Showing posts with label TB-X/MDR. Show all posts
Showing posts with label TB-X/MDR. Show all posts

Tuesday, July 8, 2014

Fears of TB grips Lwandle evictees

Cape Town - As the inquiry into the Lwandle evictions continues, residents are still living in a community hall more than a month after being removed from their homes and there are fears that TB may be spreading among them.

Residents have now been living in the Nomzamo Community Hall for five weeks after being removed from land owned by the SA National Roads Agency Limited (Sanral) on June 2.

An inquiry set up by Human Settlements Minister Lindiwe Sisulu is expected to begin its work next week. It will investigate the circumstances in which the evictions took place, including the history of evictions and factors leading up to the application by Sanral.

A month and a week since their eviction, almost 900 residents, some ravaged by illness, still live in the hall.

Resident Qondiswa Msolo said they discovered a resident had TB and he became ill at the weekend.

“The paramedics who came to pick him up said the living conditions were not making it any easier for him. We are concerned that the children might contract it,” Msolo said.

When the Cape Times visited the hall on Monday, an elderly man was on his way to the clinic to schedule a check-up with a doctor after complaining about chest pain.

Msolo said living in the hall was difficult because it affected sleeping patterns. On Monday, she could not go to work because she was kept up by people who were awake.

But that was the least of her problems as residents remained in the dark about when things would go back to normal.

“Every week they say the following week we will go back, but nothing happens and the weeks keep rolling on. On Saturday, they said they would be putting concrete on the floors (on Monday) but that did not happen,” Msolo said.

A couple of hundred metres from the Nomzamo Community Hall, work on the temporary shelters to house the 849 residents continues. Some of the 200 structures were being built on Monday, but most of the structures have already been put up. Concrete flooring was yet to be completed.

Resident Mphatisi Tshetu, who is also a member of a community steering committee, said they had hoped to have returned at least 200 families this week, but that was unlikely.

“We are hurt that we are still living in the hall. There are a lot of people crammed into that small space and there are diseases,” he said. “We are still unsure about where we will go. The last information we got was that we would be moved to land in Macassar.

“The fight that is going on between the government and the council is delaying the process.”

In the hall the sleeping arrangements were either a mattress on the concrete floor or placed on a row of chairs to avoid the cold surface. Blankets are draped on the chairs and on the stage, which becomes a sleeping area at night. During the day, children play with soccer balls and toys as if all is normal around them.

Mayor Patricia de Lille’s spokeswoman, Pierrinne Leukes, said the city was looking for alternative land in the broader Macassar precinct to house the affected residents.

Leukes said De Lille had written to Sisulu asking what powers she had for establishing the commission, but she had “failed” to clarify this.

“In the absence of this information, the city has formally reserved our right to participate in the inquiry, as well as to challenge any findings that flow there from,” Leukes said.

Sisulu’s spokesman, Ndivhuwo Mabaya, said the inquiry had been working for the past 10 days and had already spoken to lawyers, NGOs and residents. He said the city was responsible for “accommodating its citizens”.

Tuesday, March 25, 2014

Do You Know the Facts about Tuberculosis?

