HASA Pulse #2

An epidemic of
mental illness threatens

MORAL INJURY’S
CONTINUING TOLL

Corporate support
for mental health
critical
Burnout among
rural doctors

Featured
member: Joint
Medical Holdings
We speak to
Professor Jimmy Volmink

THE MENTAL
HEALTH ISSUE

CELEBRATING OUR PROUDEST ACHIEVEMENTS IN 2022

Proudly paving the way for
exceptional healthcare in Africa

Lenmed is optimistic about A FIRST IN AFRICA
the future of healthcare in Ethekwini Hospital and Heart Centre became the first
South Africa, and Africa! hospital in Africa to be accredited by the American
College of Cardiology.
As a group, we embrace every opportunity
to continue practicing exceptional medicine, TRANSPLANT PROGRAM
consistently improving and enhancing the Lenmed introduced it’s transplant program in
experience and outcomes for our patients, July 2022.
communities, doctors and employees.
TRAUMA CENTRE ACCREDITATION
Welcome to Randfontein Private Hospital achieved accreditation
the Lenmed family! as a trauma centre by the Trauma Association of
South Africa.
Wilmed Park Hospital, Sunningdale
Hospital, Daleside Day Clinic and NEW ACQUISITIONS
Parkmed Neuro Clinic! Lenmed acquired 4 more hospitals, expanding its
footprint into the North West Province. Lenmed owns
and manages 17 hospitals in 4 countries.

Embrace HASA PULSE #2 THE MENTAL HEALTH ISSUE
every day with

Lenmed!
Stay up to date with the Lenmed Group:

info@lenm2 ed.co.za | www.lenmed.com

CONTENTS 4 WELCOME
4 Chief Executive Officer, Dr Dumisani Bomela
4 HASA Board of Directors

6 MEMBERS
6 Joint Medical Holdings (JMH) brings

world-class oncology care to KwaZulu-Natal
8 Mediclinic: Growing leadership agility

in a changing environment

11 HASA ROADSHOW

12 HASA CONFERENCE 2022
13 Lifetime Achiever Award

14 CURRENT AFFAIRS
14 Moral injury’s continuing toll as nurses

deal with the fallout of COVID-19
16 An epidemic of mental illness threatens

the post-COVID-19 world
18 New study finds abnormally high rates

of burnout among South Africa’s
rural doctors
20 Life Healthcare: Corporates must support
employee mental health, or lose staff

22 PRESS ROOM
22 Exemption from loadshedding

24 VOICES
24 Professor Elmi Muller: A life of firsts
27 The three E’s that drive

Professor Jimmy Volmink
30 Professor Mark Cotton:

Changing the lives of HIV+ children

32 ADVERTORIAL
32 CareConnect Health Information Exchange:

A progressive leap toward digitisation of
South Africa’s healthcare sector

34 DIRECTORIES

WRITERS. Shaun Smillie and Engela Duvenhage
EDITOR. Mark Peach
COPY EDITOR. Mandy Collins
DESIGNER. Janice De Angeli, See Janice jump

The writers’ views expressed are
not necessarily HASA’s.

HASA PULSE #2 THE MENTAL HEALTH ISSUE 3

FROM THE CEO HASA
BOARD OF
The pandemic is receding, but or exacerbated by the pandemic, DIRECTORS
the threat remains, as we can but also other challenges that arise
see in countries like China, in our lives. To be sure, it is to be * André Joseph
where infections rates are again acknowledged that mental health is (Life Healthcare) Chairman
increasing as I write this note. key to our national fortunes and all * Gale Shabangu
We cannot be complacent. efforts must be made to enable a (Mediclinic) Vice Chairman
mentally healthy country. Dr Ramesh Bhoola
Nevertheless, whatever happens (Joint Medical Holdings)
here, in South Africa, as we point out We have also focused on the * Dr Dumisani Bomela CEO
in our end of year communication magnificent contributions to Mark Bishop (Lenmed)
campaign - “See Possibilities? We healthcare of several eminent * Melanie Da Costa
do.” - private hospital doors will personalities, including the now- (Netcare)
always be open, no matter what. retired Dean of the Medical School Nomfundo Mabaso
at the University of Stellenbosch, (Life Healthcare) Chairperson
Yet there can be no argument; Professor Jimmy Volmink. He may for the Legal Sub-Committee
another battle against the disease be retired, but the professor is * Biancha Mentoor
is unwelcome. The last two years almost as busy as ever, it Chairperson for the Research
have been devastating for so many would appear. and Health Policy
people and families, never mind Monyebodi Ngoepe
businesses and the economy. Finally, it gives us great pleasure to (Mediclinic) Chairperson for
Among our healthcare worker feature Joint Medical Holdings in this the Nursing Sub-Committee
colleagues, many scars are still issue. We urge readers to review the Dr Paul Soko (Life
tender to the touch. We must never group and their oncology solutions Healthcare) Chairman
forget the price they have paid for in the next few pages. of the Clinical Quality
this respite. Sub-Committee
As always, we welcome your helpful * Dr Biren Valodia
It is for this reason that we have criticism, and your suggestions for (Mediclinic) Chairman
called this edition of Pulse, “The stories for the next issue in this of the Public Relations
Mental Health Issue.” Inside, you bi-annual publication. Sub-Committee
will read several articles that Tienie Van Den Berg
explore the different dimensions of Have a wonderful (Unaligned) Treasurer
mental health stresses brought on seasonal break. * Nceba Ndzwayiba
(Netcare Alternate Director)
CHIEF Shannon Nell (Netcare
EXECUTIVE OFFICER, Alternate Director)
DR DUMISANI BOMELA
The HASA Public Relations
This list is not complete. These are the member logos received at time of publication. Committee provides
oversight for this publication.
Committee members are
denoted by *. The Committee
also includes Bob Govender
(Mediclinic), Tanya Lowth
(Life Healthcare), Ansuyiah
Padayachee (Life Healthcare),
Mark Peach, Amrita Raniga
(Life Healthcare) and Dr
Stefan Smuts (Mediclinic)

4 HASA PULSE #2 THE MENTAL HEALTH ISSUE

Netcare significantly
expands robotic
assisted surgery
treatments offered

Internationally, more than 10 million patients have had robotic assisted surgery
across a spectrum of medical disciplines, using da Vinci technology, while more
than 100 000 orthopaedic surgeries have been performed using Mako technology.

In South Africa, the number of patients who have Earlier this year, groundbreaking robotic assisted
benefitted from world class robotic technology has cardiothoracic surgery was performed for the
increased significantly in recent years. first time in Africa, at Netcare Christiaan Barnard
Memorial Hospital. This heralded an important
In 2014, Netcare became one of the first South advancement in minimally invasive surgery involving
African private healthcare providers to offer robotic the chest cavity, lungs and heart.
assisted surgery using the da Vinci system. Initially,
the technology at Netcare Waterfall and Netcare Netcare’s continued investment in advanced medical
Christiaan Barnard Memorial hospitals was used technology enables specialists at our facilities to
for localised prostate cancer but kidney and provide the best and safest care and achieve the
bladder tumours soon followed and the system best possible clinical outcomes for each patient.
was also installed at Netcare Greenacres Hospital in
Gqeberha. Benefits of robotic assisted surgery

In 2019, the first robotic assisted total knee • Surgical precision, with minimal risk of severe
replacement in Africa using Mako technology was complications.
done at Netcare Linksfield Hospital. Knee surgery
using Mako or ROSA technology is currently also • Usually less blood loss during surgery, reducing
performed at Netcare Blaauwberg, Netcare Pretoria the need for blood transfusions.
East, Netcare Pinehaven, Netcare Vaalpark and
Netcare Mulbarton hospitals. • Post-operative recovery is generally quicker, less
painful, and more comfortable.
More specialists accredited
• Smaller incisions reduce the risk infection and
With more specialists in other disciplines attaining scarring.
accreditation in the use of da Vinci technology,
robotic assisted surgery at Netcare hospitals has • Usually shorter hospital stay and recovery
expanded considerably. Certain urogynaecological period, and normal activities can be resumed
conditions as well as colorectal conditions including quicker.
rectal prolapse, diverticulitis, bowel blockages,
and colon cancer are now also treated using this • Many other benefits are associated with specific
advanced surgical option. procedures.

ProHvAidSAinPgULYSEO#U2 wTHitEhMtEhNeTAbL eHsEAt LaTHndISSsUaEfest care. 5

MEMBERS across the province, including Ascot beyond now have access to
Park Hospital, City Hospital, Durdoc chemotherapy, radiation therapy,
JMH has a long history of Hospital, Isipingo Hospital, Richards day surgeries and general
addressing growing healthcare Bay Medical Institute (RBMI), oncology treatment.
needs, having been established Ribumed Day Hospital, Glenwood
in the 1980s by a group and Ribumed Medical Care, Ballito. “For years, patients had to travel
of doctors who wanted to all the way to Durban for cancer
alleviate the medical burden in Good governance, sound ethics and treatment,” explains Eugene
disadvantaged communities. a commitment to corporate social Anthony, RBMI hospital manager.
Navigating the restrictions of investment has seen the company “The opening of RBMI was a
the Group Areas Act, and with no flourish. JMH is now ranked as massive relief for the Zululand
defined roadmap from which to one of the largest independent communities who could now access
work, this progressive healthcare healthcare providers in the country, world-class patient care close
organisation started its flagship employing top personnel to deliver to home.”
facility, Isipingo Hospital, quality and cost-effective
affording superior medical private healthcare. Alongside the unique cancer
care to the local community treatment services and esteemed
in 1983. DEDICATED CANCER TREATMENT oncologists on the team, RBMI
FOR ZULULAND boasts another unique offering – a
Having identified this growing need Varian Truebeam Linear Accelerator.
for KwaZulu-Natal (KZN) patients, It was in 2017 that JMH acquired This high-tech equipment was
the JMH Group implemented plans Richards Bay Medical Institute installed as soon as construction of
to provide holistic care to residents (RBMI), then a dedicated oncology the facility was completed in 2013.
in the lower- to middle-income treatment centre that serviced the At the time, it was the first Varian
markets. The demand grew and greater northern KZN area. First Truebeam Linear Accelerator to be
the group now includes a total of opened some four years earlier by installed on the entire continent, and
seven healthcare facilities operating the Schoonhoven family, RBMI was it remains the only one of its kind in
opened to assist cancer patients Zululand. This advanced technology
BY LAUREN ANTHONY throughout Zululand. Renowned makes it possible to deliver radiation
South African oncologists, Prof Amo treatment to cancer patients quicker,
Jordaan and Dr Smitha Abraham, and with much higher accuracy
joined the team – the only two and precision.
oncologists serving the entire region.
The facility also houses a treatment
This all-inclusive facility consists of machine that is integrated with
40 sub-acute beds, 25 day-surgical advanced technology to enable
beds (added when JMH took over image-guided radiotherapy (IGRT)
the facility), a chemotherapy unit, with enhanced speed and accuracy.
a radiology unit, and a radiation Other radiotherapy services for
oncology unit. Patients from cancer treatment include 3D
Pongola, Nongoma, Hlabisa, conformal radiotherapy, intensity-
Melmoth, eShowe, Gingingdlovu, modulated radiotherapy, volume-
Empangeni, Richards Bay and modulated radiotherapy, electron

JOINT MEDICAL HOLDINGS (JMH)
BRINGS WORLD-CLASS ONCOLOGY

CARE TO KWAZULU-NATAL

6 HASA PULSE #2 THE MENTAL HEALTH ISSUE

high levels of patient care and
positive outcomes.

Varian Truebeam Linear Accelerator Dr Zanele Nkosi. But there was a “The aim is to provide all our
demand to be met for the provision patients, extending from Durban
beam radiotherapy and stereotactic of breast cancer care.” and surrounds, with the highest level
radiation therapy. of care using the latest technology,”
This year, the group partnered with says Ishwarparsadh. “Our team
“We strive to live up to the values respected specialist surgeon Dr remains at the forefront of medical
of JMH in providing services to Sanjeev Hariparsad to establish the research as we find new ways to
the community with excellence,” Ascot Breast Clinic at the hospital. bring quality healthcare to KZN.
continues Anthony. “We offer The clinic provides women with At the heart of JMH is our
unique oncology services and access to breast cancer awareness, commitment to our local
pride ourselves in creating a warm diagnostic intervention and care, communities, ensuring they’re
environment for our patients. Cancer definitive care from specialists, and offered reliable, affordable and
is such a debilitating disease, so necessary support services. accessible healthcare at all times.”
we aim to always be there for our
patients and their families, providing Further to this, Dr Hariparsad To learn more about
the necessary healthcare specialises in the latest oncoplastic the JMH Group, please
and support.” approaches to breast cancer
surgery. This translates into fewer visit our website at
IDENTIFYING AN ONCOLOGY mastectomies and more breast www.jmh.co.za or email
NICHE IN DURBAN preservation surgeries. Oncoplastic
approaches allow for larger us at [email protected]
Committed to extending patient resection of tissue, which increases
care, the group opened the 87 tumour margin clearance, and Richard’s Bay Medical Institute
bedded Ascot Park Hospital in 2007 preserves the breast without major
to address the growing need for deformity. This has far reaching
healthcare services in Durban. Over positive effects on mental, emotional
the years the hospital has fine-tuned and physical well-being of breast
its unique offering to keep up to cancer survivors.
date with the dynamic pace of the
healthcare industry.

