(a) There is no specific budget allocated for termination of pregnancy services, however the services are covered under Equitable Share
(b) There is no specific budget calculation for termination of pregnancy, the service/program is not a stand-alone programme it falls within the Women, Maternal and Reproductive Health at all level of care, therefore the calculation is done under Equitable share budget.
(c) The clinic cannot turn away the clients however; clinic can only refer clients on the following basis:
(d) The National Department of Health did not receive reports from provinces indicating challenges related to backlog on termination of pregnancy
(e) The National Department of Health has developed the Sexual and Reproductive Health and Rights Training Package/Curriculum consisting of 14 modules.
1. Module one is compulsory and covers value clarification and mind transformation and
2. Module 7 is a specific module for termination of pregnancy (theory and practical session).
(f)-(g) Staff vacancy rate. The Department do not have the vacancy rate specific for termination of pregnancy however the service is being rendered under Women, Maternal and Reproductive Health programme. There is no breakdown of vacancies because termination of pregnancy is not a standalone programme it is offered under the Women, Maternal and Reproductive Health programme.
(h) The Department Conduct Value Clarification and mind transformation workshop to address unwillingness and negative attitude of the health care workers at all levels of care. Choice on termination of pregnancy guidelines (2019) provides guidance to managers, frontline workers and service users to respond to issues on conscientious objection which is described as blocking access to care .
(i)-(j) The following table reflects the details in this regard.
Year |
Total number of TOP’s performed in the last five years per province and National |
||||||||||
Province (i) |
South Africa (National) (j) |
||||||||||
Eastern Cape |
Free State |
Gauteng |
KwaZulu-Natal |
Limpopo |
Mpuma-langa |
Northern Cape |
North West |
Western Cape |
|||
2017 |
9,905 |
5,397 |
11,929 |
17,700 |
6,703 |
3,080 |
1,149 |
4,859 |
15,415 |
76,137 |
|
2018 |
14,130 |
7,404 |
18,827 |
27,032 |
11,297 |
5,738 |
1,671 |
7,840 |
18,785 |
112,724 |
|
2019 |
13,342 |
7,666 |
19,881 |
28,344 |
14,323 |
7,584 |
1,533 |
9,557 |
18,831 |
121,061 |
|
2020 |
10,922 |
7,242 |
23,338 |
22,399 |
14,494 |
4,449 |
1,337 |
8,325 |
17,209 |
109,715 |
|
2021 |
12,118 |
7,617 |
25,827 |
23,688 |
13,828 |
5,014 |
1,705 |
9,002 |
16,129 |
114,928 |
|
Source DHIS |
END.