World TB Day was commemorated on 24 March 2012. Every year, the Western Cape Government's Department of Health creates awareness about the causes, symptoms and treatment available for this infectious disease.
tb banner 2012
What is TB?
Tuberculosis (TB) is an infectious disease that is caused by a germ that attacks and damages the lungs, and it can be easily passed to others through coughing or sneezing.
How Do People Get Infected?
When an infected person coughs, sneezes or spits saliva onto the ground, the germs are spread into the surrounding air and remain there for a long time. If you inhale that air, you can breathe in the germs and get infected.
What are the Symptoms?
  • Constant coughing that lasts for over three weeks.
  • Discoloured or bloody sputum (mucus coughed up from the lungs).
  • Drenching night sweats.
  • Tiredness.
  • Mild fever or chills.
  • Loss of appetite.
  • Weight loss.
  • Pain in the chest while breathing or coughing.
Where and How Do I Get Tested?
You can get free testing at your nearest clinic. Testing for adults is done by taking two sputum samples and the results are normally available after two to three days. Testing for children is done using skin tests and chest x-rays.
What Will Happen if I Have TB?
TB treatment is free from clinics. You will be started on TB medication, and the treatment is taken for six to eight months. A nurse at the clinic will tell you about the disease, how it is treated, the importance of adherence support that can be provided while on treatment, the diet to follow, the importance of screening your immediate family members as well as things to avoid when you are on treatment.
Who Can Get TB and What Can I Do to Protect Others?
Anyone can get TB. TB is NOT a disease for the poor only. Here are some things you can do to protect yourself and others from getting TB:
  • Taking your TB treatment as prescribed by your health worker.
  • Covering your mouth when you cough or sneeze.
  • Open windows and let sunlight come through your house.
  • Exercise and live a healthy lifestyle.
  • Eat enough healthy food.
  • Stop smoking.
  • Avoid alcohol intake.
What Will Happen if I am HIV Positive?
TB is curable even if you are HIV positive. You will be assessed for anti-retroviral treatment and started if you qualify. You will also be given treatment to prevent opportunistic infections.
How Long Do I Have to Take My TB Medication?
You will have to take your TB medication every day for six to eight months. TB treatment is free and there are people who will assist you to take your medication. You will be tested after two months to monitor the progress. If the results are negative, you will be introduced to the new set of medication for four months. You will be tested again after six months to make sure that you are cured.
Can I Use Traditional Medicine to Cure TB while on TB Treatment?
No, you mustn't use traditional medicine together with TB medicine because this may cause other side effects or make the TB treatment not work properly. It is important to take your TB medication everyday for six months to be cured. You should NOT stop taking medication you received from the clinic, but you should stop the traditional medicine while taking TB treatment.
What Will Happen if I Don't Take My Medication Correctly?
If you don't take your medication correctly, the TB germ will develop resistance to treatment. You may develop MDR or XDR TB.
What is MDR and XDR?
MDR TB stands for "Multi Drug-Resistant Tuberculosis", which is a specific form of drug-resistant TB resistant to at least two of the most powerful first line anti-TB drugs. It is caused by the lack of compliance to treatment and incorrect use of tablets used to treat TB. The TB germ protects itself against TB drugs, which makes it difficult to kill the germ and different drugs need to be used. MDR TB is difficult to treat and may take 24 months to cure.
XDR TB, also called "Extensive Drug-Resistant TB", is where the germ is resistant to drugs used to treat TB and some of the drugs used to treat Multi Drug-Resistant TB.
Are XDR and MDR TB Curable?
Yes, there are drugs that can be used to treat MDR and XDR TB provided you complete treatment under supervision. These drugs should be taken for 24 months. If you have MDR or XDR TB, you will have to receive daily injections for six months or longer.
You may have to be admitted to hospital for many months. MDR and XDR TB diagnosis can only be confirmed by taking sputum samples to the laboratory and the results are usually available after three weeks. The body reacts to germs by producing the cells to fight off and destroy the germs. In some people the body's cells fail to kill the germs, which therefore continue to multiply and spread to other parts of the body.
What Should I Do if I Have been in Contact with a Person Who Has MDR or XDR TB?
If you have been in contact with MDR or XDR TB patient, it is possible to get the disease. You must go to a clinic for TB screening and testing.
What Should I Do if I Have TB and My Family Have been in Contact with Me?
All children under five years of age who are in close contact with a TB patient should be taken to the clinic to be screened. Adults who have symptoms of TB should also go to the clinic to be tested for TB.
TB is curable if you take your medication correctly for the full duration. If you feel better after taking medication continue until the nurse tells you to stop. TB is dangerous if you don't comply with medication and it can lead to even more serious complications like MDR and XDR and even death.
Useful Tips if You Have TB or Know of Someone Who Has This Disease
Respiratory hygiene and cough etiquette can prevent the spread of TB. If you have to sneeze, cough or spit, you MUST:
  • Turn your head away from people when you cough, sneeze or spit.
  • Try to sneeze, cough or spit into a tissue or toilet paper. Throw the used tissue or toilet paper into a bin.
  • If you do not have a tissue or toilet paper on hand, sneeze and cough into your upper arm.
  • Use a tissue or toilet paper if you need to blow your nose and throw the used tissue or toilet paper into a bin.
  • If you have a cough, cold or flu, cover your mouth and nose by wearing a mask or scarf when you are in enclosed or crowded spaces, for example when visiting your clinic, travelling in public transport, or in your home.
  • Continuously wash your hands so that you do not transmit germs.
Additional Information:

Thursday, November 28, 2013

‘Why I’m joining march in Cape Town’

Cape Town - Her 20-year-old daughter died in a shack fire last year and the thought of suffering a similar fate is Nosakho Sigwelo’s worst nightmare.

Sigwelo, 53, has lived in a shack for 23 years.

“When my daughter died, the fire brigade said the fire was too strong and they couldn’t rescue her.”

Sigwelo believes that at her age she should have a proper house.

This is why Sigwelo plans to march to the Western Cape provincial legislature on Friday in a protest organised by the Cape Town Informal Settlements Organisation. She hopes Premier Helen Zille responds to the organisation’s request.

Her two-roomed shack in Site C, Khayelitsha, where she lives with her seven children, is not well built.

There are gaps between the corrugated roof sheeting and the wall where sand blows in, and there is a hole in the roof that leaks when it rains.

The floor has holes where rats get in.

“I can’t relax while living here,” said Sigwelo.

She awakes at 7am to begin her chores.

“The first thing I do is clean the potta-potta toilet because it leaves the house with a stench. It sometimes spills, so I then need to wipe the spilt faeces with newspapers.”

Although the City of Cape Town had promised the portable loo would be collected daily, several days’ worth accumulated outside the shacks and neighbours threw the waste outside each other’s yards.

“You wake up and you see poo outside your home, dirty baby nappies. I have to clean it.”

Sigwelo’s chores include sweeping out the sand every half-hour and ensuring all food is enclosed in containers where the rats can’t reach it.

She has been treated for TB and says her living conditions have made her ill many times.

“Having a house would allow me to relax.

“I won’t have to wake up and clean human waste and most important a house would mean I could die peacefully. I don’t sleep well. I keep thinking of how my daughter died.”

Sigwelo said she hoped to confront Zille at the provincial legislature on Friday.

“I want to take the potta-potta, sit on it and then ask the premier how she would feel if she had to do this.”

zodidi.dano@inl.co.za

Tuesday, November 5, 2013

14 children get TB from teacher

Cape Town - Fourteen nursery school children have tested positive for tuberculosis after being exposed to their teacher’s infection at a school in Hermanus.

The teacher had been ill for several months, but doctors had misdiagnosed her as having a “chest infection”. She was not tested for TB and continued teaching at the Curro Hermanus Private School.

X-ray results are to be released on Tuesday and the children, all younger than six, are to begin treatment.

The school’s principal, Hennie Mentz, said: “The staff member’s TB status was not picked up in repeated visits to different private doctors.

“She was treated for a recurrent chest infection. A TB test was not done, nor was the patient referred to a clinic.”

Once the teacher became seriously ill, she went to the provincial hospital, checking in on October 8. She was tested for TB the same day and found to have the disease. The school was notified immediately.

Parents were notified only on October 17, after which all 70 children at the nursery school were given a skin test.