“The prevalence of cancer has Patients at the Ascot Breast Clinic Ascot Park Hospital
spiked in the past decade and can also access specialised surgery
the need for oncology services in for breast lumps, nipple discharge,
South Africa and KZN specifically access breast tissue, and lymph
has increased,” explains Vishal node biopsy, among others. Surgical
Ishwarparsadh, manager at Ascot interventions are also accompanied
Park Hospital. “The hospital currently by chemotherapy treatment where
provides oncology treatment with necessary and this creates a multi-
the services of specialist oncologist disciplinary space which facilitates

HASA PULSE #2 THE MENTAL HEALTH ISSUE 7

MEMBERS

Humsha Ramgobin is Mediclinic’s Humanity is vital, she says: needed. Is the healthcare industry
new Chief Human Resources “Treating others with care cannot understanding how to attract a
Officer. Her 25 years across be overestimated. If leaders diverse and inspired workforce?
the human resources spectrum treat their teams with care and Are we prioritising mental wellbeing
have left her ideally positioned humaneness, the teams will treat in a real and tangible fashion?
to manage and transform their patients with even greater care.
Mediclinic to withstand the Where we see the need for human With all these considerations,
challenges facing the engagement rather than processes, Humsha is aiming to remove the
healthcare industry. we touch the heart and motivation ‘disconnect’ that often occurs
of the individual – and each party between the operational and
With extensive experience benefits from the outcome.” leadership levels of the business.
transforming human resource She believes that leadership should
teams to merge, expand or flourish Simplified processes and serve as a service centre that
across a particular industry, approaches are also key. “Highly seamlessly integrates the systems
Humsha has now placed her focus intelligent people tend to complicate in place with the humaneness that
squarely on developing an agile things in an effort to get things ‘just is needed at operational levels –
and simplified people organisation right’ – complicated is not user- allowing each individual to operate
within Mediclinic that will allow for friendly, nor is it approachable,” she to their potential and ultimately
greater capacity for nursing, and explains. “We need to make sure provide exceptional care and service
empowering the supporting services that roles promote capacity and not to clients.
to provide their expertise with duplication of tasks, where we are
greater impact. operating out of a place of logic “We know that anyone entering
and effectiveness.” our industry does so from a place
A core focus area for her is of passion and love – we need to
Mediclinic’s ability to become more Times have changed and the create the space for them to grow
agile in response to the needs of needs of businesses have changed and flourish in delivering care,”
their employees – where teams with the dramatic demands on she says.
are able to work seamlessly in a the healthcare industry across the
safe environment. Her incoming globe. With this, the individual’s
observations have left her with motivation has also changed.
the assurance that the ‘Mediclinic Humsha believes that it is vital for
people’ exhibit genuine care and the industry to lead from a new
compassion for each other. The place if we hope to attract, retain
depth of that respect is beyond what and develop the individual across
she has experienced in many other their career.
environments. But as always, there
is room to ensure that HR delivers A working environment that
a stronger environment that continues to fulfil the broad growth
supports the individual and joint and realisation goals of different
needs of the team. individuals – and thus contribute
to the business’s goals – is

GROWING LEADERSHIP AGILITY
IN A CHANGING ENVIRONMENT

8 HASA PULSE #2 THE MENTAL HEALTH ISSUE

WE ARE OBSESSED
WITH THE
FUTURE

AT MEDICLINIC, OUR DECISIONS ARE CALCULATED. OUR ACTIONS ARE CONSIDERED.
WE SHARE EXPERT KNOWLEDGE AND COLLECTIVE SKILL FROM OUR HOSPITALS
AROUND THE WORLD. WITH THIS KNOWLEDGE, WE CAN CONTRIBUTE TO A FUTURE
HEALTH SYSTEM IN WHICH VERIFIABLE, COST-EFFECTIVE QUALITY HEALTHCARE WILL
NOT BE COMPROMISED.

SOUTH AFRICA • SWITZERLAND • UAE • NAMIBIA 9 9170EKRW
www.mediclinic.co.za

HASA PULSE #2 THE MENTAL HEALTH ISSUE

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10 HASA PULSE #2 THE MENTAL HEALTH ISSUE

HASA ROADSHOW

During July, the executive team Thus, the Chairman covered:
accompanied the chairman • The National Health Insurance
of the Board, Andre Joseph,
on a visit to KwaZulu-Natal – • The Health Market Inquiry
Umhlanga Ridge, to be exact.
The team met member groups • Prescribed Minimum Benefits
and non-members to share
HASA aspirations for a stronger, • The Presidential Health Compact
more accessible South African
healthcare system through • The Low-Cost Benefit Option
collaboration with the public
sector, and the wider • Certificate of Need
private sector.
• Human resources for health
The discussions also covered a
number of important and salient • The Critical Skills List
matters, including the work HASA
is doing in the legislative and • Office of Healthcare Standards
regulatory environment, and in Compliance
advocating for solutions to the
challenges the country faces. There were discussions around
key issues like the claims from the
Dr Dumisani Bomela, HASA CEO, Compensation for Occupational
kickstarted proceedings by outlining Injury and Diseases Fund. The
the structure of the organisation, Executive for Public Affairs outlined
and how it is set up for strong progress made in developing
governance, whiles strategically the corporate brand, media
blending the skills of Board relations, and in specific advocacy
members in order to successfully programmes. A member-only
deliver the organisation’s mandate. communication portal to ensure
members were kept adequately
The chairman drew the contours informed about the work of HASA
of the current legislative and was discussed. In 2023, the regional
regulatory landscape, what work roadshows will be slightly altered
HASA is doing regarding each to include both an appraisal of the
issue, and how they relate to the legislative and regulatory landscape,
entire healthcare system – since no but there will also be invited
subsection in the healthcare system speakers who will address topics
operates in isolation. of interest to hospital managers
and regional administrators. The
intention is to engage with the
various regions to identify topics and
speakers they want to see and hear.

Plans are afoot to visit Gqeberha,
Bloemfontein, East London,
eThekwini and possibly
Pietermaritzburg. Members and
non-members will be able to attend.

HASA DURBAN ROADSHOW

HASA PULSE #2 THE MENTAL HEALTH ISSUE 11

HASA CONFERENCE

At the beginning of August,
for two days, 400 delegates
gathered at the Century City
Conference Centre for the
first in-person private hospital
conference in over two years.

Once the pandemic had subsided digital innovations in care. Notable
sufficiently, and with government speakers included Dr Nicholas Crisp,
relaxation of COVID-19 protocols, the Mark Heywood, Professor Michael
Hospital Association of South Africa Sachs, Toy Vermaak, Fasie Smith,
decided to respond to urgings from Dr Nceba Ndzwayiba, Mia Malan,
exhibitors and other delegates to William Bird, and many, many more.
bring the conference back.
The Gala Dinner also made its
Delegates heard from an array of reappearance, with delegates
expert and engaging speakers enjoying a night out featuring
from both the public and private a casino and cabaret-inspired
sectors, who covered topics as Moulin Rouge themed event.
diverse as healthcare management
during adversity, the National
Health Insurance, the meaning of
the nexus of human resources for
health shortages and the growing
burden of diseases, nursing
innovations during the pandemic,
the severity of nurse shortages,
healthcare communication, and

The 2023 event will take
place at the same venue
on 18-19 September 2023.
The 2024 conference is
pencilled in for Durban on
a date and at a venue to

be announced soon.

HASA 2022 CONFERENCE

12 HASA PULSE #2 THE MENTAL HEALTH ISSUE

HASA LIFETIME ACHIEVER AWARD

At its recent annual Insurance Green and White response, including the vaccine
conference, the Hospital Papers and the Bill that is roll-out that the private hospital
Association of South Africa currently before Parliament. sector was so instrumental in
(HASA) recognised Dr Biren successfully rolling out.”
Valodia, Chief Marketing Bomela says, “It is extremely HASA has been “spoiled”
Officer at Mediclinic, and difficult to summarise the in enjoying the long-term
Melanie Da Costa, Director many contributions they have contributions of both Dr Valodia,
of Strategy and Health Policy made to the organisation and Melanie Da Costa. HASA
at Netcare, with Lifetime over such a long period but warmly congratulates both
Achievement Awards for overall, we can point to them on their Lifetime Achievement
their massive contributions both contributing to creating Award and thanks them both
to healthcare, and to HASA. a stronger, more responsive, for their massive contributions
and more flexible organisation, to the Association, and to
In making the awards, Dr that now enjoys stronger, healthcare in our country.
Dumisani Bomela, the Chief warmer, more collaborative
Executive Officer of HASA, relations with various levels Dr Biren Valodia
spoke of the many roles Dr of government. Under their Chief Marketing Officer at Mediclinic
Valodia has played in the watch, the organisation has
organisation over much of the undertaken a renewal process Melanie Da Costa
last two decades, including that ensures the right skills are Director of Strategy and Health Policy at Netcare
serving as Deputy Chair of the in place. As part of this initiative,
Board, and as Chairman. He the Board of Directors has
remains a board member and added strength in depth, enjoys
currently chairs the Board Public access to diverse skills, and
Relations Committee. He thus enjoys a flexibility that allows
remains committed and actively it to respond to crises, and
involved in advancing the role challenges. For instance, during
and value of private healthcare pandemic when collaboration
in South Africa. was so urgently required
among the many various
Dr Bomela noted that Melanie sectors in healthcare, HASA
Da Costa, for a similarly lengthy was pivotal to co-ordinating
period, has guided the HASA the contributions of the private
research output that has made hospital sector. Biren’s and
significant contributions to key Melanie’s leadership was
national debates, including instrumental in putting HASA
bringing the Human Resources on a sound footing. Also
for Health specialist scarcities during the pandemic, while
to the fore. She has also spear Dr Valodia ensured a strong
headed HASA involvement in and stable organisational
wide-ranging but nonetheless performance, Melanie Da Costa
critical legislative matters quickly took on a leadership
through engagements in role within the Business4South
various forums and with Africa structures in support of
legislators at various stages, business’ engagement with
including the National Health of the government pandemic

HASA PULSE #2 THE MENTAL HEALTH ISSUE 13

CURRENT AFFAIRS For two and half years nursing manifest differently for each person.
staff across the country were It is going to take time for people to
“There is a big pushed to the edge. As COVID-19 heal,” says Monyebodi Ngoepe,
emphasis now to patients flooded hospital wards, the Nursing Executive at Mediclinic.
create psychologically nurses not only had to endure “This has become a key focus area
safe environments long working hours, they had across the business, supporting
where people can to deal with equipment and our teams back to full mental and
talk about what they medication shortages and, worst physical health.”
of all, many were involved in life-
went through,” and death-decisions regarding Moral injury is often confused with
says Sharon patient care. post-traumatic stress disorder
Vasuthevan. (PTSD), although both are different
It was this resilience that highlighted conditions, explains Anlé D’Emiljo,
the work of a group of specialised an industrial psychologist and
and under-recognised workers Organisational Effectiveness
who play such an important role in Specialist at Mediclinic.
managing the health of our country.
“The main difference between
During the various waves of the PTSD and moral injury is that with
pandemic, nurses and doctors PTSD there is an element of being
experienced work pressures usually a victim, where the main emotion
associated with a war zone. that drives the psychopathology is
fear,” explains D’Emiljo, “whereas
Now that the worst of the pandemic with moral injury, the main driving
has passed, the nursing profession emotion would be guilt.”
globally is struggling with the
personal trauma it brought on, in The American Psychiatric
particular moral injury. Association adds that moral injury
in medicine “occurs when clinicians
Understanding that these vital are expected, in the course of
human resources must be providing care, to make choices
prioritised, hospitals have introduced that transgress their long standing,
or reinforced programmes and deeply held commitment to healing.”
support structures to help their Added to this burden were the large
nursing staff overcome this form of number of COVID-19 patients that
psychological trauma. But it will be healthcare workers needed to
a hard task ahead, even with the deal with.
necessary measures in place.
The association also points out that
“We just can’t say that it is business moral injury had been discussed as
as usual. The psychological effects an occupational hazard in medicine
of COVID-19 are long-lasting and before the COVID-19 pandemic.

MORAL INJURY’S CONTINUING TOLL
AS NURSES DEAL WITH THE
FALLOUT OF COVID-19

14 HASA PULSE #2 THE MENTAL HEALTH ISSUE

But with the pandemic came mass “There is a big emphasis now teams getting together in a room
exposure to moral injury. to create psychologically safe and just discussing what has
environments where people can happened, listening to shared
During the peak of the COVID-19 talk about what they went through,” stories and understanding that their
waves that filled hospitals to adds Vasuthevan. An important part peers have gone through the same
breaking point, the care that many of providing better psychological thing. That it is not just me, I am not
nurses were expected to provide to support for staff is through their the bad one.”
patients was sometimes impossible line managers. This approach,
to give. explains Vasuthevan, means that The third layer of the pyramid
managers need to be given the is the first level of professional
Sharon Vasuthevan, the Education skills to recognise when their team help. This might be a coach or a
Executive at Life Healthcare, explains members need help. “During counsellor. From this point on the
that nurses had to deal with COVID-19, we did a lot of coaching level of professional care escalates
situations where life-and-death of our managers on how to support depending on the severity of
choices had to be made, like when their staff,” says Vasuthevan. the illness.
medical personnel had to decide
who gets a ventilator and who What this has resulted in, is that It is not just providing psychological
doesn’t. “I think post-pandemic a lot post-COVID-19 the leadership style support: Vasuthevan believes to help
of people just continued, because has changed, with managers overcome moral injury, many of the
we needed to keep the wheels making sure their staff are okay, issues that plague the healthcare
turning, we had to keep our jobs, and knowing how to support them system, which were brought to the
and we needed to do what we and steer them towards the best fore during the COVID-19 pandemic,
needed to do,” she says. possible care. need to be addressed.

