The Health and social security chapter

The health and social security chapter presents 78 pages of detail on the South African health care and social security systems. A section on health resources and services covers expenditure, access to medical insurance, medical personnel, hospitals, rates of immunisation, blood transfusion, circumcisions, and condom use. Also included is a section that tracks policy matters and provides information on the proposed National Health Insurance (NHI) scheme and the ongoing controversy concerning medical aids and prescribed minimum benefits. The health indicators section presents figures on mortality, nutrition, HIV/AIDS, and other diseases.
Click here to sign up
Join the conversation
You are here: Home Reports & Publications South Africa Survey South Africa Survey Online 2011/2012 The Health and social security chapter

The Health and social security chapter

The health and social security chapter presents 78 pages of detail on the South African health care and social security systems. A section on health resources and services covers expenditure, access to medical insurance, medical personnel, hospitals, rates of immunisation, blood transfusion, circumcisions, and condom use. Also included is a section that tracks policy matters and provides information on the proposed National Health Insurance (NHI) scheme and the ongoing controversy concerning medical aids and prescribed minimum benefits. The health indicators section presents figures on mortality, nutrition, HIV/AIDS, and other diseases.

2012-Survey----Health-and-Social-Security-(WEB)-1.jpg The social security section provides an overview of how much is spent on social security and to whom this money goes. Data on social grant beneficiaries is available by type of social grant and by province and goes back to 1994. There is also information on how much South Africa spends on social security both as a proportion of total government expenditure and as a proportion of GDP. The section concludes with figures on care options for orphaned children, where trends in foster care, adoptions, and child and youth care centres are highlighted.

 

Subscribers:

Adobe PDF Download Adobe PDF

Excel Spreadsheet Download Excel Spreadsheet

Non-subscribers:

Magento Purchase Chapter

Register Subscribe

Table of contents:

