No Christmas for unpaid Tshwane community health workers

Covi19: Community health workers vulnerable
CHWs conducting covid19 screening in Mphego Village experiencing challenges(File photo)
Thousands of health care workers may be affected by the delay in payments
Thousands of health care workers may
be affected by the delay in payments

Gauteng AIDS NGOs Support Committee Tshwane Chairperson Diane Noyile says she is worried about losing the commitment of both volunteers and non-governmental organisations (NGOs).

“People are demoralized,” she says. “Soon the HIV and tuberculosis patients we support will suffer.”

Community health worker receive stipends to carry out work such as home-based care and treatment adherence support. Historically, in many cases these stipends have been funded by the department of health but paid through the local NGOs that employed the workers.

This year, the Gauteng Department of Health and NGOs agreed that at least some community health workers would be paid directly by the department. In September, more than 8,000 community health care workers signed a six-month contract with the department to receive a R2 263 monthly stipend for their work.

The move was, in part, prompted by community health workers’ frequent complaints that NGOs paid stipends late, according to Abel Masemola, a project manager at Vukani Community Health.

“We have been told by the health department that we are not paying our volunteers on time and therefore our volunteers need to be paid directly from the provincial health department,” he said. “Now the provincial health department themselves are not paying our people.”

Emily Dlamini is a community health care worker with the Winterveldt HIV/AIDS Project. She became a community health worker in 2009 after being moved by sight of people languishing in queues for HIV treatment in her neighbourhood.

Now, the mother of four says that without pay soon – there will be no Christmas for her and her family.

“Every year, I take my children out to places like zoo and restaurants to celebrate the festive season,” she says, “On Christmas, we cook and eat delicious meal, but this year things are different.”

“I have no money and no food, let alone the plans for Christmas,” says Dlamini, adding that she has exhausted the support of her family and friends.

“I walk to work each day because none of my friends is willing to borrow me money because I am a bad payer,” she adds. “My family depends on child social grants now, and that is not right at all.”

Committed, Dlamini says she will continue to work without pay until the end of December – mostly for her patients.

Gauteng Department of Health spokesperson Phume Khumalo attributed the delay in payment to data capturing problems with the department’s community health worker database.

 “There were glitches in capturing all the workers’ information,” Khumalo says. “(When) we fix that, payments will be released.”

In the meantime, Noyile encourages community health workers to continue working albeit unpaid. The organization is continuing to liaise with the department on the issue.

“Although the care workers’ morale is quite down, we encourage them to keep working while we communicate with the health department,” she adds. –Health-e News Service.


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  1. Dear Health e,

    I will just want to state that there was no agreement between the Department of health and NGOs for the Department to pay the
    community health workers, this was the decision taken by Department of Health only, NGOs were just told by the Health Department of the decision made to directly pay the Community Health Workers. We have tried numerous times to show the Health Department there problems that this decision could create. At this point in time we have some Community Health Workers who were payed yesterday in Tshwane, some were payed for two months, some were payed four months, some were not payed at all.This creates frustration and it demoralise the Community Health Workers and it could cripple the service to our patients and communities.

    Yours in Service
    Dianne Noyile(GANSC Deputy Secretary/Tshwane Chairperson)

  2. It is so sad because the people suffering are the poor of the poorest. While officials are sitting there with people’s money. I’m sure this is not what Tata Mandela fought for.

  3. There is always a solution hence we need to sit together and find a way to support these care workers. It is not right, they have given their time – what would happen if they were not there? Can we arrange Support net to this group?

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