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The ANC in Limpopo has defended Premier Phophi Ramathuba following the controversy surrounding her remarks about foreign nationals “killing” the health system in South Africa.
As reported by <a href="https://www.timeslive.co.za/politics/2024-11-14-limpopo-anc-defends-phophi-ramathuba-amid-hpcsa-inquiry/">TimesLive</a>, the Health Professions Council of South Africa (HPCSA) has initiated a formal inquiry into Ramathuba’s conduct as a medical doctor after her comments were made public.
Ramathuba’s remarks, made in August 2022, were directed at a Zimbabwean patient at Bela Bela Hospital, where she was serving as the Health MEC at the time.
She expressed frustration about the strain on the health system due to foreign nationals seeking treatment in South Africa.
Ramathuba made the comments while visiting Bela Bela Hospital, wearing her doctor’s scrubs, during an interaction with the Zimbabwean woman, who was undergoing surgery. She said:
<blockquote>
You speak Shona, how do you find yourself in Bela Bela Hospital when you are supposed to be with [Zimbabwe President Emmerson] Mnangagwa?
You know he doesn’t give me money to operate on you? I am operating on you with my limited budget. You are killing my health system.
</blockquote>
The HPCSA is investigating whether Ramathuba’s conduct violated any professional or ethical standards, particularly in her capacity as a healthcare provider.
In 2023, the Health Professions Council of South Africa (HPCSA) found that Phophi Ramathuba had acted in an “unprofessional” manner, noting that it was “unbecoming of a medical professional” to shout at a patient’s bedside.
Despite the findings, the HPCSA extended an olive branch to Ramathuba, stating that accepting the penalty would not result in a conviction and would not appear on her professional record.
Ramathuba rejected the preliminary findings and the offered penalty, which led to the initiation of a formal inquiry into her conduct.
She attempted to block the inquiry by seeking an interdict in the Gauteng High Court in Pretoria, but she lost the case, allowing the HPCSA inquiry to proceed.
Speaking to TimesLIVE, ANC Limpopo spokesperson Jimmy Machaka defended Premier Phophi Ramathuba, agreeing with her view that the HPCSA should not have investigated the matter.
He argued that Ramathuba made the comments in her capacity as the Health MEC, not as a medical professional, and therefore, the inquiry was unwarranted. Said Machaka:
<blockquote>
The ANC Limpopo has noted the case by [the] HPCSA against Ramathuba. It’s our view that Ramathuba was correct to raise the alarm about the illegal foreigners who are overburdening the health sector in our province and the country.
It is our belief there is nothing wrong with the statement she made. The statement was made in her political capacity as health MEC and should not have been subjected to HPCSA inquiry. We believe [the] HPCSA is attempting to enter political terrain.
</blockquote>
In the court case, Judge Anthony Millar ruled that Ramathuba had not deregistered as a medical practitioner, meaning the HPCSA had the right to investigate her.
He said that her role as MEC was political, while her medical registration was professional, and these roles were not mutually exclusive.
Millar rejected the argument that her conduct should be judged based on “which hat” she was wearing at the time, stating that it was inconsistent with constitutional values and the law.
He ruled that since Ramathuba remained registered with the HPCSA, she was subject to its jurisdiction, and the only way to avoid this would have been to deregister.
More: <a href="https://www.pindula.co.zw/">Pindula News</a>

Pindula News

The ANC in Limpopo supports Premier Ramathuba's comments about foreign nationals affecting the health system. The Health Professions Council of South Africa is investigating her behavior as a doctor. Premier Ramathuba was found to have acted unprofessionally by shouting at a patient's bedside. The ANC Limpopo believes the inquiry into Ramathuba's comments was unnecessary. A judge ruled that since she is still registered as a doctor, she can be investigated by the HPCSA. Ramathuba's roles as MEC and a medical professional are not separate.