Structures and processes to enable “We want managers to feel “Staffing has always been an issue.
nurses to deal with moral injury comfortable having open and Now we have to work out how to
were already implemented during positive conversations on guiding address this, how we train more
the pandemic. Ngoepe says team members to find further nurses so we can have the right
during the COVID-19, nurses and support where they may need it,” staffing we require for the type of
other personnel would take part D’Emiljo adds. D’Emiljo explains patients we have in our hospital,”
in a ‘huddle’ before the start of a that the best way to deal with says Vasuthevan.
shift. The line manager would ask moral injury is by adopting a tiered
them how they were feeling and pyramid approach. On the first Within the healthcare industry many
those who indicated they were not level of this pyramid are self-care believe that this should be a national
coping well were directed to the techniques that can be taught to priority, ensuring that care workers
appropriate assistance. personnel to help reduce feelings of are prepared for the future demands
shame and guilt: “If you can educate of our country.
Staff were provided with counselling, people and give them information,
although the pressures of fighting you can help them understand what But sometimes helping staff deal
a pandemic meant many couldn’t moral injury is. With most of these with the trauma of the last two and
or chose not to take full advantage disorders, once you name it, then half years comes down to simple
of the opportunities. “We are it is something they can research, acknowledgement. “It is important
encouraging nurses and other discuss and try to treat.” to celebrate the kind of work that
healthcare workers to continue nurses did during COVID, to show
participating in our wellness Self-care techniques include healthy gratitude and appreciation for what
programmes when needed. Nurses lifestyle suggestions and ways they did for us as a company,”
and other healthcare workers can of relieving stress through, for Vasuthevan explains.
access the programme privately, example, breathing exercises.
face-to-face or online via their BY SHAUN SMILLIE
cellphone at a time convenient The next tier is peer-to-peer support,
to them. Consultations are where those in the same profession
handled with confidentiality,” get together, possibly for debriefing
explains Ngoepe. sessions. “You can facilitate nursing

HASA PULSE #2 THE MENTAL HEALTH ISSUE 15

CURRENT AFFAIRS

“We have missed a To many, it is an invisible work, then it has the potential to
core part of socialising illness they live with that goes blow up,” says Megan Hosking, the
in terms of developing undiagnosed until the day it crisis line and marketing manager at
becomes a problem. It is a Netcare Akeso.
our skills. So we’re disorder that goes by many
seeing lots and lots of names, commonly known as “This is a dangerous space to be in,
very, very depressed or high functioning depression or as the symptoms are not impacting
anxious adolescents.” high performance depression, the person’s daily functioning, so
while in a clinical setting it could they may not feel that intervention
meet the criteria for persistent is needed.”
depressive disorder
or dysthymia. The symptoms of high functioning
depression may include a change
It is believed to be widespread, and in sleep patterns, reduced energy
while there are no recent figures of levels and a more critical line
how many South Africans suffer from of thinking.
the illness, in the US it is estimated
that 6.7% of the population will But while it is one of those disorders
struggle with the disorder during that flies under the radar, Hosking
their lifetime. does believe that people are
becoming more aware of it. And
What makes high functioning one of the best ways of recognising
depression harder to recognise than possible symptoms of the illness,
a major depressive disorder is that she says, is for individuals to note
those who have this illness are often changes in their own mood
high achievers who hold down and and behaviour.
excel at demanding jobs, while also
living high functioning lives. A combination of medication and
therapy is often successful in the
But behind the facade is a battle treatment of high functioning
against depression, a struggle depression. “Obviously, some
with feelings of low self-worth and people will have different medication
enduring sleepless nights. Then needs and that’s why it’s important
suddenly it gets worse. to avoid self-medicating. Rather go
and see a doctor. A GP can be a
“When things get too stressful, and good first line of defence. But if that
our coping mechanisms no longer person is experiencing very severe

AN EPIDEMIC OF
MENTAL ILLNESS THREATENS
THE POST-COVID-19 WORLD

16 HASA PULSE #2 THE MENTAL HEALTH ISSUE

symptoms, then a specialist is “So there are a lot of depression And as South Africa deals with
normally preferred.” and anxiety symptoms, a lot of this post-COVID-19 crisis, another
hopelessness and people feeling challenge facing healthcare
High functioning depression is one there is no way forward or no professionals is that there is a lack of
of a suite of disorders that have way out.” up-to-date data on mental illness in
come to the fore since the onset of the country.
the COVID-19 pandemic. South Africa Some of the children in need of help
and other nations are grappling with are as young as six. “We’re seeing But even before the pandemic,
what the World Health Organization big challenges: if you think of how South Africa had a mental illness
(WHO) has called a parallel schooling changed during COVID crisis, particularly among children
epidemic: mental illness. then you can understand the impact and adolescents. The recently
that would have on kids,” released South African Child Gauge
“Mental illness is taking its toll, says Hosking. 2021/2022 report stated that nearly
both on those who were already at half of South African children had
risk, as well as on those who have “We have missed a core part of experienced violence, and between
never sought mental health support socialising in terms of developing 10% and 20% would develop a
before,” Dr Hans Kluge, director of our skills. So we’re seeing lots and mental disorder and/or and a
WHO Europe warned during a press lots of very, very depressed or neurodevelopmental disability.
conference earlier this year. anxious adolescents.”
“If we don’t keep promoting access
The concern is particularly for the With so many needing help, to mental healthcare we are going
young. Hosking says that at Netcare Hosking says that people need to be to just see the state of our well-
Akeso they have seen an increase educated as to where to go and get being as a country decrease more
in patients presenting with anxiety help. “We have a lot of services in and more,” says Hosking.
symptoms as people return to work the country, but people don’t know
and children go back to school, how to access these services.”
following the easing of the various
stages of lockdown.

BY SHAUN SMILLIE

HASA PULSE #2 THE MENTAL HEALTH ISSUE 17

CURRENT AFFAIRS funding or doctors. So we wanted to while 23.3% of 86 respondents
shed light on the difficulties doctors had anxiety.
Doctor burnout is a world-wide face in rural areas,” explains the
concern, but in South Africa its lead author on the study, Dr Shaun In the sample 84.8% of female
toll – particularly on rural health Hain, who is at the Department doctors had experienced burnout,
care professionals – has been of Psychiatry, School of Clinical while the age group that carried
unknown for a long time. Medicine, College of Health the worst of the burden were the
Sciences, University of community medical officers of which
A new study, however, has KwaZulu-Natal. 85% reported symptoms of burnout,
changed this. and 29.6% had screened positive for
The definition used to define burnout generalised anxiety disorder.
The study, which was conducted in in the study describes it as “a
northern KwaZulu-Natal, has lifted persistent, negative, work-related The high psychological toll that rural
the veil on the psychological burden state of mind in ‘normal’ individuals doctors experience, believes Hain,
carried by rural doctors, revealing that is primarily characterised by is partly related to their working
that they are suffering abnormal exhaustion.” This is, according to conditions. He has worked in rural
levels of burnout, depression the study, accompanied by distress, hospitals and understands the
and anxiety. a sense of reduced effectiveness difficulties and frustrations that rural
and motivation, and affects the doctors face.
What the study found, was that two- recruitment and retention of doctors.
thirds of doctors had experienced “Often I think that urban doctors
burnout, which was associated with The study involved 96 doctors and have no idea what it is like to
the intention to leave the public was run between August and work in rural: as a junior doctor,
sector within two years. September 2020. The researchers you are expected to work in every
relied on four self-reporting department and not just select
Burnout has become such a global questionnaires to collect the data. one or two. So although you might
concern that the 11th revision of be based in a paediatric ward
the International Classification To assess the prevalence of burnout you will be called to casualty to
of Diseases now classifies the in the sample, the researchers used do a resuscitation. Then there is a
syndrome as an occupational the Maslach Burnout Inventory premature baby that you need to
phenomenon, rather than Human Services Survey. The Patient get intubated and ventilated, then
a medical condition. Health Questionnaire-9 was used to a Caesar to cut,” explains Hain. “So
assess depressive symptoms and you basically have to be a jack of all
This research was published in an the Generalised Anxiety Disorder 7 trades, but it is hard to be excellent
article titled: Retain rural doctors: to gauge anxiety symptoms. in everything, and you feel you are
Burnout, depression and anxiety not the best person for the job.”
in medical doctors working in rural The results showed that 68.5%
KwaZulu-Natal Province, South of doctors had reported burnout, As part of the study, the participants
Africa that appeared in the South a figure that corresponds to were asked to list the seven most
African Medical Journal. other studies completed in South important factors that contributed to
Africa and internationally. A study their stress.
The research covered 15 district conducted in urban eThekwini, in
hospitals that included Catherine KwaZulu-Natal, that was published What they mentioned were
Booth, Ekombe, Eshowe, in 2020, found a burnout rate of difficulties experienced in referring
Mbongolwane, Nkandla, Bethesda, 59%. Other international studies patients to other hospitals, staff
Hlabisa, Manguzi, Mosvold, Mseleni, have found burnout rates of shortages and a lack of equipment
Benedictine, Ceza, Itshelejuba, between 59-100% and depression and managerial support. They also
Nkonjeni and Vryheid. among doctors ranging from struggled with balancing their work
21-40%. and personal life, had challenges
“I think rural areas always get in dealing with language and
neglected: if it is not research, it is The northern KwaZulu-Natal study culture and felt that they didn’t have
further found that of 87 respondents specialist support.
35.6% had signs of depression,

18 HASA PULSE #2 THE MENTAL HEALTH ISSUE

NEW STUDY FINDS ABNORMALLY
HIGH RATES OF BURNOUT AMONG
SOUTH AFRICA’S RURAL DOCTORS

There has only been one other Hospital, said they took a risk when care,” the authors of the paper
similar study that focused on introducing flexitime at concluded.
burnout among South African the institution.
rural doctors. This was done in Hain also called for better
2013 among doctors working in “The traditional view is that you psychological support for rural
the district health system in the sign up for 40 hours plus 16 hours doctors, either through peer-to-peer
Overberg and Cape Winelands, in overtime, so that means seven days counselling or resilience training.
the Western Cape. This study found a week of eight hours a day,” he
that 81% of doctors had clinically explains. “Doctors increasingly value Working conditions for, in
significant burnout. work-life – personal-life balance, particular, young doctors would
so a 56-hour work week doesn’t also be improved, believes Hain, if
In the conclusion to their paper, the encourage people to continue doing technology was utilised properly.
researchers in the rural KwaZulu- that, and they leave after a year or “Using specialists on technology
Natal study called for evidence- two, cynical, exhausted, and quite could help with doctors making
based solutions to be urgently often burnt out.” decisions or giving opinions or just
implemented to prevent burnout talking through things. The problem
and retain rural doctors. What they did was cut overtime, is that there is often very little
where doctors would work a 40- internet coverage in those areas.”
Hain believes that a number of hour week, which still includes
interventions would help. One of the unfavourable shifts, but the But to fully understand the
most important of these is keeping maximum is 40 hours a week. psychological stresses rural doctors
senior doctors in the system who face, more research needs to be
can provide support to junior staff. “We found that people suddenly done, says Hain. “We are sick and
started enjoying life outside of tired of hearing there is a problem.
To do this Hain believes they would medicine and they are staying We want to fix it somehow.”
have to be offered better working longer,” he says.
conditions and flexitime. BY SHAUN SMILLIE
The paper noted that the hospital
The use of flexitime, Hain points out, had converted some full-time
has been successfully used before. medical officer posts to part-time
The George Hospital in the Western posts, after doctors began
Cape recently introduced flexitime calling for it.
in an effort to combat burnout and
retain staff. It was this adoption “Reducing working hours and
that was the focus of an article that creating flexible options were
appeared in the African Journal of concrete ways of promoting
Primary Health Care and resilience and retaining competent
Family Medicine. doctors. We recommend that
training and work of doctors be
Professor Louis Jenkins, one of structured towards more favourable
the authors on the paper and the options to encourage retention,
head of family medicine at George which may lead to better patient

