In July 2020, Community Health Workers staged a protest outside the offices of the Eastern Cape health department in Bhisho, calling for their enlistment as full-time employees in the department of health. Subsequently, the Eastern Cape MEC for Health, Sindiswa Gomba, stated that their full-time employment was “not a straightforward issue for the province”.
Community health workers play a critical role in the government’s response to the Covid-19 crisis in South Africa. To contain the virus, South Africa’s health department has employed large-scale screening, testing and tracing using clinics, community healthcare centres and mobile testing units.Chair of the ministerial advisory group on Covid-19, Professor Salim Abdool Karim, described these health workers as South Africa’s “secret weapon against Covid-19”.
It is time to enact changes that provide meaningful support to them and grant them a seat at the table “When it comes to N95 respirators, we are unprotected,” said Boniwe Plaatjie, a community health care worker from the Northern Cape. This has dangerous consequences for these workers, who are risking their lives to care for underserved communities. Furthermore, failure to prepare and protect them shows a flagrant and unacceptable disregard for the lives of those on the frontline, and it undermines the importance of the public health messages they are tasked to deliver.
In the foreword to the policy framework and strategy document released in December 2017, former minister of health, Aaron Motsoaledi, wrote that “community health care workers form the bridge between communities and healthcare service provision within health facilities”.
“The lack of representation in discussions about implementation of primary health care is a major impediment to South Africa’s goal of rolling out universal health coverage,” said Gale Mookroof, a community health care worker from the Northern Cape.
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