Original Research

Staff and bed distribution in public sector mental health services in the Eastern Cape Province, South Africa

Kiran Sukeri, Orlando Alonso-Betancourt, Robin Emsley
South African Journal of Psychiatry | Vol 20, No 4 | a570 | DOI: https://doi.org/10.4102/sajpsychiatry.v20i4.570 | © 2014 Kiran Sukeri, Orlando Alonso-Betancourt, Robin Emsley | This work is licensed under CC Attribution 4.0
Submitted: 16 January 2014 | Published: 30 November 2014

About the author(s)

Kiran Sukeri, Department of Psychiatry, Faculty of Health Sciences, Walter Sisulu University, Mthatha, Eastern Cape, South Africa, South Africa
Orlando Alonso-Betancourt, Department of Psychiatry, Faculty of Health Sciences, Walter Sisulu University, Mthatha, Eastern Cape, South Africa, South Africa
Robin Emsley, Department of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, Cape Town, South Africa, South Africa

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Abstract

Background. The Eastern Cape Province of South Africa is a resource-limited province with a fragmented mental health service. 

Objective. To determine the current context of public sector mental health services in terms of staff and bed distribution, and how this corresponds to the population distribution in the province.

Method. In this descriptive cross-sectional study, an audit questionnaire was submitted to all public sector mental health facilities. Norms and indicators were calculated at provincial and district level. This article investigates staff and bed distribution only.

Results. Results demonstrated that within the province, only three of its seven districts have acute beds above the national baseline norm requirement of 13/100 000. The private mental health sector provides approximately double the number of medium- to long-stay beds available in the public sector. Only two regions have staff/population ratios above the baseline norm of 20/100 000. However, there are significant differences in this ratio among specific staff categories. There is an inequitable distribution of resources between the eastern and western regions of the province. When compared with the western regions, the eastern regions have poorer access to mental health facilities, human resources and non-governmental organisations. 

Conclusion. Owing to the inequitable distribution of resources, the provincial authorities urgently need to develop an equitable model of service delivery. The province has to address the absence of a reliable mental health information system.


Keywords

Staff distribution; Bed distribution; Public sector; Mental Health; Eastern Cape

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