HASA PULSE #2 THE MENTAL HEALTH ISSUE 19

CURRENT AFFAIRS “Worldwide, wellbeing is Phillips said business productivity
sometimes a stronger drawcard would also benefit from a holistically
South African workplaces are than remuneration and benefits healthy workforce.
still recovering from the effects in terms of attracting talent,” said
of COVID-19. Organisations need Justin Fiddes, wellness specialist “We consistently see improvements
to find new holistic ways to help at Telesure Holdings Group. in morale, overall health and
their employees heal from the “Corporates really need to take productivity, specifically in clients
stresses of the pandemic – or it seriously. People want a better who have established mental
they could risk losing staff. quality of life, and wellness can be a wellness solutions for their people,”
competitive advantage.” said Phillips.
This was among the insights shared Company culture also plays
at a recent media roundtable on a significant role in employee Dr Mandim said COVID-19 had
corporate wellness held by Life wellness, and staff need to feel reshaped corporate health-and-
Health Solutions, which featured part of a group, said panellist Dr wellness programmes.
several business leaders and Leanne Mandim, Head: Clinical
wellness professionals. Management at Life Health “We are seeing increases in
Solutions. depression, anxiety and family
Titled “Creating holistically healthier relationship issues,” said Dr
South African workplaces,” “People want to feel connected to Mandim. “People can bring their
the online webinar looked at other people,” said Dr Mandim. issues to work, which impacts the
global trends such as The Great “While there are benefits to issue of presenteeism, as well
Resignation, which has seen working remotely, humans crave as absenteeism. On a positive
professionals around the world connection with others, and we see note, COVID has allowed us to
quitting their jobs in the wake of that in our research. Face-to-face reach many more people, through
the pandemic. engagement will remain part of digital enablement, and has also
most workplaces.” broken-down hierarchies within
Locally, instead of resigning, skilled organisations.”
workers are more likely to seek new Panellists agreed that the
– or additional – jobs as freelancers COVID-19 pandemic had placed Dr Prinesh Reddy, Head of Product
and consultants. Others may resign, an unprecedented burden on the Development for Life Health
and then become suppliers to mental wellbeing of workers. Life Solutions said many employees
their previous employers. South Health Solutions Acting CEO, Pennie were looking for a flexible, hybrid
Africans are also leaving the office Phillips said it is now accepted that approach – which for instance,
and becoming remote workers. corporates need to support the allowed them to fetch their kids
Their mental wellbeing is a strong mental health of their employees. during the day, or to work remotely
influence on whether they decide from another city.
to leave. “People are a company’s most
valuable asset,” said Phillips. “Corporates may need to consider
“Organisations need to offer their how they support a hybrid
people an integrated health and workforce, because that’s the
wellness offering.” future,” said Dr Reddy. “Staff are
now also far more likely to hold

CORPORATES MUST SUPPORT
EMPLOYEE MENTAL HEALTH,
OR LOSE STAFF

20 HASA PULSE #2 THE MENTAL HEALTH ISSUE

corporates accountable for their
behaviour. We need to make sure
our values are reflected in our
culture, the way we engage with
our staff, and the support and the
benefits we provide.”

Financial wellness programmes are
another game changer that can help
support staff, and set businesses
apart from their competitors.

Myrna Sachs, Head: Health was good, said Fiddes. He said ABOUT
Management Solutions at researchers had found exercise LIFE HEALTH
AlexForbes said that companies could alleviate symptoms like SOLUTIONS
need to prioritise employee well- anxiety, and depression, and
being by ensuring they have a he encouraged workers to take Life Health Solutions is a
wellness strategy in place to support ownership of their own wellness, Life Healthcare owned
employees who are now suffering and to tap into the resources their business providing wellness,
from burnout and other mental employer offered. occupational health, primary
health issues as we come out of health care and emergency
the pandemic. “We’re seeing an Corbin and Manyike both agreed medical services to clients
increase in incapacity and fitness that data was going to play an in all nine provinces of
for work requests, with 40-60% of ever-greater role in managing South Africa and sub-
cases being due to a mental and staff wellness. Saharan Africa. Life Health
behavioural conditions. This is also Solutions services over 500
seen in our high-risk absenteeism “The days of relying on the intuition organisations across multiple
cases we are identifying,” she said. of a CEO in the boardroom are over,” industries, including the
said Manyike. “In terms of employee mining and banking sectors.
“Employers must look to partner health and financial wellness, we Some 363 on-site South
with financial institutions that need to gather insights and make African clinics are serviced
offer robust financial wellness data-driven decisions.” with 23 of these being
programmes,” said John Manyike, through mining contracts
head of financial education at Old “Employers need to find creative with 42 mining sites. Life
Mutual. “The emphasis should be ways to show up for their staff,” Health Solutions is trusted
on impact, on creating a culture of concluded Corbin. “We need to with the health and wellbeing
caring for staff, instead of a purely gather data about our staff, and of over 606 000 people via
transactional relationship. No then use it to build a culture of care.” its integrated health risk
employer can guarantee total job management solutions.
security. But you can offer a robust
financial wellness programme that Visit
can help employees with financial lifehealthsolutions.org
challenges.”

Manyike said employers could
also look to be more creative in
alleviating the costs of travel, at a
time when fuel prices are soaring.

With early intervention, the
prognosis for mental health

HASA PULSE #2 THE MENTAL HEALTH ISSUE 21

PRESS ROOM

SHORTAGE OF HEALTHCARE
WORKERS IN SA ANOTHER
PANDEMIC – DENOSA

With a doctor-patient ratio of one doctor
to 3 198 patients, as per the World
Health Organisation, there would be an
estimated deficit of 13 million nurses
by 2030.

HEALTH-CARE REFORM ON
AGENDA OF PRIVATE HOSPITAL
BODY’S CONFERENCE

Cape Town - Celebrating resilience
through collaboration will be the theme
of this year’s Hospital Association of
South Africa (HASA) conference.

Over the last year, we have
vigorously advocated for
solutions for a number of
critical issues, including: nurse
shortages and the absence of
nursing skills from the National
Critical Skills List, the need to
increase numbers of nurses
in training at private hospital
nurse training facilities,
and exemptions from load
shedding for private hospitals.

These images capture only
a small selection of the more than
80 articles published by a number
of news outlets spread across
television, radio, media web sites,
social media, and online
news platforms.

EXEMPTION FROM LOADSHEDDING

22 HASA PULSE #2 THE MENTAL HEALTH ISSUE

MEDICAL SKILLS ARE IN SHORT SUPPLY;
WE CANNOT OMIT THEM FROM THE CRITICAL SKILLS LIST

Hospital Association of South Africa chief executive officer, Dr Dumisani Bomela, says the association which

represents most private hospitals in South Africa, is perplexed by the omission of medical skills, in particular

nurses and doctors, from the recently released critical skills list.

HASA PULSE #2 THE MENTAL HEALTH ISSUE 23

VOICES Prof Elmi Muller played the “There’s nothing better than contact
church organ for pocket money with patients,” says this committed
“Medicine is not going while studying to become a clinician, who by mid-2022 had
to stay the same in doctor. As a surgeon, in 2008 already performed 63 HIV+ donor to
she became an organ transplant HIV+ patient kidney transplants.
the coming century. It pioneer by being the first to After a party organised to mark
will be taken over by transplant kidneys from HIV+ the 10-year celebration of her first
donors into HIV+ patients. such transplant, a journalist wrote
machine learning and In 2022 she took the reins of the following on the South African
big data. You need to two major organisations – the science website, Scibraai: “There
be prepared for that.” International Transplant Society wasn’t a single patient who didn’t
and the Faculty of Medicine want to take a photograph with her.
and Health Sciences (FMHS) at Who did not want to hug her.”
Stellenbosch University (SU).
TRAINING HEALTHCARE
Muller is the first person from Africa PROFESSIONALS
to be elected as president of the
world’s transplant community. She She describes her medical career as
is also the first woman in the FMHS’s “extremely rewarding.”
57-year history to be appointed
as dean. Muller graduated with an MBChB
from the University of Pretoria in
She has since received the 1995 and an MMed (Surgery) in
International Transplantation 2007. In 2018 she received a PhD
Society’s 2016 Women in Transplant (Surgery) through the University of
Hero Award, won the health care Cape Town. At UCT she led both the
category of the Checkers Shoprite Division of General Surgery and the
2011 Woman of the Year award and Transplant Unit in the Groote Schuur
was named an honorary member of Hospital, attached to UCT, before
the European Surgical Association. taking up the SU deanship in 2022.
“I have no reservation to say yes
Since becoming dean, Muller if people ask whether they should
has kept Tuesdays free in her consider medicine, even though
diary so that she can still perform admission is competitive given the
transplants and to do related high volume of people applying,”
research. Her team is among others she says. She’d like to see that
following the long-term progress practitioners move towards more
of 62 HIV+ kidney recipients, nuanced careers in which academic
noting the effect on their bodies of credentials feature along with the
constantly taking antiretrovirals and development of clinical skills.
immune suppressive medication
simultaneously.

PROFESSOR ELMI MULLER:
A LIFE OF FIRSTS

24 HASA PULSE #2 THE MENTAL HEALTH ISSUE

“If you are doing your MBChB, and an institution linked with a practitioners, and those able to
you must start thinking about a university. But it’ll need careful handle more complicated healthcare
research project to pursue. You need planning, because the people needs,” she warns.
a balance between clinical and trained must be absorbed into the
academic skills. The idea of doing a system. If you don’t expand the “Academic hospitals are, among
PhD early in your career, after your whole ecosystem, it’ll fail,” she says. others, there to keep such people
medical training, is very attractive, ‘in the business’, and to keep them
along with the idea of spending “Medical faculties sit in an interested. We need to drive topics
time in the lab and getting research ecosystem. When you expand the that don’t necessarily impact on as
experience, even if you know that number of students being trained, many patients, but ensure a high
you will eventually work in public you also need to increase internship standard of service delivery.
health,” she adds. and medical officer posts to provide
opportunities for internships and “South Africa must therefore remain
She sees skills in data handling, community service, and enough committed to driving the high level
computational thinking, computer state positions for those specialising. medical procedures that we are very
skills and learning another language lucky to have in the country.”
as becoming increasingly necessary “It’s often said that medical
in a doctor’s bag of tools, “because specialists only want to go into By way of example she explains:
that’s where opportunities lie for private practice to ‘make money’. In “A field like transplantation, for
the future. my experience, most people want instance, strengthens the whole
to stay in the state sector, especially service delivery package around it
“Medicine is not going to stay the when they are younger, because to a very high standard. It brings up
same in the coming century. It will it’s quite daunting to work on one’s your lab, surgery and anaesthetic
be taken over by machine learning own. But there are not enough standards, issues around sterility
and big data. You need to be opportunities in the state sector.” and the handling and screening of
prepared for that.” infectious diseases, tissue typing
Muller believes the country’s and the post-operation ICU care
THE IMPORTANCE healthcare system will fail without given. These all operate at a certain
OF TERTIARY HOSPITALS the support of academic medicine. level because of the transplant
“It’s a challenge, because
Students of the FMHS, among government wants to promote
others, work in Tygerberg Academic primary healthcare, which of course
Hospital, and in hospitals in has its value. There are unfortunately
Worcester, Paarl and Ceres. Muller lots of competing interests for the
sees academic hospitals, and same budget.
the institutions and primary care
facilities linked as a huge resource “Academic hospitals have been, I
for any region. think, at the shorter end of the stick
for a couple of years. If we don’t
“There are still places in South Africa, keep our top specialists, we will be
such as Mpumalanga, where we very quickly drained of those people
could do with an academic hospital who can train tomorrow’s medical

HASA PULSE #2 THE MENTAL HEALTH ISSUE BY ENGELA DUVENHAGE

25

service given. Stopping that service been involved in issues around provided. Health authorities
will gradually demote all the things organ trafficking, and fair and should be responsible for checking
that speak into it.” ethical practices for living donors documentation for each donor and
that ensure that no one is exploited. recipient who gets a procedure in
TRANSPLANT RESEARCH She enjoys considering the legal their country. A working relationship
and ethical side of things, as it is with legal professionals is essential
Muller says that her career as so vastly different from the clinical as many legal considerations
a transplant surgeon has taught medicine or managerial tasks she is are present in planning
her that success is the result of a otherwise involved in. these procedures.
team effort.
“Organ trafficking is a bit like a weed. “The implication of receiving a
“It’s also taught me that I can’t You pull it out in one place and it transplant abroad should also
always be in control of everything, pops out in another place. And you be important for insurance
that you need to involve others. The can’t ever know exactly where it will companies and governments who
biggest thing you learn in clinical happen next,” she mentions about often have to carry the cost of
medicine is how to deal with failure one of the many issues faced by the immunosuppression and follow-
and complications.” transplantation world. up care for patients who return
to their home countries. Without
The experience that she picked up THOUGHTS ABOUT adequate transfer documentation
as past President of the Southern TRANSPLANT SAFARIS that has a standardised reporting,
African Transplantation Society will patients might not be reimbursed
serve her well as President of the Muller wrote about aspects or on-going expenses might not
International Transplant Society, a of organ donors in Africa in be covered. A referring physician
role she took on in October 2022. a recent edition of the journal can make sure a patient will be
Scripta Varia, following insured upon return by providing
She’d like to drive access to the African Women Judges the recognised and appropriate
transplantation in new regions of and Prosecutors on Human information available before the
the world, such as North Africa Trafficking and Organised transplant. If a donor is operated
and parts of South America, and Crime Summit. on after going through this approved
countries such as Zambia network and standardised format,
and Botswana. “Medical tourism and travel for he/she should receive follow-up in
transplantation has the potential to the country they live in just like
“You need the clinicians who drive not only impact on healthy organ any donor who did not travel for
it from the bottom up, who are providers, but also on the vulnerable the procedure.
interested and know what to do, recipients of these organs. In many
and receive the training. You also places in the world, black market “Care providers do not generally
have to have governments that are organ transplantation is still taking want to deny their patients care or
interested in actually providing the place. These processes cannot take treatment after an illegal transplant.
infrastructure and resources,” place without the co-operation of However, governments can control
she says. medical practitioners practising in these practices better by regulation
these countries. Countries who carry and insurance discrimination as is
Strengthening links with the likes of a high risk for organ trafficking rings already being done in countries
the World Health Organization, the are those that have a reasonable like Israel.”
International Society of Nephrology medical infrastructure combined
and International Society for liver with inadequate oversight.
transplantation are also on
her agenda. “We need medical practitioners who
can evaluate, perform and follow
Throughout her career, Muller has up patients in the ethical framework