HEALTH RESOURCES AND SERVICES 516
Expenditure 516
Public expenditure 516
Health and other spending, 1994/95–2013/14 516
Budgeted health expenditure 516
Consolidated national and provincial spending,  
 1994/95–2014/15 516
Public health expenditure as a proportion of total  
 government expenditure, 1995–2010 517
Public health expenditure as a proportion of GDP,  
 2002–2010 518
Private out-of-pocket health expenditure 519
Out-of-pocket health expenditure as a proportion of  
 private health expenditure, 1995–2010 519
International comparisons 520
Health expenditure, selected countries, 2010 520
Health expenditure, emerging markets, 2010 521
Health expenditure, selected African countries, 2010 522
Structure of responsibility 523
Responsibilities of national, provincial, and district  
 departments of health 523
Regulatory bodies 523
Medicines Control Council 523
Compensation Commission for Occupational Diseases 524
Council for Medical Schemes 524
South African Medical Research Council 524
Allied Health Professions Council of South Africa 524
South African Nursing Council 524
South African Dental Technicians Council 524
South African Pharmacy Council 524
Health Professions Council of South Africa 524
Medical insurance 525
Beneficiaries of medical aid schemes, 1997–11 525
Beneficiaries of medical aid schemes as a proportion of  
 total population, 1997–2011 525
Medical aid beneficiaries by province, 2004–11 526
Beneficiaries by province as a proportion of provincial  
 population, 2011 526
Medical aid coverage by province and race, 2011 527
Medical aid coverage by race, 2011 528
Medical aid coverage by race, 2002-11 528
Policy matters 529
Prescribed Minimum Benefits 529
National Health Insurance (NHI) 530
Medical personnel 531
All personnel 531
University and university of technology health sciences  
 awards by race, 1991–2010 531
Doctors 532
Medical graduates by institution, 2000–08 532
Public sector doctors by province, 2000–12 532
Clinical associates 533
South African doctors abroad and foreign doctors in  
 South Africa 533
Nurses 534
Public sector professional nurses by province,  
 2000–12 534
Output of nurses, private and public, 2000–10 534
Government nursing colleges by province, 2009 534
Doctors and nurses 535
Public sector people-to-doctor and people-to-nurse  
 ratio, 2011 535
Public sector medical personnel vacancies by  
 province, 2010 535
International comparisons 536
Physicians per 1 000  people, selected countries,  
 2003–10 536
Hospitals and clinics 537
Clinics  537
Hospitals  537
Public  537
Public hospitals by type and province, 2011 537
Private and public  538
Beds in public and private sector hospitals by province,  
 2010 and 2011 538
Hospitals in each province, 2010 and 2011 539
Hospitals, private and public sectors, 2010 and 2011 539
International comparisons 540
Hospital beds per 1 000 people, selected countries,  
 2003-08 540
Medicines 541
Medicines Control Council 541
Pharmacies 542
Registered pharmacists by province, 2003–11 542
Public sector pharmacists by province, 2000–2012 542
Public sector pharmacists as a proportion of  
 registered pharmacists, 2011 543
Private sector pharmacies 543
Vaccination and immunisation 544
Immunisation coverage of children under one year,  
 2000–10 544
Rates of immunisation and TB treatment, selected  
 countries, 2008, 2009 and 2010 545
Blood transfusion 546
Blood donation by race, 2006–09 546
Circumcisions 546
Male circumcision by province, 2009 546
Condom use 546
Condom use among adults, 2002–08 546
HEALTH INDICATORS 547
Mortality 547
Infant and under-five mortality 547
Infant mortality rate by province, 1994–2011 547
Under-five mortality rate by province, 1994–2011 548
Infant and under-five mortality rate, 1994–2011 548
Under-five mortality rate, selected countries,  
 1970–2010 549
Under-five mortality rate, emerging markets,  
 1970–2010 550
Under-five mortality rate, selected African countries,  
 1970–2010 551
Still birth rate by province, 2001–10 552
Still birth rate by district municipality,  
 2003/04–2008/09 552
Maternal mortality 552
Maternal deaths, 1990–2011 552
Unnecessary deaths of mothers, 2005–07 552
Causes of death 552
Leading causes of death, 2004–09 553
Top five causes of death, 2009 553
Causes of death by race, 2009 554
Causes of death, all races, 2009 556
Deaths by age and year of death 557