Those who tested negative are to receive prophylactic treatment for six months.

“The teacher will come back to school only after a negative sputum result and culture have been received,” Mentz said.

“The school has given the staff member extended and fully paid sick leave.”

Mentz hoped publicity about the infections would help more people understand that tuberculosis could affect anyone.

“It doesn’t choose according to who you are,” he said.

“I hope people will realise that we are all exposed to it.”

Mark van der Heever, spokesman for the Western Cape Department of Health, said living in a poor community raised the risk of being infected.

“People from a lower socio-economic background are predisposed to contract TB, due to various social determinants, such as overcrowding, lack of adequate nutrition, and poor infection control measures.”

Up to 74 000 children a year die of TB each year, according to the World Health Organisation’s 2012 estimate – and this figure accounts only for HIV-negative children.

“The urgency of the problem of TB in children cannot be underestimated,” Health MEC Theuns Botha said.

“The school health system in South Africa, and to a lesser extent in the Western Cape, has deteriorated over the past two decades to an unacceptable standard.”

Botha said the infections were an indication that the system needed to be overhauled.

The department would announce a new school health plan for the Western Cape, he said.

"When this is fully operational an incident such as this could be prevented."

chelsea.geach@inl.co.za

Wednesday, September 25, 2013

Cape’s TB database problematic - study

Cape Town - The Western Cape’s electronic reporting system for drug-resistant tuberculosis is riddled with inaccuracies, a local study has revealed.

The study concluded that TB in children was under-reported and under-diagnosed. Researchers said this was worrying because it had implications for resource planning and burden estimates.

This also means the World Health Organisation (WHO), which monitors diseases and assesses the performance of different health systems worldwide, could be getting incorrect information about the state of this disease in Cape Town.

 The study, by Penelope Rose and other researchers from Stellenbosch University’s Desmond Tutu TB Centre, found that only two-thirds of children clinically treated for drug-resistant TB were recorded in the electronic reporting system.

The Western Cape uses two electronic TB registers: ETR.net captures the provincial TB data, while a separate electronic register, EDR.web, is used to register drug-resistant TB.

The two registers not only allow the generation of useful TB reports on important TB programme indicators, but they are also aimed at improving quality of data and facilitating more complex data analyses.

The registers are submitted to centralised TB units before being reported to the national database and then to the WHO.

Of the 77 paediatric drug-resistant cases analysed, only 49 cases, or 64 percent, were found in the EDR.web - suggesting under-reporting.

A number of inconsistencies, including cases of eight children that were indicated as not having a confirmed diagnosis, were entered into the electronic system as if drug-resistant TB had been confirmed.

About 21 percent of children with confirmed drug-resistant TB were entered in the register as not confirmed, while clinically they had a confirmed drug resistance.

Five children who were treated for drug-resistant TB and initially registered in the electronic register, did not appear in the final count.

In addition, records of 14 children who were registered in the electronic system did not match the clinical cohort, while seven children who were treated for drug-resistant TB in earlier years were recorded in the register only last year.

While completeness and accuracy of data were relatively high for the type of drug resistance, at 94 percent, indication that treatment had started was slightly lower at 84 percent and HIV status in HIV-infected children was recorded to be 100 percent accurate.

Although the Western Cape had about 17 percent of paediatric TB, only 4.4 percent was registered as drug-resistant, prompting researchers to conclude that TB in children was under-reported and under diagnosed.

The researchers raised concerns about the fact that some facilities had no direct access to the electronic data capturing system, and still used old-fashioned paper registers.

“The process of transferring data from the paper register at facility level to the electronic register needs to be simplified with improved verification system. The roll-out of molecular diagnostic tests may lead to increased detection of both adults and children” with drug-resistant TB, wrote Rose.

sipokazi.fokazi@inl.co.za

Saturday, February 16, 2013

Zuma hears woes of fire victims

Cape Town - “I can’t live like this any more. The conditions are unbearable,” wept January 1 fire victim Phakama Nhose after about seven weeks of living in OR Tambo Hall in Khayelitsha.

Another of the victims, mother Nonzwakazi Ligunya, agreed: “We’re overcrowded, some people are sick. It gets claustrophobic in here and the ambulance frequents this place, coming in at least three times a day.”

That was the scenario that met President Jacob Zuma on Friday when he came face-to-face with the victims of the New Year’s Day fire in Khayelitsha that razed 220 shacks and 15 formal houses, killing five people.

Thousands were left homeless, and on Friday Zuma was at their temporary home to officially open what the residents hope will be better temporary homes – housing units donated by NGO Gift of the Givers, and erected in the area around the hall.

Fresh from his State of the Nation address, Zuma heard from residents who have become extremely frustrated at their conditions.

He was accompanied by Human Settlements Minister Tokyo Sexwale, Health Minister Aaron Motsoaledi and Cape Town mayor Patricia de Lille.

Zuma told the many fire victims he was visiting them to assure them that while he understood that “government proceedings are slow”, he would keep on eye on the progress of plans to rehouse them.

“I’m counting down the two months as from today,” said Zuma, switching between Xhosa and Zulu. He was referring to the two-month deadline the city set itself to complete the rehousing process.

Between 400 and 500 people also affected by the fire are apparently living elsewhere with family and friends.

About 150 people are living in the hall, and it remains unclear whether everyone will get new homes.

Local ANC councillor

Monde Nqulana said while it was impossible to say exactly when everyone would be rehoused, “by mid-March everyone should be out of the hall”.

Nqulana added that another 15 people were expected to move into the new temporary units outside the hall on Monday.

Nqulana agreed that conditions inside the hall were problematic, and confirmed that the ambulance had to be called for patients there about three times daily.