26 HASA PULSE #2 THE MENTAL HEALTH ISSUE

VOICES Over the past three decades he conducted clinical studies that allow
had often heard McMaster’s EBM you to draw firm conclusions.
When he recently visited trailblazers speak at international
Canada’s McMaster conferences, and their writings “That is not to say your conclusions
University, the ‘birthplace of have influenced him. He also had are ever permanent. Science
evidence-based medicine (EBM)’, the good fortune to work alongside does not work like that. Science
a long-held dream came true McMaster researchers – among is cumulative and self-correcting.
for academic leader Professor others as founding director of the Findings can change over time, and
Jimmy Volmink, a man whom South African Cochrane Centre we should be humble enough to
many regard as ‘Africa’s (now Cochrane SA) of the Medical accept that.
Father of EBM’. Research Council of South Africa,
and later also as founding director: “Health professionals and policy
The visit came about via a letter research and analysis of the Global makers intervene in the lives of
from the President of McMaster Health Council in the US, and deputy people. We do it with the best
University. It stated that McMaster, dean: research of the SU Faculty of intentions. However, if we are not
one of the world’s most prestigious Medicine and Health Science. careful and judicious about what
research-intensive universities, we offer to people, and if we don’t
wanted to offer him a Doctor of EBM’S ROLE IN take sufficient care to ensure that it’s
Science honoris causa, in recognition MODERN MEDICINE based on the most reliable evidence,
of his pioneering work in EBM in we can do more harm than good. In
South Africa and beyond. In the 2000s, global readers of fact, we can kill.”
the British Medical Journal ranked
“I never thought that my first visit EBM as one of the 15 most RECOGNITION
there would be to receive an important milestones that shaped
honorary degree,” admits the modern medicine. Volmink’s wife, Blossom, and various
65-year-old former dean of the colleagues with African roots,
Faculty of Medicine and Health “EBM has over the past 40 years attended the colourful graduation
Sciences at Stellenbosch helped improve how health policy is
University (SU). made at the highest level globally,
and has also challenged thinking
According to Volmink, key individuals about the nature of evidence in fields
at McMaster, as well as Sir Ian beyond health, including education,
Chalmers at Oxford University in criminal justice and the social
the UK, through the Cochrane sciences,” adds Volmink, who is also
Collaboration, had in the 1980s an elected member of the Academy
pioneered EBM “as a bold new of Science of South Africa and fellow
paradigm for making healthcare of the Royal College of Physicians of
decisions, with far-reaching impact Edinburgh.
on health professional training and
practice worldwide.” “It’s not about what should work, but
what does work. It requires that you
base decisions on the best available
evidence derived from rigorously

BY ENGELA DUVENHAGE

THE THREE E’S THAT DRIVE
PROFESSOR JIMMY VOLMINK

HASA PULSE #2 THE MENTAL HEALTH ISSUE 27

Leadership 101, ceremony in Hamilton, Ontario valuable terms (and 11 years in all,
according to in May 2022. because of COVID-19). During those
Professor years he still managed to supervise
Volmink was recognised for his PhD students doing EBM research,
Jimmy Volmink ability to combine “clinical work and superintended the launch of
with research and innovation the CEBHC. He also lectured to
A good leader: that has produced more than undergraduate and postgraduate
200 co-authored publications students pursuing an MSc in Clinical
has a vision and a on topics including interventions Epidemiology. Volmink instigated
strategy, and makes for tuberculosis, HIV/AIDS and the latter shortly after he joined SU
sure things happen on cardiovascular disease; promoting in 2006.
the operational side evidence-based decision making;
addressing health and social KNOWING WHY
builds good inequities; and building research
relationships and capacity on the African continent.” Three E’s – evidence, equity and
teams of diverse education – have influenced his
The ceremonial degree from the work in advancing global health.
people who feel Canadian institution was the second He has evaluated the effects of
included and valued such honour that Volmink had health interventions, promoted
received in as many years – the first evidence-based decision-making,
creates an environment was presented by the Katholieke addressed health and social
where everybody feels Universiteit Leuven in Belgium inequalities, and built research
that they belong, and in 2021. capacity by scrutinising topics
ranging from treatments for HIV,
is at home During his acceptance speech of the TB and hypertension to claims
latter, he highlighted that EBM was about low-carbohydrate diets and
more needed than ever to combat weight loss.
fake news and the spread of
misinformation about health issues How did this former matriculant
in a post-COVID-19 world. from Athlone in Cape Town become
a leading academic who has
He noted the importance of fact- worked with the likes of the WHO,
checking and debunking falsehoods, the Belgian Red Cross, the Wellcome
a culture of critical thinking and Trust and Cochrane?
building trust in science, and
action against perpetrators of fake “I was one of those kids who
news. He called for a pre-emptive questioned a lot. I was probably
‘prebunking’ approach to counter sometimes too much for adults to
misinformation. handle,” he explains, while giving
one of his characteristically joyous
YEARS AS DEAN laughs.

The HASA interview takes place in “Even at university, I was really
the professor of global health’s new uncomfortable about being told
(now much smaller) office in the how to diagnose and treat disease,
Centre for Evidence-based Health without knowing why.”
Care (CEBHC) on SU’s Tygerberg
medical campus. His first job after graduating in 1982
and completing his internship was
Last year, Volmink closed the door in rural Swaziland. Later he also
to the dean’s office of the SU Faculty worked in Cape Town communities.
of Medicine and Health Science for In the mid-1980s Volmink pursued
the last time, having served two a Master in Public Health from

28 HASA PULSE #2 THE MENTAL HEALTH ISSUE

Harvard University in the USA explaining the concepts behind the people’s health, such as the kind of
thanks to a Harvard/ new book. housing they live in, and whether
South Africa Fellowship. they have access to clean water
“In the Global North, ‘global health’ and sanitation.
In 1993, Volmink and his young is often seen as providing healthcare
family of three moved to the to people in developing countries. “In fact, social drivers account for
University of Oxford in the UK, Here in South Africa, at Stellenbosch, more than half of all illness.
thanks to a Nuffield Medical we think differently about it. We are
Research Fellowship, and in 1996 he already in a poor part of the world. “In the book I will focus on the full
received a DPhil in Epidemiology. For us global health is in essence spectrum of things that can be done
about addressing inequalities in to reduce inequities, and also on
During his Oxford years he became health and healthcare wherever how we treat patients,” explains
immersed in EBM and research these exist in the world. Volmink, who is known for going
synthesis after meeting leading ‘undercover’ to local clinics and
figures such as Sir Chalmers. “Equity is about fairness. Health hospitals to investigate the state
McMaster’s Prof David Sackett was equity is about differences in health of affairs.
then also a visiting professor at that are avoidable, unfair and often
Oxford. He later referred to Volmink unjust. It’s about human rights “The level of disrespect, rudeness
as “my hero” in a manuscript in health, about using effective and indignity with which poor
published in 2015. interventions to help close the gap. people are sometimes treated is
incredible. That’s also an equity
“It was about being in the right place “There is a 30-year difference in life issue. Listening to patients and
at the right time,” Volmink reflects on expectancy at birth for people from showing empathy and compassion
the evolution of his EBM career. countries like Sweden or Japan, are important aspects of our role as
compared to those growing up healers. Healthcare professionals
In 1997 the MRC invited Volmink to in the Democratic Republic of the need to pay more attention to
start the South African Cochrane Congo. Much of this difference is these things!”
Centre (now Cochrane SA) – the entirely avoidable.”
first of its kind in Africa, and only
the second in a developing country, Volmink says many social and
after Brazil. His team promoted and economic factors directly impact on
proliferated EBM in the country and
across Africa, in order to improve AWARDS TO PROFESSOR JIMMY VOLMINK
healthcare decision-making IN RECENT YEARS INCLUDE:

FOCUS ON GLOBAL EQUITY 2015: Leverhulme Medal for distinguished contribution from
the United Kingdom’s Liverpool School of Tropical Medicine
Now nearing official retirement age,
Volmink finds fulfilment in mentoring 2021: Lifetime Chancellor’s Award from SU for sustained
young academics and high school excellent career performance
learners in Cape Town townships,
and subtly teaching his own 2021: The President’s Lifetime Achiever Award from the SAMRC
grandchildren some life lessons.
2021: Honorary doctorate from KU Leuven in Belgium
He is currently part of a research recognising his work in science and, more generally, for
team reviewing whether using promoting human dignity
digital technology helps TB patients
to regularly take their life-saving 2022: Honorary doctorate from McMaster University in
medicine. He is also working on a Canada for his pioneering role in advancing EBM.
book on global health equity.

“As dean, I didn’t have much time to
write. I missed it,” he admits, before

HASA PULSE #2 THE MENTAL HEALTH ISSUE 29

VOICES At the end of 2022, he officially “We collaborated with Professors
closed the door of his office at Di Gibb and Ab Babiker, who
Paediatrician and HIV researcher Tygerberg Academic Hospital for provided the trial management and
Professor Mark Cotton looks the last time as founding director of statistical expertise for the CHER trial
back on a career spanning more the Family Centre for Research with to be so significant,” says Cotton,
than four decades. Ubuntu (FAMCRU). acknowledging the team effort
that has been part of the
In the 1980s, renowned Cotton established this unit of project’s success.
paediatrician Professor Mark Stellenbosch University (SU) in 2002,
Cotton was one of the first doctors where research and clinical trials Its findings demonstrated how
in Africa to treat HIV+ children with involving both children and adults important and lifesaving it is to
antiretrovirals (ARVs). Later he led who are impacted by infectious diagnose infants with HIV as early
numerous large-scale trials, the diseases such as HIV, TB, HIV/TB as possible, and how vital it then is
results of which helped to rewrite co-infections and other common to swiftly move into the intervention
global health policy. childhood infectious diseases have phase by placing them on ARV
been conducted ever since. While its treatment. It also showed that
Cotton picked up his first clinical primary site is at Tygerberg in Cape children can continue on ARV for
experience working with “kiddies” Town, FAMCRU also has satellite years without significant neurological
during his student years in the sites at community health centres in consequences.
1970s, in old Somerset Hospital Kraaifontein, Khayelitsha
in Cape Town. His interest in and Worcester. “Even before we had published on
research matters was kindled in his it, the World Health Organization
subsequent registrar years while CHER TRIAL changed the guidelines for
watching how senior clinicians used ARVs in children,” remembers
their powers of observation to the Asked to choose among his Cotton, who had the honour of
benefit of their patients in what are many career highlights, Cotton presenting the trial’s findings at
now the Chris Hani Baragwanath immediately mentions the NIAID- the WHO headquarters in Geneva,
Hospital and Rahima Moosa Mother funded Children with HIV Early Switzerland. Trials on adults
and Child Hospital in Johannesburg. Antiretroviral Therapy (CHER) trial, followed, and eventually, the
which started in the mid-2000s. decision that HIV+ adults should
In 2021 he retired as distinguished receive ARVs too as soon as they
Professor and Head of the Division “CHER framed a question at a time it are diagnosed.
of Paediatric Infectious Diseases in really needed to be framed – before
the Faculty of Medicine and Health the wider HIV world was even aware The CHER team later also
Sciences at Stellenbosch University. there was a question,” he once said demonstrated that early limited ARV
In 2022, he received another in an interview about its importance. with clinical and CD4 monitoring
A-rating from the National Research was safe. “This is relevant for HIV
Foundation, recognising him as a He served as co-principal remission research where ARV
world-leading paediatrician. investigator, along with Dr Avy interruption is the final step for HIV
Violari from the University of remission studies aiming to stop
the Witwatersrand. ARVs,” he says.

