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Eastern Cape hospital in dire straits after contractors halt work due to lack of pay

A R3.9m project to refurbish the primary health care facility at Laetitia Bam Day Hospital in KwaNobuhle, Uitenhage - the biggest local clinic in the area - ground to a halt at the end of January.

Hundreds of patients are now being treated in about a dozen small wooden cubicles, GroundUp reported.

Refurbishment started in November under a tender won by Ikhono Projects. It was meant to take three months.

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Four small businesses based in Ward 44 are subcontractors, doing painting and plastering and installing security gates, new blinds, doors, and a ceiling. Their contracts vary from R220 000 to R250 000. Each employs about 10 workers.

But Ikhono Projects and the businesses say they have not been paid by the Eastern Cape Department of Health since the project started.

'There is no more money'

A nurse, who did not wish to be identified, said: "Even our boardroom has been separated with wooden structures to form the wards. We eat outside the hospital during lunch because there is absolutely no space… There is not a single fan and it's difficult to breathe… TB and other patients queue in the same waiting room… Even the doctor sees patients in the switchboard room, because renovations are taking place in his consulting room."

"These are shacks," said Fikile Mama, an elderly patient. "I tried to lean on that shaking wooden structure, but it rattled, so I sat up again, away from it."

Provincial heath department spokesperson Sizwe Kupelo said: "Not a single company has been paid by the department, because there is no more money. We will share facts about this with Nehawu [National Education, Health and Allied Workers' Union], because it is wrong to threaten the department with tools down."

He said the project would continue in April, during the next financial year.

"We cannot wait for April," said Nehawu shop steward chairperson at the hospital, Lindile Cakwebe.

 The union's members include nurses, clerks, porters, ambulance drivers and cleaners.

"We have told hospital management and the clinic committee to put on record that as Nehawu, we are not going to wait for April… It's either we are going to stop working or they do whatever they can to ensure that we are all safe and the patients are safe too," said Cakwebe.

Thembisile Nogampula, general secretary of sub-district B Health forum in Nelson Mandela Bay, said: "It's hard to work under these circumstances. There is no infection control or fans. It becomes worse during sunny days."

He said there were no working X-ray facilities at the other five clinics in KwaNobuhle, which include Silvertown, Mabandla, Nomangesi, Jayiya, Edameni and Isolomzi.

People were sent to Laetitia, but now its X-ray room is under renovation. Patients are therefore being referred to Uitenhage Provincial Hospital and Rosedale Clinic. They have to find their own transport.

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