Deaths by age and year of death, 1997–2009 557
Termination of pregnancy 559
Termination of pregnancy by province, 1997–2010 559
Termination of pregnancy by age, 2001–06 560
Nutrition 561
Malnutrition 561
Severe malnutrition among under fives, 2001–08 561
Severe malnutrition among under fives by province,  
 2001–10 561
Household food adequacy by province, 2011 562
Obesity 562
Weight patterns by race and gender 562
Obese people by race and sex 563
Diseases 563
Cholera 563
Cholera cases and deaths, 1994–2009 563
Diarrhoea 564
Diarrhoea incidence among under fives by province,  
 2001–10 564
Diarrhoea incidence among under-fives, 2001–10 564
Malaria 565
Malaria cases and deaths, 1971–2011 565
Malaria deaths, 1971–2011 565
Measles 566
Reported cases of measles by province, 2008–11 566
Reported cases of measles by province, 2011 566
Tuberculosis (TB) 567
TB prevalence and death rates, 1990–2010 567
TB cases and pulmonary TB cases reported,  
 1995–2007 567
TB treatment rate, 1994–2009 568
Reported TB deaths by province, 2006–08 568
Incidence of TB per 100 000 people, 2010 569
HIV AND AIDS 570
Current data 570
Population segments living with HIV/AIDS 570
South African population as a proportion of  
 world population, 2010 570
South African HIV/AIDS cases as a proportion of  
 world HIV/AIDS cases, 2010 570
People living with HIV/AIDS by province, 2012 571
Historical trends 572
All infections 572
New HIV infections by year, 1999–2011 572
Adult infection 573
Adult HIV-prevalence rates by race, 1991-2011 573
Female infection 574
HIV infection rates of women attending public  
 antenatal clinics by province, 1992–2010 574
HIV infection rates of women attending public  
 antenatal clinics, 1992–2010 574
HIV infection rates of women attending public  
 antenatal clinics by province, 2010  575
HIV infection rates of women attending public  
 antenatal clinics by age, 1997–2010 575
Projected prevalence rates 576
HIV prevalence rate by province, 2002–25 576
HIV prevalence rates, 2002–25 576
Persons in need of ART and persons receiving  
 ART, 2005–11 577
Children receiving ART, 2005–10 577
International comparisons 578
Regional HIV/AIDS statistics, 2003–10 578
HIV prevalence among adults aged 15–24 by sex  
 and region, 2010 579
SOCIAL SECURITY 580
Social security budget 580
Social security and other spending, 1994/95–2013/14 580
Budgeted social security expenditure 580
National and provincial social security budget  
 allocations, 2012/13–2014/15 580
Structure of responsibility 581
Responsibilities of national, provincial, and district  
 departments of social development 581
South African Social Security Agency (SASSA) 581
Social security personnel and services 582
Population to social worker ratio by province, 2011 582
Social grants 583
Beneficiaries of social grants, 2001–2014/15 583
Social grant beneficiaries by province, 2011/12 584
Type of grant as a proportion of total grants,  
 2001–2012/13 585
Type of grant expenditure as a proportion of total  
 grant expenditure, 2011/12 585
Proportion of total grant expenditure per grant  
 type, 2011/12 586
Total social grant beneficiaries as a proportion of  
 total national population, 2001–2012/13 586
Selected social grant beneficiaries as a proportion of  
 total national population, 2001–2012/13 586
Old-age pension recipients as a proportion of over 60s,  
 2001–2012/13 587
Grants as proportion of total government expenditure,  
 2001-2011/12  587
Social grant expenditure as a proportion of GDP,  
 2003/04-2010/11 587
Increase in old-age grant in real terms, 1994-2011 588
Monthly value of social grants, April 2006–April 2012 589
Child support grant recipient numbers and payments,  
 October 1998–May 2008 589
Disability grant, 2001–2014/15 590
People with disabilities by sex, 1996–2009 590
War veterans grant, 2001–2014/15 590
Foster care, adoptions, and child and youth care centres 591
Foster care grant application backlogs by  
 province, 2012 591
Adoptions, 2004–12 591
Cross-racial adoptions by age group,  
 1 April–25 September 2012 592
Children in foster care by province, 2012 592
Child and youth care centres and the number of  
 children they accommodate by province, 2012 592
Orphans, adoptions, and children in foster care and  
 child and youth care centres, 2010–12 593
Private institutions and provision 593
Corporate Social Investment funding 593
Government funding 593