Limpopo ANC Backs Ramathuba After "Foreigners Killing Health System" Comments

Controversial South African politician and medical doctor Phophi Ramathuba has criticised African leaders who seek medical treatment overseas, while the healthcare systems in their countries are collapsing, reported <a href="https://www.news24.com/news24/southafrica/news/african-leaders-must-stop-using-overseas-hospitals-and-get-treated-in-their-own-country-ramathuba-20231018">News24</a>.
Ramathuba, who is the Limpopo Health Member of the Executive Council (MEC), was speaking on Wednesday as one of the panellists at a three-day Africa Health Indaba taking place in Midrand, Gauteng. She said:
<blockquote>
The legislation should come up with [a] pronouncement to say no African leader should consult in another country unless they fix their own public healthcare system. You [leaders] should stop going to other countries.
You should die in your own country and get treated in your own country. It is high time for leaders to believe in their system.
When I am sick I can be flown to a five-star medical centre and we don’t care. We die in Turkey and Singapore hospitals.
When you get to those hospitals it is five-star service. But who is paying for that? The very same poor and vulnerable we have left behind.
No African leader must consult in another country. They must fix their own system. Die in your own country and hospitals.
</blockquote>
Ramathuba said she used Polokwane Hospital and other public hospitals close to where she worked.
She said no African leader should seek medical care in foreign lands until they fix the public health delivery system in their countries. Said Ramathuba:
<blockquote>
No African leaders should consult in another country unless they fix their public healthcare facilities.
They need to believe in the public healthcare system because their voters also believe in them.
</blockquote>
SA’s Limpopo Province borders Zimbabwe, Botswana and Mozambique and Ramathuba challenged the neighbouring countries to collaborate as her system is overwhelmed. TimesLive quoted Ramathuba as saying:
<blockquote>
I can complain about undocumented persons in the system but I can’t complain about a mosquito jumping over the border and coming to South Africa and making people sick.
I can use preventative measures all I want but if my counterparts are not doing the same I will not succeed.
When you negotiate with the country’s ambassadors, they will never say yes, please give us the bill we will pay, but they become rude.
When you tell them that I am overstretched, they will tell you they didn’t ask you to treat their country people.
These leaders know that when they are sick, together with their families, they can access the best healthcare system.
That’s why they don’t care about people experiencing poverty. We need to change our mindset and start prioritising the poor.
</blockquote>
Ramathuba said Africans have embraced new lifestyles but the healthcare systems have not adapted to the changes. She said:
<blockquote>
If you look at how we were raised as Africans, we had a healthy lifestyle. 
Before we ate meat we had to chase the animal and catch it. It would have lost kilos.
Now we eat chickens that have thighs bigger than mine.
When we moved from villages and adopted city life, did our healthcare prepare us for the changes?
We created problems for ourselves. We have to develop healthcare systems that respond to our problems.
</blockquote>
Meanwhile, Ramathuba currently faces a disciplinary hearing at the Health Professions Council of South Africa (HPCSA) after she accused undocumented immigrants of draining the country’s resources.
Ramathuba was thrust into the limelight in August 2022 after she confronted a Zimbabwean patient at a Bela-Bela hospital telling her that South Africa does not have the budget to accommodate foreign nationals.
Ramathuba told the woman that she should get treatment in Zimbabwe.
In a video clip that went viral, Ramathuba could be heard telling the woman that the Zimbabwean government does not contribute to her budget. She said:
<blockquote>
How do you find yourself in Bela-Bela when you are supposed to be with Mnangagwa (Zimbabwean president Emmerson Mnangagwa) there?
You know he doesn’t give me money to operate you guys and I’m operating you with my limited budget.
</blockquote>
More: <a href="https://www.pindula.co.zw/">Pindula News</a>

Phophi Ramathuba Says African Leaders Should Be Barred From Using Foreign Hospitals

The Health Professions Council of South Africa (HPCSA) has reprimanded Limpopo health MEC Phophi Ramathuba for unprofessional conduct and unbecoming behaviour after she shouted at a Zimbabwean patient in a Limpopo provincial hospital in August 2022.
<a href="https://www.sowetanlive.co.za/news/south-africa/2023-02-11-health-council-slams-mec-ramathuba-for-berating-zimbabwean-patient/">SowetanLive</a> reported that though Ramathuba was at the hospital in her capacity as a health MEC (government official), and not a practising doctor, she is a medical doctor by profession.
The opposition EFF’s Mbuyiseni Ndlozi laid a complaint with the HPCSA against Ramathuba, accusing her of violating the dignity and human rights of the patient.
Ndlozi was acting in his capacity as the EFF’s Limpopo provincial convener. In his complaint to HPCSA, Ndlozi said:
<blockquote>
This follows a disturbing video clip that is circulating on social media where she is seen belittling and abusing a Zimbabwean patient in Bela-Bela Hospital.
It is evident in the video that MEC Ramathuba has violated her core ethical values and standards for good practice as outlined by the Health Professionals Council of South Africa.
</blockquote>
The standards say: “healthcare practitioners should respect patients as people, and acknowledge their intrinsic worth, dignity, and sense of value”.
Ndlozi pleaded with HPCSA to investigate Ramathuba’s conduct and take appropriate action against her.
The HPCSA’s first medical and dental committee resolved in January 2023 that there was evidence of unprofessional conduct on Ramathuba in terms of the regulations under the Health Professions Act.
In a report dated 9 February, HPCSA said it will impose a penalty, caution and reprimand Ramathuba “for unprofessional behaviour and unbecoming [conduct] of a medical professional to be shouting at a patient’s bedside as the patient was vulnerable at the time”.
In a video that was widely shared on social media, Ramathuba could be heard telling the patient that migrants were to blame for her department’s stretched budget.
Her words sparked a debate in both South Africa and Zimbabwe, with some in support while others felt she was unfair to the patient.
Ramathuba, however, defended her controversial statement arguing that foreign nationals are abusing South Africa’s health system. She said:
<blockquote>
I did stand by its content because I need to share that understanding that they are not doing anything to our surgical backlog, people are abusing the system.
When they hear that the MEC is coming to this district with special care, they leave their country, enter SA illegally, and come to our hospitals but doctors who operate them for ethical reasons even though the Constitution will cover the doctors, but they don’t refuse to operate them.
The South African whom we did this budget for is unable to get operated because they’re still flooding even our initiatives. This is an initiative outside our daily work.
</blockquote>

