After many years of uncertainty and staff shortages, Addington Hospital has decided to approach the community for help. A committee comprising of Hospital management and the public that use the Hospital facilities on a regular basis, is being constituted to deal with these problems. Poor staff attitude is also adding to service delivery problems and these will also be addressed by the Committee.


Addington Hospital faced closure in 2010 due to staff shortages. The Hospital services patients from a wide geographical area of Durban. It is a 571 bedded and 2 200 staffed district and regional hospital, situated on South Beach, Durban. A vast array of services is offered and it has a Primary Health Care Clinic as well which is named the ‘Gateway Clinic.’ Primary health care is offered at this Clinic at no charge. Patients are referred to the ‘Polyclinic’ should they need care that the ‘Gateway Clinic cannot handle. The Polyclinic handles more complicated cases and a fee is levied according to the patient’s means. Referrals are made to other specialist facilities which Addington can’t handle.


The Children’s Hospital which is situated separately from the main hospital was closed in 1984 due to racial tensions when it was opened to all races for the first time. It was rebuilt in 2010 and is now reopened.


Doctors and nurses are drawn from other health facilities when the staff at the Hospital is stretched to the maximum. Staff absenteeism due to illness and leave, strain the existing system. The patient attendance is very high at all of its facilities and drawing temporary staff from other facilities is not an ideal solution as permanent positions need to be filled. The vacancies are not filled due to poor consultation between Addington Hospital and the KwaZulu-Natal Provincial Health Department and management apathy. Staff from other Provincial health facilities are used to fill in when there are staff shortages.


Patients are often turned away from the Casualty Section and Gateway Clinic. Waiting times of twelve hours are common in the Casualty Ward. There are gaps in the service delivery.

Due to the pressure of being short staffed, it is common to find that blood results for example lie unattended until the patient asks. Patient files are not read properly by the attending doctor and unnecessary questions are asked of the patients which are already

recorded in the patient’s files due to staff attitude. Staff do not read the consultation history on file which places a burden on the patients having to remember their past consultations or carry their medication.


Patients at ‘Gateway Clinic’ are often turned away at closing time of 16:00 as they have not been attended to during the Clinic operating hours. They have to come back the next day and there is no guarantee that they would be attended to. They are sometimes referred to the Casualty Section and due to the high volumes at that Section, the waiting period becomes extended and unbearable.


The Pharmacy division of the AIDS and general dispensary have interns that are not properly supervised and the scripts are often not found in the files. The interns have no knowledge how to search or where to send patients back to the attending doctor and this causes enormous frustrations to patients due to time wastage. Due to the high number of patients, the qualified pharmacists often overlook the prescriptions that are not filed properly in patient files.


Complaints are not dealt with adequately by staff. There appears to be a vindictive approach by staff when concerns are raised by patients. There have been reports of patients being left unattended to after requesting use of bedpans.


The staff do not process the patients quickly for registration and also for the collection of files after registration as they waste time in processing file requests and ignore patient verbal enquiries. Many patients spend the better part of the day looking for their files after departments send them to other departments and the patients leave the Hospital through sheer frustration.


Appointments are made with certain specialists within the hospital by doctors within the Hospital and when patients keep the appointments, the specialist department has no clue as to what the referral is about. The receptionists at the departments do not offer any assistance and responsibility is put back to the patient and not on the medical staff.


The ‘suggestion boxes’ that are provided in certain areas of the Hospital and Clinics seem to be a waste of time as these are not followed up. Complaints are referred to the P.R.O. department which does not have the authority and accountability to make meaningful decisions. The Hospital Manager and Senior Management are not readily available to deal with complaints.


These accumulated problems have been left for far too long which is causing frustrations to the very people the Hospital is supposed to be serving and has also given it a tarnished image. The ‘operation’ is long overdue and it is hoped that service delivery will improve with the correct number and calibre of staff.

 Sister Bhengu is spearheading the drive to set up the committee. She is in charge of ‘Gateway’ and the ‘Polyclinic.’



Refuse Pollutes Our Community!

Slade van Wyk


The community of Mariannridge is slowly becoming polluted. A lack of refuse bins are the root cause of this issue. Refuse is excessive, unsanitary and uncontrolled resulting in an unclean, untidy and tatty living environment.

The issue of waste began in 2013, just after the community took to the streets to protest about their lack of housing. This housing protest turned into a violent encounter that was equally disruptive and destructive. “Coming from a community that already ‘lacked resources’ it was unfortunate that what we had (refuse bins) was destroyed just to get our voices heard,” said a local from the area.