“Some of the people that live here have tuberculosis. It’s unfair,” Nqulana said.

BM section resident Ligunya, who has a two-month-old baby, agreed: “It’s not nice living here.”

Nosicelo Phakamisa, who lives in the hall with a family of eight, took a brighter view of the situation: “They give us everything. We’ve been promised that the houses outside are just temporary, and that we’ll get better houses.”

After the president’s address, Nomthandazo Damane, a single parent of a three-month-old, remained unconvinced.

She said the situation was “quite dire”, and that she didn’t want to get her hopes up.

“The infant foods they give us for our children have expired,” she complained.

After addressing the residents, Zuma inspected the temporary houses. Gift of the Givers branch manager Gawa Sayed said the organisation would build 100 temporary houses, each costing more than R20 000.

“We pledged 100 houses for the victims,” Sayed said, explaining that while their focus was normally on feeding victims of disasters, they had decided this time to help with housing. They had already erected 24 homes, and the residents would move in on Monday.

The South African Social Security Agency (Sassa) and the Home Affairs department set up mobile services at the hall to help those affected by the fire replace their IDs and assist with their social grants.

Monday, October 10, 2011

RDP ‘no doorway to good living’

Subsidised low-cost housing offers no guarantee of “good living conditions”, the Western Cape Department of Human Settlements has acknowledged.

The department was responding to the findings of a study into the quality of low-cost housing in the province by researchers from the University of Stellenbosch and UCT.

The study found that residents of low-cost houses were at high risk for illnesses such as tuberculosis and diarrhoea, with poor ventilation and insulation among the major contributing factors.

The houses surveyed were built by the province or the City of Cape Town, but most did not have a bath or basin in the bathroom. The province and the city said newer houses were better equipped to prevent residents falling ill.

The city said its human settlements portfolio committee would discuss the findings of the study at its next meeting.

However, Ernest Sonnenberg, the mayoral committee member for human settlements, told the Cape Argus that houses built after the introduction of the national government’s Breaking New Ground policy had better facilities.

He said the city was looking at an urbanisation framework strategy that would include investigating the link between health and housing.

It now had an education programme detailing how homeowners should look after their houses.

Bruce Oom, a spokesman for the provincial Department of Human Settlements, said the intention of the Reconstruction and Development Programme was to transfer ownership of homes to poor people.

It was then up to these people to maintain their properties, Oom said.

Initially, the subsidy for the top structure was R6 000, but “it became apparent that building low-quality houses was creating extra problems, so gradually the housing subsidy was increased so that quality houses could be delivered”.

But Oom said this did not mean older houses would be renovated to meet the higher standards.

There were no funds to upgrade all the houses.

Since 2002, all houses had been built with ceilings and roof insulation, and the exteriors were plastered.

Houses had a bath or a shower, Oom said.

On the issue of the health threat, he said the department agreed, “to an extent”, that residents of these houses were at a higher risk of contracting some illnesses.

“The department agrees that the designs of many of the subsidy houses, in particular the older projects, are no guarantee of good living conditions.”

Oom confirmed that Professor Jo Barnes had related the findings to the department.

- Cape Argus

Tuesday, October 4, 2011

The RDP ticking timebomb

Thousands of people living in RDP homes across the Western Cape are at risk of contracting TB or diarrhoea, after a study found a direct link between defects in the poorly built homes and people falling ill.

The study found that the health of backyarders was better than that of people living in the homes.

The study by researchers from the University of Stellenbosch and UCT found that leaking roofs, cracked walls, insufficient insulation and meagre sanitation facilities negatively affected health.

After the findings were made public earlier this year, the city’s Human Settlements portfolio committee requested a more detailed report. The report which analysed the study said health issues needed to be considered in housing policy and design.

TB and diarrhoea were the key conditions linked to poor design and maintenance of the RDP housing, the report said.

Leaking roofs was one of the most common problems, the study found.

“... The study revealed that the majority of the owners interviewed could neither afford to maintain the houses nor to repair the structural defects,” read the city report on the study. According to the study, 99 percent of the respondents could not afford repairs to their home.

The study also found that 33 percent of the respondents had had diarrhoea in the two weeks before the study. The report on the study said 38 percent had TB.

“The lack of proper insulation and ventilation, as well as over-crowding, were the major contributors to this problem,” said the report on the study.

The study, which was done last year, included a survey of 1 080 people at 336 “dwellings” in Driftsands, Tafelsig, Masiphumelele and Greenfields.

Fatima Ismail of Tafelsig was one of the respondents.

Entering the home, a small passage of just a few paces leads to an open-plan kitchen and dining area. Because there was only one bedroom, Ismail converted the dining area into a bedroom. There is a small passage leading to the bedroom, which is opposite the toilet.

The homes are untiled, with only cement floors.

All RDP homes are between 30 and 36m2.

Ismail moved into her one-bedroomed home about three years ago. She shares it with her husband and their five children. The family has spent thousands of rands trying to make it more liveable.

Ismail said when she moved in there was no bath or wash basin. They had to bathe in a plastic basin in the kitchen. For the first month, Ismail said they used a candle before installing electricity.

She has plastered the bedroom and front room, where four of her children sleep on double bunks.

Ismail has removed the plastic sink and replaced it with a glass one.

However, patches of thick mould are still on the bedroom walls and in the dining room. When it rains water often seeps into the house.

“I didn’t ask any questions when they told me I was getting a house. I was happy, I just jumped for it. I’m not ungrateful, I’m happy my children have a roof over their heads.”

Fatgia Davids, another Tafelsig resident, said her disabled son, Mogamat Zaid, suffered constant “sickness and allergies” since they moved in.

She said she was grateful to the city for building a ramp at her home which made it easier to move wheelchair-bound Mogamat.

