lodge complaint button
commissioners button
programmes button
provinces button
publications button
calendar button
fraud hotline button

Kwazulu-Natal's Cancer Crisis Fuels Demand for End of Life Care

25 August 2017

Health workers brace for an increased need for palliative care as waiting lists grow.

KwaZulu-Natal has just two public-sector oncologists left. As the province scrambles to recruit new specialists, treatment waiting lists grow and so too does the demand for specialised care for the sick and dying.

Durban lost its last public oncologist in June. The doctor had been one of just three state oncologists left in the province after a flood of resignations, a damning South African Human Rights Commission report into provincial cancer services shows.

Released just days after the Durban doctor's departure, the document reveals that, on average, the province lost one oncologist each month over a five-month period.

The provincial health department has blamed the exodus of specialists on more lucrative offers from the private sector, but health professionals told the commission that mismanagement was driving specialists away. In a May letter to the department, the South African Medical Association listed cancer services as one of nine public health "crises" that it said provincial health MEC Sibongiseni Dhlomo had failed to address.

In the wake of the most recent resignation, the KwaZulu-Natal health department has continued to recruit new oncologists and contracted private-sector oncologists and radiotherapists to provide treatment at the Inkosi Albert Luthuli Central Hospital, department spokesperson Sam Mkhwanazi said in June. The department did not respond to queries sent this week.

Health Minister Aaron Motsoaledi has developed a two-week plan to resuscitate cancer services in the province and the department is working with the provincial treasury on issues such as staffing and procurement, says national health department spokesperson Joe Maila.

'This never should have happened'

By the time the commission began investigating oncology services in 2016, patients were waiting five months to see an oncologist and eight months or more for radiotherapy, the report shows. Now, health professionals say some patients are being told they will only be seen in 2018.

Source: All Africa

About us

Understanding PAIA

The Human Rights Commission is the national institution established to support constitutional democracy. It is committed to promote respect for, observance of and protection of human rights for everyone without fear or favour.

Sentinel House, Sunnyside Office Park, 32 Princess of Wales Terrace, Parktown, Johannesburg, South Africa

011 877 3600 (Switchboard)