IRR TV

2012-Survey----Health-and-Social-Security-(WEB)-1.jpg The social security section provides an overview of how much is spent on social security and to whom this money goes. Data on social grant beneficiaries is available by type of social grant and by province and goes back to 1994. There is also information on how much South Africa spends on social security both as a proportion of total government expenditure and as a proportion of GDP. The section concludes with figures on care options for orphaned children, where trends in foster care, adoptions, and child and youth care centres are highlighted.

 

Subscribers:

Adobe PDF Download Adobe PDF

Excel Spreadsheet Download Excel Spreadsheet

Non-subscribers:

Magento Purchase Chapter

Register Subscribe

Table of contents:

HEALTH RESOURCES AND SERVICES 516
Expenditure 516
Public expenditure 516
Health and other spending, 1994/95–2013/14 516
Budgeted health expenditure 516
Consolidated national and provincial spending,  
 1994/95–2014/15 516
Public health expenditure as a proportion of total  
 government expenditure, 1995–2010 517
Public health expenditure as a proportion of GDP,  
 2002–2010 518
Private out-of-pocket health expenditure 519
Out-of-pocket health expenditure as a proportion of  
 private health expenditure, 1995–2010 519
International comparisons 520
Health expenditure, selected countries, 2010 520
Health expenditure, emerging markets, 2010 521
Health expenditure, selected African countries, 2010 522
Structure of responsibility 523
Responsibilities of national, provincial, and district  
 departments of health 523
Regulatory bodies 523
Medicines Control Council 523
Compensation Commission for Occupational Diseases 524
Council for Medical Schemes 524
South African Medical Research Council 524
Allied Health Professions Council of South Africa 524
South African Nursing Council 524
South African Dental Technicians Council 524
South African Pharmacy Council 524
Health Professions Council of South Africa 524
Medical insurance 525
Beneficiaries of medical aid schemes, 1997–11 525
Beneficiaries of medical aid schemes as a proportion of  
 total population, 1997–2011 525
Medical aid beneficiaries by province, 2004–11 526
Beneficiaries by province as a proportion of provincial  
 population, 2011 526
Medical aid coverage by province and race, 2011 527
Medical aid coverage by race, 2011 528
Medical aid coverage by race, 2002-11 528
Policy matters 529
Prescribed Minimum Benefits 529
National Health Insurance (NHI) 530
Medical personnel 531
All personnel 531
University and university of technology health sciences  
 awards by race, 1991–2010 531
Doctors 532
Medical graduates by institution, 2000–08 532
Public sector doctors by province, 2000–12 532
Clinical associates 533
South African doctors abroad and foreign doctors in  
 South Africa 533
Nurses 534
Public sector professional nurses by province,  
 2000–12 534
Output of nurses, private and public, 2000–10 534
Government nursing colleges by province, 2009 534
Doctors and nurses 535
Public sector people-to-doctor and people-to-nurse  
 ratio, 2011 535
Public sector medical personnel vacancies by  
 province, 2010 535
International comparisons 536
Physicians per 1 000  people, selected countries,  
 2003–10 536
Hospitals and clinics 537
Clinics  537
Hospitals  537
Public  537
Public hospitals by type and province, 2011 537
Private and public  538
Beds in public and private sector hospitals by province,  
 2010 and 2011 538
Hospitals in each province, 2010 and 2011 539
Hospitals, private and public sectors, 2010 and 2011 539
International comparisons 540
Hospital beds per 1 000 people, selected countries,  
 2003-08 540
Medicines 541
Medicines Control Council 541
Pharmacies 542
Registered pharmacists by province, 2003–11 542
Public sector pharmacists by province, 2000–2012 542
Public sector pharmacists as a proportion of  
 registered pharmacists, 2011 543
Private sector pharmacies 543
Vaccination and immunisation 544
Immunisation coverage of children under one year,  
 2000–10 544
Rates of immunisation and TB treatment, selected  
 countries, 2008, 2009 and 2010 545
Blood transfusion 546
Blood donation by race, 2006–09 546
Circumcisions 546
Male circumcision by province, 2009 546
Condom use 546
Condom use among adults, 2002–08 546
HEALTH INDICATORS 547
Mortality 547
Infant and under-five mortality 547
Infant mortality rate by province, 1994–2011 547
Under-five mortality rate by province, 1994–2011 548
Infant and under-five mortality rate, 1994–2011 548
Under-five mortality rate, selected countries,  
 1970–2010 549
Under-five mortality rate, emerging markets,  
 1970–2010 550
Under-five mortality rate, selected African countries,  
 1970–2010 551
Still birth rate by province, 2001–10 552