Another resident, who did not want to be named, said he had lodged several complaints with city officials about the state of his house.

Ernest Sonnenberg, the city’s mayoral committee member for housing, said although some of the houses had been built by the city, the majority had been built by the provincial government.

He said the city agreed with the study that there were problems with the general upkeep of the homes. The city believed the key reasons for this were unemployment, poverty and a lack of education. “We did not understand the causality between the actual design of the RDP houses and the spread of disease.

“Over-crowding, unemployment and low levels of education are all contributing to poor maintenance and the improvement of the houses, and are more social and economic factors rather than design factors.”

Sonnenberg said RDP houses were privately owned after they were built, so it was the home owners’ responsibility to maintain them. - Cape Argus

Friday, June 4, 2010

High stakes game

ACROSS the brown dirt and stubbled grass that passes for a park, a cluster of boys vigorously contest a misshapen ball in front of a goal rigged up between rubbish bins. As the ball skids past the goalie in his oversized green-and-gold shirt, shouts erupt. The ball they boot in scruffy no-brand shoes is an ingenious composite of paper, string, plastic and twine.

The World Cup extends into the lives of these kids and thousands like them. They are unlikely to see a match in Cape Town's freshly minted stadium, but they will watch South Africa's team on ancient television sets in the cramped shacks of the Khayelitsha township — shacks assembled from scrap iron, mud bricks, cement sheet and discarded containers.

In Khayelitsha, where not even the basics of life can be guaranteed, football is everything a religion should be. It delivers hope: a way out of poverty, relief from boredom in a country where one in four adults do not have a job.

For the 500,000 people who occupy the houses in streets controlled by gangs, and where police never venture alone, soccer is a god-sent diversion.

Ndaye Mulamba, Africa's greatest player, who lives in a modest apartment 40 minutes by car from the Khayelitsha park, tells The Age that soccer is the game of black Africa, a unifying bond that crosses all nations and all regimes, all tribes. According to a survey by FIFA, the game's governing body, 46 million of the world's 265 million registered players are African.

Like the Khayelitsha children, Mulamba, now 60, learnt his basic skills kicking a foam rubber ball around the streets of Kinshasa in his native Congo.

"After school we would put away our books and go out and play. It made my father mad; he thought it was a waste of time."

Next week's World Cup brings to Africa — and to South Africa in particular — the biggest sporting event on the planet. The first cup played on African soil, it symbolises a transition from Third World to First World, an affirmation that South Africa, the continent's largest economy, deserves its place in the world order as a G20 nation. About $4.2 billion has been lavished on new stadiums, airports and freeways to accommodate an estimated 300,000 visitors. Nelson Mandela, the founding father of modern South Africa, wept tears of joy when FIFA awarded South Africa the right to host the 2010 Cup. "I feel like a boy of 15," he told an audience in Switzerland.

Thabo Mbeki, the then president, said in a letter to FIFA president Sepp Blatter: "We want, on behalf of our continent, to stage an event that will send ripples of confidence from the Cape to Cairo . . . We want to ensure that one day historians will reflect upon the 2010 World Cup as a moment when Africa stood tall and resolutely turned the tide on centuries of poverty and conflict."

Outwardly, at least, the African National Congress government of President Jacob Zuma has delivered much of what Mandela and Mbeki hoped for in a country still struggling to find its way.

Despite worries over domestic security (South Africa has the world's highest murder rate, at 50 a day), a crippling national transport workers' strike, and bungled ticket sales that made no provision for people without internet access or credit cards, the competition will kick off on time to packed crowds in venues regarded as among the world's best.

South Africa's team, known as "Bafana, Bafana" or the boys, has become a unifying focus for a nation once brutally divided by apartheid. In the wealthy districts of Atholl and Sandton in Johannesburg and the impoverished townships of Alexandra and Soweto, cars fly the red, green, blue and black flag. The raucous sound of the vuvuzelas, a plastic trumpet, echo through airport terminals and shopping malls.

But the big question surrounding South Africa's extravagant World Cup party is what benefits, if any, will flow for a nation under the influence of the ANC — a party wedded to 1980s notions of liberation politics — and an economy geared to favour the rich and well connected. Can the excitement of the cup be converted into something more lasting for a nation of 49 million, where the unemployment rate for blacks is 26 per cent and for whites 6 per cent, and where the gap between the rich and the dispossessed has widened?

The World Cup was meant to be Zuma's finest hour. Elected last year following a bitter power struggle with his predecessor, Mbeki, Zuma has taken a heavy hit in the popularity stakes. His macho style — "Give me my machinegun" was his rallying call to voters — may have attracted the disenchanted youth vote, but it has not served him well in office.

Since January the controversial Zulu leader, who was found not guilty of rape and avoided corruption charges before the election, has been embroiled in a string of personal scandals including a messy polygamous private life that includes a pregnant lover he has promised to marry. There is a growing perception among professional observers that Zuma is unable to deliver much more than a good speech.

"Information is power, but Zuma does not have much of either," wrote John Kane-Berman of the authoritative South African Institute of Race Relations.

"That he needs to set up a call centre to enable people to voice their grievances suggests a spectacular failure."

Professor Jonathan Jansen, the rector and vice-chancellor of the Free State University, believes Zuma represents a crude political class within the ANC that shows little interest in uniting the country.

"This country has not been blessed with the political leadership we had under Mandela — that was generous and gracious and also firm about what it means to be decent," he tells The Age.

Jansen, a respected figure regarded by some as an emerging moral voice,

also identifies Julius Malema, the brash head of the ANC Youth League, as another divisive figure intent on appealing to violent youth through racial slurs and "bad" behaviour. "You can only imagine [the effect] his singing of Kill the Boer[a reference to white farmers] had downstream.

