New North West Health MEC Sello Lehari vows to prioritise NHI

North West Health MEC Jonas Sello Lehari. (North West Provincial Government/Supplied)

Sello Lehari is the new Health MEC in the North West.
He promised to provide hands-on leadership and to prioritise the implementation of the NHI.
Critics have doubts about the new MEC’s deployment – and unions have several items for his to-do list.

In recent years, the North West health department has struggled with a variety of challenges, including poor infrastructure, a shortage of healthcare workers, and medicine stockouts at its facilities.

The department has also been involved in several high-profile cases of alleged corruption.

It is against this backdrop that Sello Lehari is starting his stint in the province’s top health job.

Opposition political parties the DA and EFF say they have little faith that Lehari, who has no healthcare background, can turn the situation around.

Lehari, on the other hand, has promised to provide hands-on leadership and to prioritise the implementation of the National Health Insurance (NHI).

He takes over from Madoda Sambatha, who was Health MEC from late 2018.

Lehari was until recently North West MEC for Community Safety and Transport Management. During his time in that position, Lehari faced public backlash after 20 government-funded donkey carts were handed to residents of Dibono and Mmanawane.

The donkey carts, which cost around R800 000, reportedly broke down weeks after delivery.

Lehari also served as North West MEC for Education and Sports Development from May 2016 to May 2019. Before that he was the mayor of the Moretele Local Municipality.

‘Hands-on leadership’

Speaking to Spotlight, Lehari promised to provide hands-on leadership.

“This means working closely with the management team of the department to tackle all impediments to health service delivery to ensure that patients have access to health facilities, to medicine, medical equipment and all the basic necessities that our health workers need to perform their daily duties,” he said.

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In keeping with national health priorities, Lehari said his foremost priority would be to lead the department in the implementation of NHI.

“I am going to need the support of all key stakeholders to realise this important objective,” he said.

Also key priorities, said Lehari, were responsive Emergency Medical Services, medicine availability, and the implementation of the National Strategic Plan for HIV, TB and STIs 2023-2028, which he said required him to work closely with the provincial council on AIDS and civil society.

Lehari said other equally important priorities included health promotion, education and awareness to prevent diseases, maintenance of health facilities, improved patient filing systems, expanding specialised tertiary services to more districts and ensuring the security of health facilities.

Shadow of national administration

The department has been at the centre of several high-profile cases of alleged corruption. These include the purchase of mobile clinics from the Gupta-linked company, Mediosa, and a related prepayment of R30 million prior to delivery and alleged irregularities relating to contracts for private ambulance services.

Asked about his plans for fighting corruption, Lehari said he would keep track of the effectiveness of internal controls and ensure the implementation of preventative pre-audits as well as demand adherence to applicable prescripts.

The department was among 10 departments in the province placed under national administration from 2018 to 2022. That followed several governance failures and allegations of fraud and corruption that resulted in widespread service delivery protests in the province.

This was done in terms of Section 100 of the Constitution, which allowed the national government to intervene in the running of provincial departments when a province could not fulfil its functions.

In terms of section 100 (1)(b), the national health department assumed the role and obligations of the provincial health department to ensure the province met the national standards for providing healthcare services.

Spotlight previously assessed whether administration had the desired effect on the province’s health department.

Lehari was positive about the national government’s intervention in the province.

“Fortunately, the department was placed under Section 100 (1) (b),” he told Spotlight.

“Moreover, Section 100 (1) (b) put measures in place to strengthen financial management, internal controls and supply chain management with a view to prevent corrupt practices.”

Preventing corruption and ensuring good financial governance will be particularly important in the coming years – because, as in other provinces, the department is facing the dual challenges of health worker shortages and a budget that has been shrinking in real terms.

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Regarding the problems of nurse shortages and some nurses struggling to find jobs, Lehari said he aimed to ensure that the department continued to train and retain nurses.

“I am aware of the challenge of unemployment faced by some of the nurses after they complete their community service and internship programme. The department is in the process of appointing them through concurrence with the provincial treasury and I will follow up on this,” he said.

Lehari also said he would lobby for a budget that was consistent with the province’s population growth.

“The general shortage of staff in the North West Department of Health will be approached through prioritisation of critical posts in respect of the budget cuts or a limited budget for compensation of employees,” he said.

‘Doesn’t instil any confidence’

The DA in the North West was not inspired by Lehari’s appointment and they said they would be closely monitoring his performance.

“Moving Mr Lehari from Community Safety and Transport Management, where he did a terrible job, as witnessed in the province’s failure to manage the scholar transport system and to keep residents of North West safe, his deployment doesn’t instil any confidence,” said the DA’s Freddy Sonakile.

A department, such as health, he said, required an executive authority with some level of technical know-how or background within the sector.

Sonakile added:

Expecting him to learn on the job and experiment with the well-being of residents is a serious red flag.

The EFF’s Papiki Babuile was similarly sceptical, saying that Lehari’s appointment was “a step backwards as he failed to provide our people with quality service” in his previous portfolios.

“It is now going to be worse as the health department is the most complicated and sophisticated department, which requires someone with basic knowledge of health. This clearly shows that the ANC-led government has no clue of what they are doing and do not have any interest of the people of this province at heart,” said Babuile.

Unions weigh in

The National Education, Health and Allied Workers’ Union in the North West called on Lehari to prioritise working conditions.

The trade union’s provincial secretary, Ntombizodwa Moepeng, said emergency service workers should be paid their overtime allowances, and nurses should be paid in line with the remuneration structure of the Occupation Specific Dispensation.

“The new MEC must review all dismissals in the department. He should also review all prolonged disciplinary cases and absorb community healthcare workers into the department,” she said.

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The Democratic Nursing Organisation of South Africa in the province said the health department was faced with a number of complex issues, including unsafe working conditions.

“As the majority union of nurses in the department, we are willing to work with the new MEC and assist him as he navigates his way through the department,” said provincial secretary Reuben Molete.

He added that “nursing is the backbone” of the health department, and that Lehari must move with speed to employ more nurses.

“The new MEC must ensure that he applies his wisdom to expedite the employment of nurses, [including] issues of medicine shortages and infrastructure challenges,” he said.

*This article was first published by Spotlight – health journalism in the public interest. Sign up to the Spotlight newsletter.

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New North West Health MEC Sello Lehari vows to prioritise NHI | News24

Author: Nthusang Lefafa