Still birth rate by district municipality,  
 2003/04–2008/09 552
Maternal mortality 552
Maternal deaths, 1990–2011 552
Unnecessary deaths of mothers, 2005–07 552
Causes of death 552
Leading causes of death, 2004–09 553
Top five causes of death, 2009 553
Causes of death by race, 2009 554
Causes of death, all races, 2009 556
Deaths by age and year of death 557
Deaths by age and year of death, 1997–2009 557
Termination of pregnancy 559
Termination of pregnancy by province, 1997–2010 559
Termination of pregnancy by age, 2001–06 560
Nutrition 561
Malnutrition 561
Severe malnutrition among under fives, 2001–08 561
Severe malnutrition among under fives by province,  
 2001–10 561
Household food adequacy by province, 2011 562
Obesity 562
Weight patterns by race and gender 562
Obese people by race and sex 563
Diseases 563
Cholera 563
Cholera cases and deaths, 1994–2009 563
Diarrhoea 564
Diarrhoea incidence among under fives by province,  
 2001–10 564
Diarrhoea incidence among under-fives, 2001–10 564
Malaria 565
Malaria cases and deaths, 1971–2011 565
Malaria deaths, 1971–2011 565
Measles 566
Reported cases of measles by province, 2008–11 566
Reported cases of measles by province, 2011 566
Tuberculosis (TB) 567
TB prevalence and death rates, 1990–2010 567
TB cases and pulmonary TB cases reported,  
 1995–2007 567
TB treatment rate, 1994–2009 568
Reported TB deaths by province, 2006–08 568
Incidence of TB per 100 000 people, 2010 569
HIV AND AIDS 570
Current data 570
Population segments living with HIV/AIDS 570
South African population as a proportion of  
 world population, 2010 570
South African HIV/AIDS cases as a proportion of  
 world HIV/AIDS cases, 2010 570
People living with HIV/AIDS by province, 2012 571
Historical trends 572
All infections 572
New HIV infections by year, 1999–2011 572
Adult infection 573
Adult HIV-prevalence rates by race, 1991-2011 573
Female infection 574
HIV infection rates of women attending public  
 antenatal clinics by province, 1992–2010 574
HIV infection rates of women attending public  
 antenatal clinics, 1992–2010 574
HIV infection rates of women attending public  
 antenatal clinics by province, 2010  575
HIV infection rates of women attending public  
 antenatal clinics by age, 1997–2010 575
Projected prevalence rates 576
HIV prevalence rate by province, 2002–25 576
HIV prevalence rates, 2002–25 576
Persons in need of ART and persons receiving  
 ART, 2005–11 577
Children receiving ART, 2005–10 577
International comparisons 578
Regional HIV/AIDS statistics, 2003–10 578
HIV prevalence among adults aged 15–24 by sex  
 and region, 2010 579
SOCIAL SECURITY 580
Social security budget 580
Social security and other spending, 1994/95–2013/14 580
Budgeted social security expenditure 580
National and provincial social security budget  
 allocations, 2012/13–2014/15 580
Structure of responsibility 581
Responsibilities of national, provincial, and district  
 departments of social development 581
South African Social Security Agency (SASSA) 581
Social security personnel and services 582
Population to social worker ratio by province, 2011 582
Social grants 583
Beneficiaries of social grants, 2001–2014/15 583
Social grant beneficiaries by province, 2011/12 584
Type of grant as a proportion of total grants,  
 2001–2012/13 585
Type of grant expenditure as a proportion of total  
 grant expenditure, 2011/12 585
Proportion of total grant expenditure per grant  
 type, 2011/12 586
Total social grant beneficiaries as a proportion of  
 total national population, 2001–2012/13 586
Selected social grant beneficiaries as a proportion of  
 total national population, 2001–2012/13 586
Old-age pension recipients as a proportion of over 60s,  
 2001–2012/13 587
Grants as proportion of total government expenditure,  
 2001-2011/12  587
Social grant expenditure as a proportion of GDP,  
 2003/04-2010/11 587
Increase in old-age grant in real terms, 1994-2011 588
Monthly value of social grants, April 2006–April 2012 589
Child support grant recipient numbers and payments,  
 October 1998–May 2008 589
Disability grant, 2001–2014/15 590
People with disabilities by sex, 1996–2009 590
War veterans grant, 2001–2014/15 590
Foster care, adoptions, and child and youth care centres 591
Foster care grant application backlogs by  
 province, 2012 591
Adoptions, 2004–12 591
Cross-racial adoptions by age group,  
 1 April–25 September 2012 592
Children in foster care by province, 2012 592
Child and youth care centres and the number of  
 children they accommodate by province, 2012 592
Orphans, adoptions, and children in foster care and  
 child and youth care centres, 2010–12 593
Private institutions and provision 593
Corporate Social Investment funding 593
Government funding 593

Free Society Project