BY ENGELA DUVENHAGE

PROFESSOR MARK COTTON:
CHANGING THE LIVES
OF HIV+ CHILDREN

30 HASA PULSE #2 THE MENTAL HEALTH ISSUE

In a presentation at the Congress to manage, but there are far, far ACHIEVEMENTS
of Retrovirology and Opportunistic fewer cases. “I never thought I would AND INVOLVEMENT
Infection in 2018, the first large data see it,” says Cotton, who returned
set on viral rebound was provided to South Africa in the mid-1990s, • Past president of the World
through the CHER trial. It was shown amid growing HIV denialism, having Society for Pediatric Infectious
that 70% (of the children in the studied infectious diseases in Diseases (WSPID)
study) had rebounded by 12 weeks. the US.
Four other children rebounded over • Advisor to the World Health
another 12 weeks. Despite “tremendous progress” Organization on matters
and the availability of infrastructure related to HIV+ children, TB
“We identified the first African child and medicine, he realises the co-treatment and prevention
to develop HIV remission. He had work is not over yet. “The next big and antiretroviral guidelines
stopped ARVs at week 40 according challenge is the same as with the
to protocol and remained virally COVID antivaxxers: how to influence • Founder board member of
suppressed for the next 9.5 years,” people’s beliefs and practices.” the Collaborative Initiative for
says Cotton. “This study was led by Paediatric HIV Education and
Prof Caroline Tiemessen from Wits, Despite being officially retired, Research (CIPHER), funded
who is leading immunology and Cotton’s own influence is not lost through the International
virology studies to determine the to his circle. He will support his AIDS Society for HIV-related
reasons for remission.” successor as FAMCRU director, research in children from
Dr Shaun Barnabas. He will mentor resource-limited settings
Cotton says that the CHER trial emerging researchers and continue
led to a deepening interest in developing protocols and be • Served on editorial board
neurocognition and HIV involved in research. of the Journal of the
cure/remission. International AIDS Society
START OF A RESEARCH CAREER (JIAS) and Frontiers in
BIG CHALLENGES Infectious diseases
One of his first studies was
He is heartened by the progress conducted in the 1980s on hospital- • Established the curriculum
made over the years in treatment acquired infections in children, on infectious diseases used
and protection, and how it has which at that stage had not been by the College of Medicine of
significantly changed the outlook studied in Africa. Along with one of South Africa
of HIV+ children. He readily admits his mentors, Prof Frank Berkowitz,
that it is not something that at some he described a candida (yeast) • Board member of the South
point in his career he thought he’d infection at a ‘drip site’, the first African Medical Council
ever see happening – although he such description in a premature
kept on hoping. baby. In another premature infant, • Founder president of both the
he pioneered oral rather than Southern African Society of
“HIV is the infection that defined the intravenous antifungal therapy Paediatric Infectious Diseases
late 20th century,” he says. “When as a much safer option than (SASPID) and the African
kids with HIV are identified early intravenous therapy. Paediatric Infectious Diseases
and they take the medicines, they Society (AfPIDS)
do amazingly well. ARVs and the Berkowitz, one of the first South
fact that more mothers are being African doctors to be trained Photo: Engela Duvenage
protected in pregnancy has made overseas in infectious diseases, Despite being officially retired, Prof Mark
a huge difference. motivated Cotton to follow a similar Cotton will continue mentoring emerging
course and take up a fellowship researchers and continue developing
“In the past we did very big studies, to study HIV and other infectious protocols and be involved in research.
and now we struggle to find enough diseases in children in Denver, USA.
people to take part in some. Instead 31
of 30,000 babies being born in the “I was interested in the science,
country with HIV, there are now did bench work in an immunology
about 1,000 across the country. It lab and tried to make it all
makes it more complex and difficult clinically relevant.”

HASA PULSE #2 THE MENTAL HEALTH ISSUE

ADVERTORIAL been embraced as a solution to patient’s journey across the siloed
SA’s fragmented health system. SA healthcare ecosystem, allowing
Inspired by the need for patient- Founded by three of the country’s for better co-ordination of care,”
centric innovation to drive leading hospital groups and three says Dr Christian.
efficiencies in healthcare, the of the largest medical scheme
CareConnect Health Information administrators, CareConnect HIE In everyday clinical situations,
Exchange (HIE) provides a single, was launched in April of this year clinicians will have access to a
electronic hub that links and and connects providers, patients complete set of patient information,
consolidates patient health and and funders through a unified care thereby saving precious time,
demographic information from record that delivers up-to-date, real- reducing medical errors and
all sources – healthcare facilities, time and consolidated information helping to decrease the cost of
funders and clinicians – to across the entire healthcare healthcare by avoiding duplicate
deliver relevant and meaningful ecosystem, anywhere in SA. and unnecessary tests.
information to authorised users,
when and where it’s needed. Patient-consented clinical and From going live and the formal
demographic data pushed from launch, nearly 4.5 million patient
Dr Rolan Christian, CEO of hospitals, medical aids and in records have been added to the
CareConnect HIE, SA’s first industry- future, diagnostic providers, like CareConnect HIE, and the number of
wide HIE, believes that the advent Radiologists and Pathologists, are transactions has exceeded 91 million
of HIE in South Africa represents a consolidated in the HIE. Advanced – with a speed of under one second
progressive leap towards digitisation algorithms are used to ensure a per transaction. As a result, the HIE
in the healthcare sector and says patient’s data is correctly identified has proven its initial value by driving
that the CareConnect HIE has widely and integrated into their unified care usage, adoption and scaling with its
record. “This smart consolidation current participants.
of data creates a holistic view of a
Privacy and security of data are
HOW WILL THE CARECONNECT HIE HELP PATIENTS? the cornerstones of HIE. The
CareConnect HIE conforms to
• The CareConnect HIE lets doctors and other health professionals both local and international data
have access to a complete view of a patient’s health record, privacy regulations to ensure
enabling better care and better outcomes that sensitive health information
remains protected at all times
• A single, unified, electronic health record allows for better care co- and will only be accessible to
ordination between the health professionals who are responsible medical practitioners when
for the care and treatment of a patient. medically necessary and only
with the patient’s consent. This
• Instant access to key information assists health professionals to means that patient information
make crucial decisions quickly and to provide the best possible is only ever collected with full
care. consent. Furthermore, the system
automatically regulates access
• Health information exchange can mean the difference between permissions based on the role of
life and death in an emergency or while travelling, as the treating the user. So, a pharmacist or nurse
doctor can access critical, up-to-date health information wherever would not be able to view the
they are, in real time, on any device. same level of clinical information
on the system as a treating doctor,
• During the admissions process, admissions personnel can access for example. Administrative staff
all necessary administrative details via CareConnect HIE, reducing have access to demographic data
paperwork and minimising anxiety during what can be a stressful but aren’t able to access clinical or
time for the patient and their loved ones. medical information.

• Updated demographic information eliminates the risk of doctors Just as participating patients sign
having outdated information about the patient. a consent agreement, the HIE’s
other participants – healthcare
• CareConnect HIE will assist in reducing duplicate and unnecessary
testing, thereby helping to reduce healthcare costs.

32 HASA PULSE #2 THE MENTAL HEALTH ISSUE

CARECONNECT
HEALTH INFORMATION EXCHANGE:

A progressive leap toward digitisation
of South Africa’s healthcare sector

EXCHANGE OF INFORMATION THROUGH THE CARECONNECT HIE

Medical Radiology comprehensive accurate, constantly
Schemes evolving patient dataset will mean
enhanced care and better clinical
CareConnect decision-making through intelligent
HIE data hungry algorithms. “The
future of healthcare accessibility,
Pharmacies Hospitals whether home-based, hospital or
Health Pathology preventative, will most certainly be
data and AI-driven, the basis of
Professionals which is an accurate and up-to-date
electronic health records,” he adds.

“Data sharing, now more than ever
before, has become the bedrock
of better, more efficient healthcare
and everyone will benefit from
it – patients, clinicians, health
systems and the global population,”
concludes Dr Christian.

providers, health facilities, funders enabling the development of Dr Rolan Christian
and others – sign stringent data human-centric solutions in doing
privacy agreements which govern the business of healthcare. “For
the purposes for which HIE data clinicians, this means the ability to
can be used. deliver better care more efficiently
through easier and quicker access
Once more players in the industry to comprehensive, accurate and
come on board and their systems relevant patient information at the
are interoperable with each other, point of care. It also enables a better
via the HIE, more information will understanding of the patient upon
be available wherever the patient referral from other physicians, as the
or the clinician is based (even if patient’s historic health data will be
they are not together at the same available on the HIE,” notes
location). As a single integration Dr Christian.
point for all participants, the
CareConnect HIE becomes THE From a future innovation point
source of industry intelligence, of view, the integration of a

HASA PULSE #2 THE MENTAL HEALTH ISSUE 33

35 MEDICAL SCHEMES DIRECTORY CONTENTS
39 ACCREDITED MANAGED CARE ORGANISATIONS
42 ACCREDITED SCHEME ADMINISTRATORS
44 PUBLIC AND PRIVATE HOSPITALS
44 Eastern Cape Public Hospitals
47 Eastern Cape Private Hospitals
48 KwaZulu-Natal Public Hospitals
51 KwaZulu-Natal Private Hospitals
54 Limpopo Public Hospitals
56 Limpopo Private Hospitals
56 Mpumalanga Public Hospitals
58 Mpumalanga Private Hospitals
59 North West Public Hospitals
60 North West Private Hospitals
61 Northern Cape Public Hospitals
62 Northern Cape Private Hospitals
63 Western Cape Public Hospitals
65 Western Cape Private Hospitals
67 Gauteng Public Hospitals
69 Gauteng Private Hospitals
73 Free State Public Hospitals
75 Free State Private Hospitals

34 HASA PULSE #2 THE MENTAL HEALTH ISSUE

AECI MEDICAL SOCIETY BMW EMPLOYEES
Post Box 1101 MEDICAL AID SOCIETY
Woodmead Post Box 84262
2191 Sandton
0196
ALLIANCE-MIDMED
MEDICAL SCHEME BONITAS MEDICAL FUND
Unit 8, Four Stones Office Park Post Box 3496
21 Dolerite Crescent Melrose
Middelburg 2000
1050
BP MEDICAL AID SOCIETY
ANGLO MEDICAL SCHEME Post Box 6006
Post Box 746 Roggebaai
Rivonia 8012
2001

MEDICAL SCHEMES ANGLO VAAL GROUP BUILDING AND CONSTRUCTION
MEDICAL SCHEME INDUSTRY MEDICAL AID FUND
DIRECTORY Post Box 652509 Post Box 3201
Benmore Sunninghill
2010 2128

BANKMED CAPE MEDICAL PLAN
Private Bag X 2128 Post Box 6255
Rivonia Parow
2001 7500

BARLOWORLD MEDICAL SCHEME CHARTERED ACCOUNTANTS (SA)
MEDICAL AID FUND (CAMAF)
Post Box 1101
Florida Glen Post Box 2964
1709 Randburg
2194

BESTMED EMPLOYEES COMPCARE WELLNESS
MEDICAL AID SOCIETY MEDICAL SCHEME

Post Box 2297 Post Box 1411
Pretoria Rivonia
0081 2196

HASA PULSE #2 THE MENTAL HEALTH ISSUE 35

DE BEERS BENEFIT SOCIETY GLENCORE MEDICAL SCHEME IMPERIAL AND MOTUS
MEDICAL AID
Post Box 1922 Post Box 652509
Kimberley Benmore Post Box 2140
8301 2010 Houghton
2194

DISCOVERY HEALTH GOLDEN ARROWS EMPLOYEES KEYHEALTH
MEDICAL SCHEME MEDICAL BENEFIT FUND
Post Box 14145
Post Box 786722 Post Box 15729 Lyttleton
Sandton Vlaeberg 0157
2146 7490

FEDHEALTH MEDICAL SCHEME GOVERNMENT EMPLOYEES LA HEALTH MEDICAL SCHEME
Private Bag X 3045 MEDICAL SCHEME (GEMS) Private Bag X19
Randburg Private Bag X1 0028 Milnerton
2021 Hatfield Cape Town
Pretoria 7530
ENGEN MEDICAL BENEFIT FUND 0181
Post Box 652509 LIBCARE MEDICAL SCHEME
Benmore HEALTH SQUARED Post Box 10499
2010 MEDICAL SCHEME Roodepoort
Post Box 1075 2001
Woodmead
2191

FISHING INDUSTRY MEDICAL HORIZON MEDICAL SCHEME LONMIN MEDICAL SCHEME
SCHEME (FISH-MED)
Post Box 1101 Private Bag X508
Post Box 2416 Florida Glen Marikana
Bellville 1709 0284
8000

FOODMED MEDICAL SCHEME HOSMED MEDICAL AID SCHEME MAKOTI MEDICAL SCHEME

Post Box 1067 Post Box 16148 Private Bag X47
Parow Doornfontein Rivonia
7500 0178 2191

GENESIS MEDICAL SCHEME IMPALA MEDICAL PLAN MALCOR MEDICAL SCHEME

Post Box 144 Private Bag X82324 Post Box 786722
Observatory Rustenburg Sandton
7925 0300 2146

36 HASA PULSE #2 THE MENTAL HEALTH ISSUE

MASSMART HEALTH PLAN MOTO HEALTH CARE PICK N PAY MEDICAL SCHEME

Post Box 1411 Post Box 3882 Post Box 15774
Rivonia Randburg Vlaeberg
2128 2194 8000

MBMED MEDICAL AID FUND MULTICHOICE PLATINUM HEALTH
Post Box 1101 MEDICAL AID SCHEME Private Bag X2081
Florida Glen Post Box 1502 Suburb
1709 Sandton 0300
2146
MEDIHELP PROFMED
Post Box 26004 NEDGROUP Post Box 1004
Arcadia MEDICAL AID SCHEME Parktown
Pretoria Post Box 1101 2193
0083 Cape Town
8001 QUANTUM MEDICAL AID SOCIETY
MEDIMED MEDICAL SCHEME Post Box 652509
Post Box 1672 NETCARE MEDICAL SCHEME Benmore
Gqeberha Post Box 652509 2010
6001 Benmore
2010

MEDIPOS MEDICAL SCHEME OLD MUTUAL STAFF RAND WATER MEDICAL SCHEME
MEDICAL AID FUND
Post Box 2087 Post Box 1127
Pretoria Post Box 66 Johannesburg
0002 Suburb 2058
7450

MEDSHIELD MEDICAL SCHEME PARMED MEDICAL AID SCHEME REMEDI MEDICAL AID SCHEME

Post Box 4346 Post Box 836 Post Box 652509
Randburg Florida Hills Benmore
2194 1725 2010