This demonstration erupted when residents in the area found themselves in the midst of uncomfortable living conditions, so the solution was to take to the streets to get their voices heard. Looting and rioting, residents made use of anything that was in the way to block roads and cause unrest in the area. The community bins were burnt and destroyed in the outrage. The outcome of this event has been unsuccessful as no plans of housing development have been exposed to this day.

Prior to the housing protest, a local community organisation had liaised with the local municipal offices and the solid waste office to provide refuse bins as the community was in a polluted state. These officials kept to their agreement providing rubbish bins, they (local municipal offices) even went beyond what was asked and also provided the community with refuse bags to assist the collection process of the job. The provision of refuse bags has continued on a monthly basis.

I would like to pose some questions to the community, or rather begin a dialogue or conversation; I would like to know if we (the residents) do not realise the issue at hand and try to resolve it, then who will do it on our behalf? When is the right time to step in? How much longer must we marinade in our own rubbish, no pun intended, until we realise that we are in a crisis? How do we go about solving this issue? Who do we (the community) contact and hold accountable for resolution? And lastly how do we ensure that the same actions do not repeat themselves and lead us into darkness again?

Our living environment needs a face lift; it is unhealthy to live with waste surrounding us daily! This issue needs to be reported and re-reported until something is done about it. We need to raise awareness to our locals and make it known that living in this state is a danger to us and to the natural environment. Officials may sit back and lack interest but actions have to be taken. Simply asking for assistance could be all we need to work out this problem.

We can begin solving this problem by creating awareness of the importance of a clean living environment. Local community organisations, that have a vested interest in the community, can assist by providing platforms to inform community members of the actions we can take to resolve the issue at hand. Fund raisers could aid the burden and provide garbage bins that we could situate in designated spaces.

If we claim that this is our community and our home, we should not sit back and suffocate for our own mistakes; we can serve penance for our sins and work towards a beneficial solution.


Kept In The Dark


Snenhlanhla Shangase


Nositha is one of the Ugu District Municipality villages, the most desperate looking villages in this area, despite being less than five minutes away from the lush suburbs of the Margate and Ramsgate, with their blue-flag beaches and a booming tourism industry. Nositha schools, despite many efforts by neighbouring Non-Government Organisations and Churches, are just plain sad. 


Outsiders fear driving into the area in bad weather. On any day of the week scores of young, unemployed adults can be seen sitting under trees, in their small yards or on the veranda of the only grocery/convenience store in the whole area. Nositha, as other villages of course boasts some excitement that can be had from time to time. People meet at any of the two taps that provide the whole village with water, for some much needed social time.



  • “The ruling party saved us from apartheid!”
  • “There are no other parties to vote for. We can not trust DA we do not trust white people. EFF doesn’t count, Malema is Zuma’s son who is just angry with daddy and will go back home one day!”
  • “If ANC goes the social grants will go with it!”
  • “Because I am ANC, my family has always been ANC and we will always be anc come rain or sunshine!”


Conversations flowed easily until politics was brought up... The atmosphere changed. A distinct aggression settled over the crowd.

“Politicians don’t care about us. They care about the money, their expensive drinks at Sky-Bar (upscale restaurant, hotel and bar in Margate). They drive past us in their Mercedes like we are nothing.” This was one of the comments thrown about, with most of the villagers all having their say with similar comments.

After a long discussion about the many services they have been promised but never received, I wanted to know why they did nothing about all this, and looking at me like I was crazy, they said: “We are just the little people on the ground, what can we do?

I then pushed to find out what political party they voted for and if they would continue to vote for it. An astounding, if not completely surprising “Yes!” filled the air.

“Why?”, I wanted to know.



The people are completely ignorant of current affairs. They either knew nothing or very little. These are people with only SABC Television, no internet and no social media. Newspapers do not sell in this area but who could afford them anyway?

They are greatly impacted by national politics but strangely or intentionally in the dark about them. Could this be the reason for the lack of logic behind some of their reasoning?



After spending time with these people and others from similar rural communities, my solution is: An ‘Open Dialogue Workshop’, to gather the people in one place and dialogue with them about current affairs like the SASSA debacle, what ‘junk status’ means, or why the noise of the cabinet reshuffle and what the marches are all about. The aim should not be political reshuffling of the mind but basic education on current affairs. This should be about people venting, connecting and learning from each other.