"There is not a high level of decency and integrity in our government," he says."The crudification of the public space, this form of barbaric politics that says it is no longer enough just to protest, has appeal and I don't believe it is unconnected. I do not believe Malema just speaks for himself."

Malema's denigration of women and his support for the internationally vilified regime of Robert Mugabe, with its persecution of white farmers, has revived bitter memories of race-driven politics that Mandela tried to bury using the concept of the "Rainbow Nation".

Although Malema was fined and rebuked for his outbursts, it has not stopped him pushing for the nationalisation of mining, a policy that targets non-black companies where blacks occupy less than 10 per cent of top executive positions.

To compound matters, there are indications that the ANC is deeply preoccupied with finding a replacement for the 68-year-old self-declared one-term President.

But the most fundamental issue facing the ruling party is how best to reconnect with voters as the authentic voice of Black Africans, the party that smashed apartheid and put an end to racism.

“People like myself grew up with a very romantic view of the ANC," says Jansen.

"I never thought it would come to this. The party has lost the moral high ground established during the liberation struggle of the Mandela era.”

There are unmistakable signs that black voters no longer see the ANC as the party of natural choice. Last week on the Western Cape, the opposition Democratic Alliance of Helen Zille, Africa's only successful white woman political leader, won two key byelections in ANC strongholds with thumping 60 per cent-plus majorities. The seats were won despite threats of violence and vandalism by ANC youth activists.

Zille said in an exclusive interview that the alliance had campaigned on issues that made a difference to people's lives: new roads, health services and education.

“We were superbly organised, the ANC was not. We had a vision, they had none. We also had outstanding candidates including a dynamic community activist who was originally with the ANC. Voters want action, not false promises and threats.”

In Western Cape province the waiting list for social housing is a massive 450,000. With only 6 million registered taxpayers, Zille believes it is unrealistic for people to expect the state to provide them with a house, and she questions the quality of the 2 million houses the ANC claims to have built since it came to power.

Instead of houses, she promises freeways, sewerage, hospitals and libraries. “I am very frank with people about what we can and cannot do and they respect that.”

BUT for many it is already too late. In a Medecins Sans Frontieres clinic located in the heart of the Khayelitsha township a 31-year-old unemployed hairdresser, “Grace”, offers qualified praise for Zuma for taking a public stand in the fight against HIV and AIDS.

“President Zuma did the right thing by getting himself publicly tested for HIV and declaring the result. It was very encouraging to see him being so open. But his openness has probably come too late for many people,” Grace, who is HIV positive, told The Age.

Former president Mbeki blocked treatment, disparaged anti-viral drugs and questioned the very existence of AIDS — a stance estimated by a US study to have cost the lives of more than 300,000 people. Although Zuma has distanced himself from Mbeki's policies, HIV remains overwhelmingly the nation's biggest health challenge.

International charity AVERT estimates that during the month of the World Cup 23,000 South Africans will die from AIDS. Some 5.7 million people live with HIV.

Khayelitsha, where Grace has lived for most of her life, has one of the highest “burdens” of HIV in the country with more than 31 per cent of people affected.

Rates of tuberculosis are a staggering 70 per cent.

Dr Gilles Van Cutsem, co-ordinator of MSF's Khayelitsha Project, says that 10 years ago nobody was on anti-viral drugs, (known as ARVs), and today there are 15,000. Changes in national policy have also led to a wider distribution of condoms, the deployment of nurses in direct treatment and a plan to test 15 million people this year.

But while there has been progress on HIV/AIDS under Zuma, the "Rainbow Nation" is displaying serious signs of stress elsewhere.

There are simmering resentments over black business empowerment programs that have failed to redistribute wealth and fuelled corruption, and restrictive university quotas that discriminate against bright white students, leading in turn to a brain drain.

Last week Basic Education Minister Angie Motshekga said after a tour of the nation's worst schools she was shocked to find classes without textbooks or stationery, teachers absent and principals who had lied about school scores.

“Some schools had no teachers since school began in January.”

The health system also appears to be a shambles. At the neonatal unit of Nelson Mandela Academic Hospital in the Eastern Cape, 181 babies died this year.

A nurse was quoted as saying: “I have never seen anything like this before. The babies die one after the other.

"I see dead babies three or four times a week. By the time they are admitted it is too late to do anything.”

Fatalities were attributed to an oxygen compressor that had stopped working in January and had not been repaired. Lack of oxygen caused 23 of the deaths.

Another 17 babies died at the Charlotte Maxeke Hospital in Johannesburg during the same period for related reasons.

A significant part of the blame for the failure of schools and hospitals to deliver services at even the most basic level lies with a top-down system of governance, where central bureaucracies deploy party loyalists regardless of skills.

The system has not only failed to deliver efficiencies but, says John Kane-Berman, has, in local government, led to corruption, influence-peddling and a breakdown in governance.

So what for the future? The ANC and Zuma may have lost their way, but they remain the dominant political force, consistently pulling in more than 65 per cent of the national vote.

For the kids of Khayelitsha, soccer and the World Cup offer better prospects and a lot more fun than the black empowerment programs that are yet to change lives.

Jonathan Jansen believes the future of South Africa is in hands of the people, not politicians.

“It is up to ordinary people to push back against the poor examples set on the national stage by a corrupt political class. This country has made enormous strides when it comes to race relations.”

The vice-chancellor remains optimistic about the benefits that might flow from the World Cup.

“I don't care how much the cup costs to stage, what matters to me is whether the social benefits are significant enough to keep a very promising country together. That will be the real challenge.”