MOMENTUM MEDICAL SCHEME PG GROUP MEDICAL SCHEME RETAIL MEDICAL SCHEME

Post Box 2338 Post Box 2329 Post Box 215
Cornubia Bedfordview Brackenfell
4339 2007 7561

HASA PULSE #2 THE MENTAL HEALTH ISSUE 37

RHODES UNIVERSITY SOUTH AFRICAN BREWERIES TSOGO SUN GROUP
MEDICAL SCHEME MEDICAL SCHEME MEDICAL SCHEME
Post Box 1672
Gqeberha Post Box 652509 Post Box 652509
6001 Benmore Benmore
2010 2010
SABC MEDICAL AID SCHEME
Post Box 1101 SOUTH AFRICAN POLICE SERVICE UMVUZO HEALTH
Florida Glen MEDICAL SCHEME (POLMED) MEDICAL SCHEME
1708
Post Box 14812 Post Box 1463
SAMWU MED Hatfield Faerie Glen
Post Box 134 0028 0043
Athlone
7760 SUREMED HEALTH UNIVERSITY OF KWAZULU-NATAL
MEDICAL SCHEME
SASOLMED Post Box 1672
Post Box 5486 Gqeberha Post Box 786722
Sandton 6000 Benmore
2000 2010

SEDMED TFG MEDICAL AID SCHEME WITBANK COALFIELDS
Post Box 468 MEDICAL AID SCHEME
Bloemfontein Post Box 652509
9300 Benmore Post Box 26
2010 Witbank
1035

THEBEMED WOOLTRU HEALTHCARE FUND

Post Box 4709 Post Box 15403
Sandton Vlaeberg
2000 8018

SISONKE HEALTH TIGER BRANDS
MEDICAL SCHEME MEDICAL SCHEME
Post Box 1672 Private Bag X131
Gqeberha Rivonia
6000 2128

SIZWE MEDICAL FUND TRANSMED MEDICAL FUND
Post Box 62345 Post Box 32043
Rosebank Randpark
2107 2017

38 HASA PULSE #2 THE MENTAL HEALTH ISSUE

ACCREDITED MANAGED CARE ORGANISATIONS 3SIXTY HEALTH CENTRE FOR DIABETES
Post Box 10436 AND ENDOCRINOLOGY
DIRECTORY Johannesburg Post Box 2900
2000 Saxonwold
2132
AGILITY HEALTH
Private Bag X7687 CHARTERED ACCOUNTANTS (SA)
Centurion MEDICAL AID FUND (CAMAF)
0046 Post Box 2964
Randburg
AID FOR AIDS MANAGEMENT 2125
Post Box 1101
Florida Glen DENTAL INFORMATION SYSTEMS
1708 Private Bag X1
Century City
7446

ALIGND DENTAL RISK COMPANY
47 Main Road Postnet Suite 341
Rondebosch Private Bag X2
Cape Town Raslouw
7700 0190

BESTMED MEDICAL SCHEME DISCOVERY HEALTH
Post Box 2297 Post Box 786722
Pretoria Sandton
0001 2146

CAPE MEDICAL PLAN ENABLEMED
Post Box 966 Postnet Suite 203
Parow Private Bag X8
7499 Elarduspark
0047
CAREWORKS
Post Box 23460 HALOCARE
Claremont Post Box 8796
7735 Centurion
0046

HASA PULSE #2 THE MENTAL HEALTH ISSUE 39

HEALTH CALIBRATE KNOWLEDGE OBJECTS METROPOLITAN HEALTH
HEALTHCARE CORPORATE
147 Garsfontein Road
Pretoria Post Box 7687 Post Box 2212
0081 Centurion Belville
0046 7535

HEALTH WINDOW KNOWLEDGE OBJECTS METROPOLITAN HEALTH
41 De Havilland Crescent SOLUTIONS RISK MANAGEMENT
The Woods Post Box 7687 Post Box 2212
Persequor Technopark Centurion Bellville
Pretoria 0046 7535
0200
LIBERTY HEALTH MOMENTUM DENTAL
ICAS MANAGED CARE ADMINISTRATION RISK MANAGEMENT
Post Box 2280 Post Box 786722 Post Box 7400
Parklands Sandton Centurion
2121 2146 0046

ICON MANAGED CARE LIFESENSE DISEASE MOMENTUM HEALTH SOLUTIONS
MANAGEMENT
Post Box 15531 Post Box 2338
Panorama Post Box 52493 Durban
7506 Saxonwold 4000
2132

IMPROVED CLINICAL MEDIHELP MEDICAL SCHEME MOMENTUM THEBE YA BOPHELO
PATHWAY SERVICES Post Box 1672
Post Box 26004 Gqeberha
The Workshop Pretoria 6001
70 - 7th Avenue 0083
Parktown North NATIONAL HEALTH GROUP
2193 Post Box 44331
Claremont
INTERGRATED CLINICAL MEDISCOR PBM 7736
MANAGEMENT SERVICES T/A
KHULA CLINICAL CARE SERVICES Post Box 8796 OPTIMAL MANAGED CARE
Centurion 6th Floor
Post Box 784541 0046 Oasim North
Sandton North Havelock Street Central
2146 Gqeberha
6001
KAELO PRIME CURE MEDSCHEME HOLDINGS
HASA PULSE #2 THE MENTAL HEALTH ISSUE
Private Bag X2108 Post Box 1101
Houghton Florida Glen
2041 1708

40

PERFORMANCE HEALTH SUPPLEMENTARY
Post Box 521058 HEALTH SERVICES
Saxonwold Post Box 3095
2132 Paarl
7620
PRIVATE HEALTH
ADMINISTRATORS THEBE HEALTH RISK
Post Box 343 MANAGEMENT
Westville Post Box 15738
3630 Doorfontein
2028
PROFESSIONAL PROVIDENT
SOCIETY HEALTHCARE UNIVERSAL CARE
ADMINISTRATORS Post Box 1141
Private Bag X1031 Rivonia
Lyttelton 2128
0140

PROFESSIONAL PROVIDER
ORGANISATION SERVICES
Albury Office Park
3 Magaliezicht Ave
Dunkeld West
Johannesburg
2196

RX HEALTH
Post Box 90346
Garsfontein
Pretoria
0042

SCRIPTPHARM RISK
MANAGEMENT

Post Box 1101
Florida Glen
1708

SOUTH AFRICAN 41
ONCOLOGY CONSORTIUM
Post Box 1053
Centurion
0046

HASA PULSE #2 THE MENTAL HEALTH ISSUE

3SIXTY HEALTH DISCOVERY HEALTH

Post Box 10436 Post Box 786722
Johannesburg Sandton
2000 2146

ACCREDITED SCHEME ADMINISTRATORS AFROCENTRIC INTEGRATED FOODMED MEDICAL SCHEME
HEALTH ADMINISTRATORS Post Box 1067
DIRECTORY Private Bag X5 Parow
Strubens Valley 7499
1735
GENESIS MEDICAL SCHEME
AGILITY HEALTH Post Box 144
Post Box 7687 Observatory
Centurion 7925
0046

BESTMED MEDICAL SCHEME LIBERTY HEALTH
ADMINISTRATION
Post Box 2297
Pretoria Post Box 786722
0001 Sandton
2146

CAPE MEDICAL PLAN SCHEME MEDIHELP MEDICAL SCHEME

Post Box 966 Post Box 26004
Parow Arcadia
7499 0007

CHARTERED ACCOUNTANTS (SA) MEDSCHEME HOLDINGS
MEDICAL AID FUND (CAMAF)
Post Box 1101
Post Box 2964 Florida Glen
Randburg 1708
2125

DE BEERS BENEFIT SOCIETY MEDSHIELD MEDICAL SCHEME

Post Box 1922 Post Box 4346
Kimberley Randburg
8300 2125

42 HASA PULSE #2 THE MENTAL HEALTH ISSUE

METROPOLITAN HEALTH RAND WATER MEDICAL SCHEME
CORPORATE
Post Box 1127
Post Box 2212 Johannesburg
Belville 2000
7535

MOMENTUM HEALTH SOLUTIONS SAMWUMED

Post Box 2338 Post Box 134
Durban Athlone
4000 7760

MOMENTUM THEBE YA BOPHELO SEDMED

Post Box 1672 Post Box 468
Gqeberha Bloemfontein
6000 9300

NATIONAL HEALTH GROUP UMVUZO HEALTH
MEDICAL SCHEME
Post Box 44331
Claremont Post Box 1463
7736 Faerie Glen
0043

PLATINUM HEALTH UNIVERSAL HEALTHCARE
MEDICAL SCHEME ADMINISTRATORS

Private Bag X82081 Post Box 1411
Rustenburg Rivonia
0291 2128

PRIVATE HEALTH WITBANK COALFIELDS
ADMINISTRATORS MEDICAL AID SCHEME

Post Box 343 Post Box 26
Westville Witbank
3630 1035

PROFESSIONAL PROVIDENT 43
SOCIETY HEALTHCARE
ADMINISTRATORS
Private Bag X1031
Lyttelton
0140

HASA PULSE #2 THE MENTAL HEALTH ISSUE

EASTERN CAPE TAYLER BEQUEST
PUBLIC DISTRICT HOSPITAL
Alfred Nzo District Municipality
HOSPITALS Matatiele
Private Bag 836
arranged by district Matatiele
municipality 4730

GREENVILLE DISTRICT HOSPITAL BEDFORD DISTRICT HOSPITAL
Alfred Nzo District Municipality Amathole District Municipality
Bizana Adelaide
Private Bag X559 Post Box 111
Bizana Bedford
4800 5780

PUBLIC AND PRIVATE HOSPITALS MADIZIKANE KA ZULU MEMORIAL BUTTERWORTH
DISTRICT HOSPITAL DISTRICT HOSPITAL
DIRECTORY
Alfred Nzo District Municipality Amathole District Municipality

Mount Frère Butterworth
Private Bag 9002 Private Bag X3051
Mount Frere Butterworth
5090 4960

MOUNT AYLIFF CATHCART DISTRICT HOSPITAL
DISTRICT HOSPITAL
Amathole District Municipality
Alfred Nzo District Municipality
Cathcart
Mount Ayliff Private Bag X10
Private Bag X504 Cathcart
Mount Ayliff 5310
4735

SIPETU DISTRICT HOSPITAL KOMGA HOSPITAL
(Provincial Aided)
Alfred Nzo District Municipality
Amathole District Municipality
Ntabankulu
Private Bag X9005 Komga
Mount Frere Post Box 33
5090 Komga
4950

ST. PATRICK’S DISTRICT HOSPITAL MADWALENI DISTRICT HOSPITAL

Alfred Nzo District Municipality Amathole District Municipality

Bizana Elliotdale
Private Bag X531 Private Bag X519
Bizana Elliotdale
4800 5070

44 HASA PULSE #2 THE MENTAL HEALTH ISSUE

NOMPUMELELO FRERE PROVINCIAL HOSPITAL WILLOWMORE HOSPITAL
DISTRICT HOSPITAL (Provincial Aided)
Amathole District Municipality Buffalo City Metropolitan
Peddie Municipality Cacadu District Municipality
Private Bag X13
Peddie East London Willowmore
5640 Private Bag X9047 Private Bag X239
East London Willowmore
S.S. GIDA DISTRICT HOSPITAL 5200 6680
Amathole District Municipality
King Williams Town B J VORSTER DISTRICT HOSPITAL ALL SAINTS DISTRICT HOSPITAL
Private Bag X012
Keiskammahoek Cacadu District Municipality Chris Hani District Municipality
5670
Kareedouw Engcobo
Private Bag 41 Private Bag X215
Kareedouw Engcobo
6400 5050

STUTTERHEIM DISTRICT HOSPITAL KOUGA PARTNERSHIP/ CALA DISTRICT HOSPITAL
(Provincial Aided) HUMANSDORP HOSPITAL Chris Hani District Municipality
(Provincial Aided) Cala
Amathole District Municipality Private Bag X516
Cacadu District Municipality Cala
Stutterheim 5455
Post Box 40 Humansdorp
Stutterheim Private Bag X536 CONFIMVABA DISTRICT HOSPITAL
4930 Humansdorp Chis Hani District Municipality
6300 Cofimvaba
Private Bag X1207
THAFALOFEFE DISTRICT HOSPITAL S.A.W.A.S MEMORIAL Confimvaba
DISTRICT HOSPITAL 5380
Amathole District Municipality (Provincial Aided)
DORDRECHT DISTRICT HOSPITAL
Kentani Cacadu District Municipality (Provincial Aided)
Private Bag X4960 Chris Hani District Municipality
Butterworth Jansenville Dordrecht
4960 Private Bag 3 Post Box 80
Jansenville Dordrecht
6265 5435

VICTORIA DISTRICT HOSPITAL, SOMERSET EAST HOSPITAL ELLIOT DISTRICT HOSPITAL
LOVEDALE Chris Hani District Municipality
Cacadu District Municipality Elliot
Amathole District Municipality Post Box 523
Somerset East Elliot
Fort Beaufort/Alice Private Bag X03 5460
Private Bag X1300 Somerset East
Alice 5850 45
5700

BHISHO DISTRICT HOSPITAL SUNDAY’S VALLEY
(Provincial Aided)
Buffalo City Metropolitan
Municipality Cacadu District Municipality

King Williams Town Kirkwood
Private Bag X0043 Post Box 68
Bisho Kirkwood
5605 6120

