Public private partnerships may answer doctor shortage

Public private partnerships are the answer to South Africa's growing shortage of healthcare professionals, political leaders and health policymakers said at the opening of the Board of Healthcare Funders (BHF) conference in Cape Town on Sunday. 

BHF is an industry organisation that represents the most South African medical schemes and also those in other Southern African Development Community countries.  

According to Western Cape Premier Helen Zille, she's been "amazed to see how great the shortage of nurses potentially is in our country". "We need to forge public private partnerships to deal with this challenge because more than 40% of our nurses are above 50 years old," she said. 

The Public Health Association of South Africa estimates that there is an overall shortage of 80 000 healthcare professionals in the country, and that 70% of doctors work in the private sector, which serves only 16% of the population. 

"The bottom line is that we are producing the same amount of healthcare professionals as 1990s levels," said head of the University of Cape Town's medical school, Bongani Mayosi. According to Mayosi, between 1 200 and 1 400 doctors annually graduate from South African medical schools. "Some people say we need to at least double the amount of all healthcare professionals we are currently producing," he said. 

Economist Roelof Botha said: "The population is growing all the time and that's not going to turn around in our lifetime. Africa's population will outstrip China by 2030." 

With the increase of people in the country, the number of doctors and nurses need to grow accordingly for our health system to cope, he said.

Zille said public private partnerships could help medical schools increase their capacity to produce doctors. "Such partnerships in our medical schools are something we really need to roll out as much as we can. I was shocked to hear at the Cabinet lekgotla, that was held last Thursday, that in fact we send more medical students to Cuba to train than in all South Africa's medical schools put together," she said.

Previous PPP success 
According to Mayosi , public private partnerships  have been successful with regard to the  "training of highly specialised doctors". Registrars, or specialists-in-training, work in academic, and therefore state, hospitals. 

"There are however only a certain number of government posts available for training at these hospitals," he said. For example, at Groote Schuur Academic Hospital in Cape Town there are six neurologists. "There is the capacity to train at least twice this number but there are only two government-funded posts," he said. 

Private organisations have responded to this by funding some of these posts in state hospitals. "A cardiologist might be sponsored one year and a nephrologist the next but these initiatives are currently too small to have any visible impact," said Mayosi.

However, the Life Healthcare Foundation, a corporate social investment project of the private health care group, Life, recently scaled up their investment. Mayosi said 36 specialists from different departments will be funded over a period of two years at academic hospitals around the country. "They funded half of this year's round of 36 and will do the same next year," he said. 

Although the funding of specialists won't increase the number of general practitioners (GPs), Mayosi said this investment is vital because these specialists will become trainers in their own right. "Over a short period of time we'll get a large number of teachers – and new schools need professors."

A ninth medical school is currently being built in Polokwane. "We probably also need a 10th in the near future," said Mayosi. 

Zille said that if there is anything she has learnt in her time in government it's that "no entity or institution can achieve its goals alone: this country needs to be built on partnerships".

According to Mayosi, if South Africa wants to solve the doctor and nurse shortages "we need all hands on deck. We need the resources of both the public and private sectors: if we have collaboration over a sustained period then we're likely to succeed." 


Subscribe to the M&G

These are unprecedented times, and the role of media to tell and record the story of South Africa as it develops is more important than ever.

The Mail & Guardian is a proud news publisher with roots stretching back 35 years, and we’ve survived right from day one thanks to the support of readers who value fiercely independent journalism that is beholden to no-one. To help us continue for another 35 future years with the same proud values, please consider taking out a subscription.

Related stories

Editorial: Desperately seeking an opposition

All the contenders are deeply flawed, losing support, or both

DA zips lip on shadowy graft case

The party has allegedly ignored reports of kickbacks and claims of sexual harassment to protect a top councillor

Nought as constant as change

Dudu Myeni is out of favour, an interim leader becomes The Permanent One, and Meyiwa’s killers ‘found’

With 79% of votes, Steenhuisen is elected DA leader

It was a landslide victory for John Steenhuisen, who thanked his family and opponent Mbali Ntuli before characteristically tearing into the ANC-led government for its anti-liberal policies, numerous failures, megalomania, and rampant corruption.

Three digital transformation priorities for African healthcare organisations

With doctors in short supply, healthcare employers need to invest in intelligent technologies to make the experience of accessing healthcare as good as it can be, for all involved

Mmusi Maimane doesn’t want DA’s political ‘superstars’

The leader of the new One South Africa Movement says his former party has set itself on a course away from multiracialism after its recent policy conference

Subscribers only

FNB dragged into bribery claims

Allegations of bribery against the bank’s chief executive, Jacques Celliers, thrown up in a separate court case

Dozens of birds and bats perish in extreme heat in...

In a single day, temperatures in northern KwaZulu-Natal climbed to a lethal 45°C, causing a mass die-off of birds and bats

More top stories

Blast rocks Durban’s Engen refinery

Residents are being evacuated as firefighters battle to control the blaze

ConCourt asked to rule that Zuma must testify for 10...

It is Zondo's legal end game and will leave the former president, his supporters and those implicated in state capture to increasingly play fast and loose at imputing political motive to the commission

Carlos on Oozymandias’ goodbye grift

"Look on my works ye Mighty, and gimme 50 bucks!"

This is how the SIU catches crooks

Athandiwe Saba talked to the Special Investigating Unit’s Andy Mothibi about its caseload, including 1 000 Covid contracts

press releases

Loading latest Press Releases…