Health and Wellness

Question by: 
Hon Memory Booysen
Answered by: 
Hon Mireille Wenger
Question Number: 
5
Question Body: 
  1. What is the total budget allocated for the Khulisa Care Pilot Programme and (b) how will these funds be distributed across nutritional support, community health worker services and programme monitoring in Worcester, Khayelitsha and Mitchells Plain?
Answer Body: 

Khulisa Care is a ministerial priority programme embedded within the Department’s Start Well strategy. This is a one-year pilot project implemented in partnership with several external organisations who are providing the majority of the financial contribution, while the Department of Health and Wellness is contributing primarily through non-financial resources, including the deployment of its own staff to roll out the initiative.

  1. The total budget allocated for the Khulisa Care Pilot Programme is R10,89 million.
  2. The funds are distributed as follows:

Nutritional support: R7,89 million is allocated to beneficiary food vouchers. These costs are fully funded through contributions from the DG Murray Trust (DGMT) and The This Day Foundation and therefore do not place a direct burden on the provincial fiscus while empowering us to find a scalable and effective way to address stunting.

Monitoring and evaluation (M&E): R1 million is allocated to M&E, undertaken in partnership with the DG Murray Trust and a consortium of research partners including the University of Cape Town, Stellenbosch University, University of the Western Cape and the South African Medical Research Council. This cost is shared equally between the Western Cape Government and The This Day Foundation, each contributing R500 000.

Community health worker (CHW) services and health system support: Approximately R630 000 is allocated to CHW training, communication and information systems, including R150 000 for three months of health systems support and R480 000 for project support to the Department of Health and Wellness. This includes human resources, training materials, project management and data management to strengthen CHW linkages with beneficiaries.

Digital voucher system development: R80 000 is allocated to a bespoke solution on the Single Patient Viewer platform to securely capture beneficiary data and integrate with Shoprite, who are assisting in the operationalisation of the system.

Project management and impact testing: R1,29 million is allocated for project management support, technical support to CHW training, and lean impact testing delivered through Spring Impact, an NGO partner.

This budget provides comprehensive support to deliver, monitor and evaluate the pilot across the Worcester, Khayelitsha and Mitchells Plain sites. Distribution between the pilot sites will be based on the number of beneficiaries enrolled in each area.

Date: 
Thursday, August 28, 2025
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