I spoke to Bab’ Richard Sima a traditional leader of Nositha he said:
“The ANC dominates in Nositha. The young and old alike know
nothing about politics, they just support the organisation. Ignorance
is bliss, they do not know what they are missing so they are
happy with crumbs. Young people need political education, it is
time for them to fight. We are tired. We have fought our struggle”,
however we are all affected by political unrest. If the rand
drops, prices go up and government spends even less on community
projects so we will lose even the crumbs that we get. The young
people are the only ones who can bring change now.
I also spoke to Solly. An ANC official who did not want his name
nor his position revealed as his office is under investigation.
“The questions you ask suggests that the people are ignorant.
The people are not ignorant. They know what the ANC has done
for them. Obviously people need change but change takes time
and it is not an overnight business. It might not look like it but
we work very hard and all this negativity we face is not helping.
It’s just propaganda.”


Bab’ Sima “ I can’t support such programs. It could only work if done in secret. I would not want to be seen as taking sides. It’s the only way to stay in touch with my people. There is too much division already and my interests have to remain above politics at all times.” Mr Solly said: “We support all efforts of people empowerment. We do not, however, support people who have agendas to blind our people with their political propaganda. Bring your proposal but we cannot promise money as all our energies are concentrated on empowering our people” As confusing as this was I had no hope of finishing this conversation as the Glenfiddich 15 years Reserve that had been flowing all evening was taking its toll.            




Whether the local ANC or other stakeholders will support this initia- tive or not, IT will not stop me!

Africa does not have to be the Dark Continent when so many of us can actually see the light.  “It only takes a spark to get a fire going”  It is not right that the majority of South Africans live in the dark about matters that can have such a disastrous impact on their daily lives.  True Ubuntu is sharing the truth with each other.


I need volunteers, I need donations, I need people with insight to help me share this message. Help me bring this much needed light into  rural South Africa.




Ukukhanya Komkhazi - The Glimmer Of Hope

by Nobuhle Sithole - For many years Mkhazini, a rural area between the outskirts of Folweni and KwaMakhutha Townships in KwaZulu Natal South Coast, has been faced with a lot of hardships and challenges.

There has been no crèche facility, no school, no community hall nor playground in the area, only poorly constructed roads and dusty poverty stricken homesteads. As a result, the area seemed to be left behind.

Ukukhanya koMkhazi Creche, per its registration certificate, became a glimmer of hope for many in the community. It was approved by the Independent Electoral Commission (IEC) as a voting station just before the 3 August 2016 elections and later for other community based projects such as a crèche facility. Ukukhanya koMkhazi Creche is the work of dedicated community members led by the South African Communist Party (SACP) branch in the area.

Ukukhanya koMkhazi would have remained a dream for the community members. But the kind giving heart of Gogo Bavelile Khuzwayo(76), a senior citizen in the area, made it all possible.

The uncompromising ward counsellor at that time Mr. Thami Cele would not work together with the committee organising the centre. According to rumours, he would rather work with people close to his own house because he knows they have and will continue to support him and his political ambitions. Mxolisi Meyiwa, one of the crèche’s founding members, and also a staunch SACP member was quoted saying angrily:

“I don’t understand what is wrong with Mr. Cele, I think he has some personal issues with us. He could not provide us with the resources and not even the information that we needed.”

Gogo Khuzwayo, who has lived in Mkhazini her entire life, knows the struggles of this area too well, which is why she donated a piece of her own land for the centre to be built on. “We use to walk far distances on barefoot just to get to school in the township,” cried the old and frail gogo.  Traditional leaders in the name of Baba Sbonda Khuzwayo were notified and they approved the handover of the land for community use, and a temporary title deed was issued in the name of Ukukhanya koMkhazi Creche.

A donation of R100 per working household or R50 for pensioners and grant beneficiaries was collected from the members of the community. All this money bought building materials and food for the dedicated labourers who were community volunteers – they worked tirelessly without pay. “I feel so honoured to be working for something that will bring change and development for my community, as one of many unemployed youth of this community I hope that one day this centre will bring us jobs and other development opportunities,” said Mbongeni Dladla a labourer at the site. Mr Ngcobo, a local businessman, also donated 2 hours service of a tractor to open the building site.

Ukukhanya koMkhazi is now a registered crèche and voting station. It is also on the map GPS. Although there is still a long way to go before this site is recognised as a safe and secured place for keeping children, the citizens are beaming with pride for what they have done for themselves and the future generations of this area. It proves the Zulu idiom that says “Siyonqoba Simunye,” loosely translated “Together we conquer.” The people of Mkhazini conquered against all odds.