HASA PULSE #2 THE MENTAL HEALTH ISSUE

FRONTIER REGIONAL HOSPITAL STERKSTROOM HOSPITAL EMPILISWENI DISTRICT HOSPITAL
(Provincial Aided)
Chris Hani District Municipality Nelson Mandela Bay
Chris Hani District Municipality Metropolitan Municipality
Queenstown
Private Bag X7063 Sterkstroom Motherwell
Queenstown Post Box 168 Private Bag X5016
5320 Sterkstroom Sterkspruit
5425 9762

GLEN GREY HOSPITAL BURGERSDORP LIVINGSTONE PROVINCIAL
Chris Hani District Municipality DISTRICT HOSPITAL HOSPITAL (TERTIARY)
Lady Frere Joe Gqabi District Municipality
Private Bag X1142 Burgersdorp Nelson Mandela Bay
Lady Frere Private Bag X6 Metropolitan Municipality
5410 Burgersdorp Gqeberha
9744 Stanford Road
HEWU DISTRICT HOSPITAL Korsten
(PPE/Life Esidimeni) JAMESTOWN HOSPITAL Gqeberha
Chris Hani District Municipality (Provincial Aided) 6000
Whittlesea/Sada Joe Gqabi District Municipality
Post Box 1409 Aliwal North PORT ELIZABETH PROVINCIAL
Queenstown Private Bag X03 HOSPITAL (TERTIARY)
5320 Jamestown
9742 Nelson Mandela Bay
INDWE HOSPITAL Metropolitan Municipality
(Provincial Aided) MACLEAR HOSPITAL Gqeberha
Chris Hani District Municipality (Provincial Aided) Buckingham Road
Indwe Joe Gqabi District Municipality Gqeberha
Private Bag 1 Maclear 6000
Indwe Post Box 93
5445 Maclear UITENHAGE DISTRICT HOSPITAL
5480
Nelson Mandela Bay
Metropolitan Municipality
Uitenhage
Private. Bag X36
Uitenhage
6230

MARTJE VENTER TAYLER BEQUEST BAMBISANA DISTRICT HOSPITAL
DISTRICT HOSPITAL DISTRICT HOSPITAL ( O.R.Tambo District Municipality
(Provincial Aided) MT FLETCHER ELUNDINI) Lusikisiki
Chris Hani District Municipality Private Bag X1046
Tarkastad Joe Gqabi District Municipality Lusikisiki
Post Box 45 Mount Fletcher 4820
Tarkastad Private Bag X1129
5370 Mount Fletcher CANZIBE DISTRICT HOSPITAL
4770 O.R.Tambo District Municipality
MOLTENO DISTRICT HOSPITAL Umtata
(Provincial Aided) DORA NGINZA PROVINCIAL Private Bag 104
Chris Hani District Municipality HOSPITAL (TERTIARY) Ngqeleni
Molteno 5140
Post Box 132 Nelson Mandela Bay
Molteno Metropolitan Municipality HASA PULSE #2 THE MENTAL HEALTH ISSUE
5500 Bethelsdorp
Private Bag X11951
46 Gqeberha
6000

DR MALIZO MPHELE ST. BARNABAS EASTERN CAPE
DISTRICT HOSPITAL DISTRICT HOSPITAL PRIVATE
O.R.Tambo District Municipality O.R.Tambo District Municipality
Tsolo Umtata HOSPITALS
Private Bag X1004 Post Box 15
Tsolo Libode arranged by district
5170 5114 municipality

ISILIMELA DISTRICT HOSPITAL ST. ELIZABETH’S MISSION MATATIELE PRIVATE HOSPITAL
O.R.Tambo District Municipality REGIONAL HOSPITAL Independent
Port St .Johns O.R.Tambo District Municipality Alfred Nzo District Municipality
Private Bag X1021 Lusikisiki Matatiele
Port St. Johns Private Bag X1007 Post Box 1392
4930 Lusikisiki Matatiele
4820 4730

HOLY CROSS DISTRICT HOSPITAL ST. LUCY’S DISTRICT HOSPITAL BEACON BAY HOSPITAL
Life Healthcare
O.R.Tambo District Municipality O.R.Tambo District Municipality Buffalo City Metropolitan
Municipality
Flagstaff Tsolo East London
Private Bag X1001 Post Box St.Cuthberts Post Box 1585
Flagstaff Tsolo East London
4811 5170 5200

MJANYANA DISTRICT HOSPITAL ZITHULELE DISTRICT HOSPITAL EAST LONDON PRIVATE HOSPITAL
Life Healthcare
O.R.Tambo District Municipality O.R.Tambo District Municipality Buffalo City Metropolitan
Municipality
Umtata Umtata East London
Post Box 1204 Private Bag X504 Post Box 1585
Idutywa Mqanduli East London
5050 5080 5200

MTHATHA GENERAL PROVINCIAL ST. DOMINIC’S HOSPITAL
HOSPITAL (TERTIARY) Life Healthcare
O.R.Tambo District Municipality Buffalo City Metropolitan
Umtata Municipality
Private Bag X5014 East London
Mthatha Post Box 11187
5100 Southernwood
5213
NESSIE KNIGHT
DISTRICT HOSPITAL SETTLERS DISTRICT HOSPITAL
O.R.Tambo District Municipality (PRIVATE/PUBLIC)
Qumbu Netcare
Private Bag X420 Cacadu District Municipality
Qumbu Makhanda
5180 Post Bag X1007
Makhanda
HASA PULSE #2 THE MENTAL HEALTH ISSUE 6140

47

ISIVANA PRIVATE HOSPITAL ST. GEORGE’S HOSPITAL KWAZULU-NATAL
Life Healthcare Life Healthcare PUBLIC

Cacadu District Municipality Nelson Mandela Bay HOSPITALS
Metropolitan Municipality
Humansdorp arranged by district
Post Box 12051 Gqeberha municipality
Centrahill Post Box 12051
6006 Centrahill MADADENI REGIONAL HOSPITAL
6006 Amajuba District Municipality
Newcastle
PORT ALFRED DISTRICT HOSPITAL MTHATHA PRIVATE HOSPITAL Private Bag X6642
(PRIVATE/PUBLIC) Independent Newcastle
Netcare 2940
O.R.Tambo District Municipality
Cacadu District Municipality NEWCASTLE REGIONAL HOSPITAL
Umtata Amajuba District Municipality
Port Alfred Post Box 522 Newcastle
Post Box 227 Mthatha Private Bag X6653
Port Alfred 5099 Newcastle
6170 2940

QUEENSTOWN PRIVATE HOSPITAL ST. MARY’S PRIVATE HOSPITAL
Life Healthcare Life Healthcare

Chris Hani District Municipality O.R.Tambo District Municipality

Queenstown Umtata
Post Bag X7183 Post Box 52780
Queenstown Mthatha
5320 5100

CUYLER CLINIC NIEMEYER MEMORIAL
Netcare DISTRICT HOSPITAL
Nelson Mandela Bay Amajuba District Municipality
Metropolitan Municipality Newcastle
Uitenhage Private Bag X1004
Post Box 1082 Utrecht
Uitenhage 2980
6230
DR PIXLEY ISAKA SEME MEMORIAL
GREENACRES HOSPITAL HOSPITAL
Netcare eThekwini Metropolitan
Nelson Mandela Bay Municipality
Metropolitan Municipality KwaMashu
Gqeberha 310 Bhejane Street
Post Box 27488 KwaMashu
Greenacres 4360
6057
HILLCREST PUBLIC HOSPITAL
MERCANTILE PRIVATE HOSPITAL eThekwini Metropolitan
Life Healthcare Municipality
Nelson Mandela Bay Hillcrest
Metropolitan Municipality Private Bag X7001
Gqeberha Hillcrest
Post Box 4031 3650
Korsten
6014 HASA PULSE #2 THE MENTAL HEALTH ISSUE

48

INKOSI ALBERT LUTHULI CENTRAL R.K. KHAN REGIONAL HOSPITAL CHRIST THE KING
(TERTIARY) (DISTRICT) DISTRICT HOSPITAL

eThekwini Metropolitan eThekwini Metropolitan Sisonke District Municipality
Municipality Municipality
Ixopo
Durban Chatsworth Private Bag X542
Private Bag X03 Private Bag X004 Ixopo
Mayville Chatsworth 3276
4058 4030

ADDINGTON ST. MARY’S HOSPITAL EAST GRIQUALAND AND USHER
REGIONAL HOSPITAL MARIANHILL MEMORIAL DISTRICT HOSPITAL
(Provincial Aided) Sisonke District Municipality
eThekwini Metropolitan Kokstad
Municipality eThekwini Metropolitan Private Bag X506
Durban Municipality Kokstad
Post Box 977 3699
Durban Pinetown
4000 170 Abbot Francis Road RIETVLEI DISTRICT HOSPITAL
Mariannhill Sisonke District Municipality
KING EDWARD VIII REGIONAL Pinetown, 3610 Harding
HOSPITAL (TERTIARY) Post Box 501
WENTWORTH HOSPITAL Port Shepstone
eThekwini Metropolitan 4240
Municipality eThekwini Metropolitan
Durban Municipality
Private Bag X02
Congella Durban
4013 1 Boston Road
Bluff
4026

KING GEORGE V MONTEBELLO DISTRICT HOSPITAL ST. APOLLINARIS
REGIONAL HOSPITAL DISTRICT HOSPITAL
iLembe District Municipality
eThekwini Metropolitan Sisonke District Municipality
Municipality Wartburg
Fawn Leas Road Bulwer
Durban Montebello Private Bag X206
Stanley Copley Drive 90640 Creighton
Sydenham 3263
4091

MAHATMA GANDHI MEMORIAL STANGER REGIONAL HOSPITAL G.J. CROOKES
HOSPITAL (REGIONAL) (PROVINCIAL) DISTRICT HOSPITAL

eThekwini Metropolitan iLembe District Municipality Ugu District Municipality
Municipality
Ballito Scottburgh
Phoenix Private Bag X10609 Private Bag X5501
Private Bag X13 Stanger Scottsburgh
Mount Edgecombe 4450 4180
4300

PRINCE MSHIYENI MEMORIAL UMPHUMULO MURCHISON DISTRICT HOSPITAL
HOSPITAL (REGIONAL) DISTRICT HOSPITAL
Ugu District Municipality
eThekwini Metropolitan iLembe District Municipality
Municipality Port Shepstone
Mapumulo Private Bag X701
Umlazi Private Bag X9219 Port Shepstone
Private Bag X07 Maphumulo 4240
Mobeni 4470
4000

HASA PULSE #2 THE MENTAL HEALTH ISSUE 49

PORT SHEPSTONE MOSVOLD DISTRICT HOSPITAL ESHOWE DISTRICT HOSPITAL
REGIONAL HOSPITAL
Umkhanyakude District Uthungulu District Municipality
Ugu District Municipality Municipality
Empangeni
Port Shepstone Ingwavuma Private Bag 504
Private Bag X5706 Private Bag X2211 Eshowe
Port Shepstone Ingwavuma 3815
4240 3968

ST. ANDREWS DISTRICT HOSPITAL NORTHDALE DISTRICT HOSPITAL LADYSMITH REGIONAL HOSPITAL
(PROVINCIAL)
Ugu District Municipality uMgungundlovu District
Municipality Uthukela District Municipality
Harding
Private Bag X1010 Pietermaritzburg Metro Ladysmith
Harding Private Bag X9006 Private Bag X9928
4680 Pietermaritzburg Ladysmith
3201 3370

APPELBOSCH DISTRICT HOSPITAL EMMAUS DISTRICT HOSPITAL MBONGOLWANE
DISTRICT HOSPITAL
uMgungundlovu District Municipality Uthukela District Municipality
Wartburg Uthungulu District Municipality
Private Bag X215 Bergville
Ozwathini Private Bag X16 Manidin
3242 Winterton Private Bag X126
3340 Kwa-Pett
3820

EDENDALE REGIONAL HOSPITAL CATHERINE BOOTH NGWELEZANE REGIONAL
DISTRICT HOSPITAL HOSPITAL (TERTIARY)
uMgungundlovu District Uthungulu District Municipality
Municipality Uthungulu District Municipality Empangeni
Private Bag X20021
Pietermaritzburg Metro Empangeni Empangeni
Private Bag X509 Private Bag X105 3880
Plessislaer Amatikulu
3216 3801 NKANDLA PROVINCIAL HOSPITAL
Uthungulu District Municipality
GREY’S TERTIARY HOSPITAL EKHOMBE DISTRICT HOSPITAL Nkandla
Private Bag X102
uMgungundlovu District Uthungulu District Municipality Nkandla
Municipality 3855
Nkandla
Pietermaritzburg Metro Private Bag X20
Private Bag X900 Kranskop
Pietermaritzburg 3268
3200

BETHESDA DISTRICT HOSPITAL ESTCOURT PROVINCIAL HOSPITAL QUEEN NANDI
Umkhanyakude District REGIONAL HOSPITAL
Municipality Uthukela District Municipality (EMPANGENI HOSPITAL)
Mkuze
Private Bag X605 Estcourt Uthungulu District Municipality
Ubombo Private Bag X7058
3970 Estcourt Empangeni
3310 Private Bag X20005
50 Empangeni
3880

HASA PULSE #2 THE MENTAL HEALTH ISSUE