to also mention that Gauteng is a populous province with around 16 million residents, many of whom rely on public healthcare services. We also see the influx of patients from nearby provinces and neighbouring countries, this growing population contributes to an increased demand for quality healthcare, further straining the existing facilities. However, we understand that access to healthcare is a Constitutional right for everyone and we continue striving to serve all our patients with compassion and care.
As the country gears towards the implementation of the National Health Insurance (NHI), we recognise the urgency to prepare our facilities to meet the set criteria for NHI rollout. Amid the fiscal constraints, we are doing our best to address the infrastructure challenges in the public healthcare system. Our plans include not only rehabilitating existing infrastructure but also constructing new facilities to meet the increasing demand. As announced by the Gauteng Premier Panyaza Lesufi when delivering the State of the Province Address, work is ongoing to accelerate the land suitability investigations and business cases towards the construction of the four new hospitals in Daveyton, Diepsloot, Orange Farm and Soshanguve. These projects will go a long way in alleviating the pressure on the public health system and further expanding access to the much-needed healthcare for the residents of Gauteng.
As government, we recognise the importance of private-public partnerships and in Gauteng Health, we have seen the generosity of our partners and donors who continue to play their part in ensuring that our facilities are well maintained and equipped to meet the needs of the communities we serve. These private-public partnerships are a testament of what we can achieve when we work together to improve lives and communities.
*Nomantu Nkomo-Ralehoko is the Member of Executive Council in Gauteng Provincial Government responsible for Health and Wellness portfolio.
**This article first appeared on SABCNews.com