- The Age

Thursday, March 25, 2010

2010 - Human Settlements in the Western Cape

Next week, on 31 March 2010, the Department of Local Government and Housing will cease to exist. It will be replaced, on 1 April, by two departments, the Department of Local Government and the Department of Human Settlements.

I will now be known as the Minister of Human Settlements in the Western Cape. Not only does this title better describe this government’s approach to the provision of housing opportunities, but the national government has, in fact, adopted our approach to housing provision.

Last year, when I first questioned the sustainability of the current approach and suggested a new approach that prioritised serviced sites over top structures and providing less assistance to more people, many people were sceptical. However, our approach now has the backing of President Jacob Zuma, who in his State of the Nation Address set a target of 500 000 serviced sites nationwide for the national Minister of Human Settlements, Tokyo Sexwale. At the most recent MinMEC meeting a little under two weeks ago, it was quite clear that the rest of the provinces are on board with this approach too.

It is gratifying to have others acknowledging what we have maintained to be the correct approach for many years.

Mr Speaker, in her State of the Province Address, the Premier reminded us that our mandate from the citizens of the Western Cape is to build an open opportunity society for all in this province.

Our approach is very much informed by that vision.

In an open opportunity society for all, human settlements are sustainable and integrated, providing access to social and economic opportunities for all.

In an opportunity society, your path in life is not determined by the circumstances of your birth, but rather by your talents and your efforts. In an opportunity society, a child born in poverty should nevertheless be able to become a brain surgeon or a company CEO, provided he/she has the talent and puts in the effort required to succeed.

I think we all acknowledge that we have a long way to go to achieve that vision. As the Premier said, “South Africa is not yet an opportunity society because too many people remain trapped in a cycle of poverty, with few realistic prospects, relying on state hand-outs to survive.”

We must also acknowledge that the desperate conditions in which many of our citizens live severely limit their chances of improving their situation and realising their true potential.

A child living in a shack, with no clean running water, no electricity, no sanitation, no refuse removal, must overcome far too much to succeed in life. We have to provide the opportunities for her/him to break free of the cycle of poverty and become all she/he can be.

You have heard, and will hear, from a number of my colleagues about various opportunities that will be provided or facilitated by this government. I will focus on how the Department of Human Settlements will assist with expanding opportunities for the citizens of the Western Cape.

Before unpacking our strategic plan and our programmes for the coming year, let me also acknowledge that, in the open opportunity society, governments are transparent and accountable. As such, it is important to reflect on the achievements and challenges of the current financial year before turning our attention to the next.

The challenges we have faced also provide insight into some of the obstacles we must overcome to realise our vision of integrated and sustainable human settlements.

The Western Cape received a R1.581 billion Integrated Housing and Human Settlement Grant for the 2009/10 financial year. By the end of this month, we would have spent approximately R1.501 billion, or 95 percent of our grant.

With this money, we have built 16 324 houses (exceeding our target of 16 000) and serviced 15 182 sites (falling short of our target of 16 000 by 5 percent).

The R80 million (five percent) under-expenditure relates to the problems we inherited on the N2 Gateway Project with the winding down of Thubelisha Homes.

As you may recall from my speech on the adjustment budget bill last December, we re-allocated R150 million originally earmarked for the N2 Gateway to other projects that were performing in the province. The province has since taken over the role of developer on the N2 Gateway, and nearly all project contracts have been ceded by Thubelisha to the department and are being managed in-house, with the Housing Development Agency (HDA) assisting as project manager.

However, the department is currently appointing mediators to settle disputes unresolved by Thubelisha and the two consortia working on the N2 Gateway. We are therefore applying to Treasury for the rollover of the R80 million under-expenditure against this commitment, since it is for work already completed.

We have also asked Thubelisha to return approximately R33 million that was paid to them for some of this work, but which was never passed on to the contractors.

The most positive development since last December, however, is that we have reached an agreement with the Ibuyile. We can expect construction to continue apace in the new financial year.

Another challenge we have faced this year is getting our provincial projects – Our Pride, Nuwe Begin, Mama’s Project and Thembelihle off the ground.

Essentially, we have spent a year retro-fitting planning requirements that should have been done prior to the projects being launched (before my appointment). As frustrating as the planning requirements are and believe me, I fully appreciate this frustration – we must be careful not to raise expectations among communities, which then simply cannot be met.

That being said, I believe there is much room for improvement in our planning and supply chain management procedures.

We must plan well in advance, taking into account all the processes that we are required to follow, to ensure that the targets we set ourselves are achievable.

In this regard, the department is exploring the viability of developing an Integrated Sustainable Human Settlement Framework for the Western Cape with a 2030 vision. Such a framework would allow the department to predict human settlement needs and plan accordingly over the medium to long term.

I also believe that supply chain management in the department and in Treasury must not only enforce adherence to the Public Finance Management Act; it must also facilitate that adherence by playing a much stronger supportive role to the strategic objectives of the department.

Most municipalities performed well in spending their 2009/10 allocations, although there were some municipalities that struggled:

George Municipality was a victim of one of its contractors’ cash flow problems which prevented them from starting a project. As a result, George spent only 55 percent of its budget.

Overstrand started its project in Kleinmond late due to a dispute about the implementing agent and a delay in the Record of Decision and, as a result, only spent 56 percent of its allocation.

Stellenbosch suffered from political instability this year, and only managed to spend 45 percent of its budget, while Saldanha also reached only 45 percent due to capacity problems.

Laingsburg and Prince Albert have bulk infrastructure limitations that need to be addressed, and thus spent zero and three percent respectively. These municipalities’ housing budgets are quite small. One option we need to consider with the national department is to use their housing allocations to fund bulk infrastructure.

