The agreement has seen approximately R1bn allocated to scarce skills and
rural allowances for more than 50000 health-care professionals since July 2003
as part of governments efforts to retain staff in public hospitals and in
clinics.
Research published by the Health Systems Trust last year showed 27% of public
sector posts for health-care professionals stood empty, amounting to about 46000
jobs.
Doctors and nurses frequently quit for better pay and working conditions in
the private sector or overseas. A 2003 study by the Organisation for Economic
Co-operation and Development found there were 23407 medical professionals from
SA working in Australia, New Zealand, Canada, the US and Britain, while a third
of the countrys hospital posts for doctors stood empty.
The health departments head of human resources, Percy Mahlati, said the
allowances would remain in place at least until a new remuneration system for
health-care professionals had been finalised with trade unions and the
department of public service and administration. The national treasury had
assured the department that there was further funding for the allowances
provided to the provinces as part of their share of the budget.
Critics of the allowances say they have failed to retain significant numbers
of doctors and nurses in the public sector, and had sown division among staff.
KwaZulu-Natals former head of health, Ronald Green- Thomson, told
Parliament in April that while the extra money was welcome, it had neither
attracted nor retained health-care personnel in significant numbers.
Mahlati conceded that the scarce-skills allowances had experienced mixed
success, noting that they had been most effective with doctors.
But not everyone is covered