SA: Phophi Ramathuba Reprimanded For Shouting At Zimbabwean Patient

The Gauteng Department of Health (DOH) has been urged to open criminal cases against Operation Dudula for disrupting health services.
The Collective Voices against Health Xenophobia, an organisation which represents around 30 civil society organisations, criticised Operation Dudula for “attacking” patients at Johannesburg’s Jeppe Clinic.
This was in response to claims from earlier this week that Operation Dudula protestors had blocked immigrants from entering the clinic by staging a demonstration there.
According to the Collective Voices against Health Xenophobia, immigrants were singled out as “scapegoats” for a public health crisis and targeted in an effort “to distract attention.”
Isaiah Mombilo, the chair of the Congolese Civil Society of South Africa, one of the organisations represented by the Collective Voices against Health Xenophobia, said:
<blockquote>
The number of foreigners going to hospital are insignificant. There’re no big numbers, it’s not visible…When people are saying these kinds of statements, they aren’t aware of what’s going on, they aren’t dealing with accurate information, they are not dealing with true information, they are not dealing with true statistics.
</blockquote>
According to Mombilo, individuals who restrict foreigners’ access to medical treatment are hurting the next generation of Africans, and this will have an impact on the entire continent.
Last year, Limpopo Health MEC Dr Phophi Ramathuba confronted a Zimbabwean patient at a Bela-Bela hospital telling her that <a href="https://zero.pindula.co.zw/south-africa-doctor-tells-zimbabweans-to-get-medical-treatment-in-zimbabwe/">South Africa does not have the budget</a> to accommodate foreign nationals.
<h2><a href="https://zero.pindula.co.zw/">More Pindula News</a></h2>

Jeppe Clinic Attacks: Govt Urged To Act Against Operation Dudula For Attacking Foreigners

Zimbabwe’s incapacitated public health system is now forcing locals to cross the border into Zambia and South Africa to seek medical attention.
Mbire Ward 1 councillor Christmas Kachasu said that people from Mashonaland Central are seeking medical attention in Zambia due to the high cost of medical care in Zimbabwe as well as the long distances they have to travel to get to the nearest hospital. He was quoted by <a href="https://www.newsday.co.zw/local-news/article/200002253/mps-confront-chiwenga-over-nurses-mass-exodus">NewsDay</a> as saying:
<blockquote>
They (people) are crossing over to the Zambian side and this is because of the cost of medicines and consultation fees which are a bit lower compared to those charged in Zimbabwe.
The closest hospital we have is 140 kilometres away, and at the end of the day, people prefer to go to the other side of the border because it is about 12 kilometres to get to the waterfront and cross into Zambia and access the hospital.
</blockquote>
Chief Muzarabani, born Alfonce Chuzu, said that medical drugs are expensive in Zimbabwe compared to Zambia and Mozambique thereby forcing people to cross the border for treatment. He said:
<blockquote>
The challenge is drugs here in Zimbabwe are expensive and are not easily found. In Mozambique and Zambia, they have adequate medicines especially to cure rabies as most of the attacks here are from dogs and hyenas.
</blockquote>
Recently, South African politician and medical doctor, Phophi Ramathuba, complained that Zimbabweans were burdening South Africa’s health delivery system and should seek treatment in their own country.
<h2>What did Ramathuba say?</h2>
She told an unnamed Zimbabwean patient who reportedly underwent surgery at Bela Bela Hospital in Limpopo Province that Zimbabweans were putting a huge strain on the Limpopo Health Department’s budget and were treating South Africa “like a charity”. Said Ramathuba in a viral video:
<blockquote>
You’re supposed to be with Mnangagwa, he doesn’t give me money to operate you guys. Now I must operate you with my limited budget.
When you guys are sick, you decide to cross into Limpopo. That embassy in South Africa is a charity department, that’s what gets said.
The truth is painful: Limpopo has about 5.7 million people. Most of these citizens do not have medical aid. They rely on the state.
Instead of using my limited budget for what it is meant for, we’re here sorting out something Emerson Mnangagwa must do.
This is exactly why, when the people of Limpopo want access to health systems, they cannot get it. That is angering the community.
You guys aren’t even registered here, you are not counted, some are illegals. It’s unfair. I cannot go to Zimbabwe and get help.
</blockquote>

Zimbabweans Cross Into Zambia And Mozambique For Medical Care

Health professional and political commentator Setfree Mafukidze says the Minister of Health and Childcare Vice President Constantino Chiwenga should learn from Dr Phophi Ramathuba how to run the public health system.
Phophi Constance Ramathuba is a South African politician and medical doctor and has been the Limpopo MEC for Health and a Member of the Limpopo Provincial Legislature since 2015.
Ramathuba sparked debate in both South Africa and Zimbabwe a few weeks ago when she was filmed saying Zimbabweans were burdening South Africa’s public health system and should “go back to Mnangagwa” in reference to Zimbabwe’s 80-year-old president.
Mafukidze believes Chiwenga has a lot to learn from Ramathuba, not on how to treat sick undocumented foreign nationals, but on how to run the health system.
On Wednesday, opposition Members of Parliament expressed frustration over Chiwenga’s absence from Parliament saying various issues have not been addressed due to the absence.
CCC secretary-general Charlton Hwende (Kuwadzana East) told the National Assembly that he was yet to see Chiwenga in the August House since March and demanded to know if Chiwenga was still in office. <a href="https://twitter.com/cdesetfree/status/1581218810216198144">Tweeted Mafukidze:</a>
<blockquote>
Can someone call General Constantino Guvheya Dominic Nyikadzino Chiwenga and send him to Limpopo Province where he should look for @PhophiRamathuba for assistance on how to make things work in the Health Sector? The Zimbabwean health ministry has no leader in Chiwenga, a disaster.
</blockquote>
He was commenting on a post by Ramathuba that announced the commissioning of radiology screening and diagnostic equipment in Sekhukhune.
Ramathuba <a href="https://twitter.com/PhophiRamathuba/status/1581027303768748032">shared pictures</a> of the high-tech equipment which she had just commissioned and captioned them with the words:
<blockquote>
Done with decentralization of radiology screening and diagnostic high-tech equipment. Patients from Sekhukhune won’t travel to Polokwane anymore.
Our next stop is to decentralize renal services to rural hospitals in our districts, watch the space because to us Rural health matters.
</blockquote>

"Chiwenga Should Learn From Phophi Ramathuba"

A Zimbabwean woman is said to have died at Krugersdorp hospital due to bleeding after giving birth allegedly after being neglected by health caregivers at the institutions.
The Star reports that Luyanda Moyo, 21, a Zimbabwean immigrant who visited South African medical centres to give birth but was allegedly met with poor treatment and lack of attention because of her nationality.
Moyo gave birth at the Yusuf Dadoo hospital in Krugersdorp to a baby weighing 4kg.
Despite complaining of pain and excessive bleeding, she alleged that the medical staff in the maternity ward did not pay attention to her.
Luyanda’s uncle, Gibson Tshuma, told “The Star” that she was so neglected to the point of being the last patient in the ward.
Nurses found Luyanda dead hours after giving birth, according to The Star.
Her family is calling for an investigation into her death.
Tshuma said the family was concerned that the statements uttered by Limpopo Health MEC, <a href="https://zero.pindula.co.zw/south-africa-doctor-tells-zimbabweans-to-get-medical-treatment-in-zimbabwe/">Phophi Rmathuba</a>, could have caused the staff at the hospital to have a negative attitude towards illegal Zimbabweans seeking medical attention in parts of South Africa.
Tshuma said when they found Luyanda’s body in the hospital her clothes were covered in blood.
The hospital failed to explain what happened to Luyanda. Tshuma said:
<blockquote>
Based on the messages on her cellphone she was overdue and she was given an inducing pill even though they acknowledged that the baby was too big for her to deliver naturally.
We are demanding answers as to what happened, we are not getting clear answers.
They induced her even when they had observed an operation was necessary and then she was ignored when she was bleeding to death.
</blockquote>
In some voice notes that Luyanda shared with her mother before she died, she said:
<blockquote>
It’s so painful… they haven’t checked on me, I think they will come today. 
</blockquote>
Luyanda’s baby boy survived and is with his grandmother but the family said it was still left with a million questions concerning how Luyanda died.
The family is preparing for Luyanda’s body to be transported back to Zimbabwe where her funeral will take place.
Zimbabwe’s healthcare system collapsed decades ago and most public health institutions do not have even the basics while the cost of medication in private ones is beyond the reach of the common man.
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Zimbabwean Woman Dies "After Being Neglected" At A South African Hospital

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