We have been engaging with the national government about eliminating bulk infrastructure problems as an obstacle to human settlement development. It requires a closer alignment between MIG and Housing funding, among others. I am therefore pleased to inform you that a summit is planned for this year to address the alignment of funding – including the national departments of human settlements, cooperative governance and traditional affairs, water and environmental affairs, and energy, as well as the provincial departments of local government and housing/human settlements.

Besides the N2 Gateway under-spending of R80 million, all other under-expenditure was redirected to other projects with the capacity to spend, with the result that a number of municipalities exceeded 100 percent of their allocations in this financial year.

Mr Speaker, our number one goal over the next five years is to accelerate the provision of housing opportunities, by prioritising in-situ upgrading of informal settlements and providing security of tenure on serviced sites. We must ensure that backyard dwellers are also accommodated on available vacant land.

Housing opportunities encompass the full scope of housing assistance by the state and other providers from the provision of serviced sites, to rental units, to housing finance assistance, to a fully developed state-funded house. The common denominators in all housing opportunities and key indicators in the national government’s strategy too – are security of tenure and unrestricted access to basic services.

Besides accelerating delivery, this will allow those beneficiaries with the means to become agents of their own destiny and build their own houses on a serviced plot they now own.

The key shift is that all parties take full ownership of their responsibilities. The state accelerates the delivery of serviced sites, which are registered in the name of the new owner. The individual makes the effort to leverage other resources and puts in sweat equity to build a home; and the private sector is encouraged and incentivised to assist this includes bank finance, corporate social investment, employers and individuals, employee housing schemes, in particular, have the potential to unlock significant funding for self-build homes.

One group of employers who have already indicated a willingness to assist their employees if they are provided with somewhere to build are farmers. I have met with the Stellenbosch farming community, and I have asked my colleague, Minister van Rensburg, to facilitate a meeting with the provincial branch of Agri-SA, in order to take discussions further about the options available for assisting farm workers, and how we can work together to ensure they are helped. The first critical step is that municipalities must make sure that farm dwellers are included in their housing demand databases. Our starting point, too, is that, where it is feasible for farm workers to commute to work, housing opportunities should be provided in the nearest town, where the costs of providing municipal services are cheaper than on farms, and where residents have access to social amenities.

However, there are also other options for farmers and farm workers. Farmers can develop subsidised rental stock on their farms (or give a social housing institution a long-term lease to do so), or they can transfer some of their land to their workers. A key requirement of providing housing on farms, once again, is security of tenure.

Speaker, where possible, we must encourage people not to wait for the state. Many houses built in rural areas – for example, in the Eastern Cape and KwaZulu-Natal were built with no assistance from the state whatsoever. People did it themselves, sometimes very slowly. We must ensure that those people who take charge of their own destiny have access to financial assistance and support. In this regard, I believe we need the available subsidy instruments to be expanded further to include state-backed loans.

The President has announced a R1 billion guarantee fund to encourage banks to finance affordable housing. However, the focus of this fund is, rightly, on the gap market. I believe we also need to grow housing micro-finance in the low-income housing market to assist people to build their own homes.

Having said that, closing the gap between subsidised housing and the bonded market is crucial, to underscore how seriously we take this issue, we have created a Directorate of Affordable Housing in the department. This directorate will be responsible for rental housing and what we refer to as Gap housing.

But a key element of this directorate’s function will be building partnerships.

I recently returned from the United Kingdom where I attended a conference on social housing, as well as visiting a number of projects and meeting many experts in the field. What struck me most on my visit was the extent to which they created multi-sectoral partnerships to tackle social issues through housing. Everything centres on housing. For example, social housing associations tackle issues of substance abuse, unhealthy lifestyles, crime and unemployment (through housing).

We already have some pilot projects here in the Western Cape for example, the violence prevention through urban upgrade programme under the city of Cape Town. However, today is World TB Day, and another area where we can make a significant impact is in the fight against tuberculosis (TB) and other preventable diseases. By improving the living conditions of many more people, we can reduce the burden of disease in our province, and hopefully generate savings that can be ploughed into other areas of need.

We must have a co-ordinated approach to all these issues. But we must not try and do everything ourselves. We must acknowledge that the state’s capacity is limited and draw in partners from the private sector and civil society to assist us.

Public Private Partnerships (PPPs) offer a sustainable means of providing housing especially in the rental and affordable market. In the UK, the state does not provide housing, Social Housing Associations do. And the state funds only 40 percent of new developments. 60 percent must be raised from the associations’ own income and financing. Giving away free houses is not sustainable in the long run. Rental housing and PPPs are.

Next month, I will be launching our Rental Housing Strategy, which will plot a way forward in this regard. A key focus of this strategy is to enhance the management of rental stock to improve rent collection and property maintenance.

We have met partners in the United Kingdom (UK) who are very keen to assist us with support for social housing institutions in the Western Cape, as well as building capacity and expertise in our own department. We will certainly be taking them up on their generous offers.

As I said during the debate on the Premier’s State of the Province Address, the up-scaling of serviced sites will not happen overnight.

Our budget for the 2010/11 financial year is just over R2 billion, of which a little under R1.9 billion is funded by the integrated housing and human settlement grant. With this allocation, we aim to service a little over 18 000 sites and build 15 400 houses. The gap between sites and houses is still relatively small, because of the commitments that already exist and the lead times required for planning.

However, it is our intention to gradually increase that gap between now and 2014. This gradual increase will allow us to provide 150 000 serviced sites over five years, as opposed to only 80 000 if we maintained a business-as-usual approach.

This is what the Premier might refer to as a stretch target. But it will also only deliver housing opportunities to about a third of the current backlog. So we must stretch ourselves, and strive to meet that target.

The Upgrading of Informal Settlements Programme (UISP) is central to achieving this target. In order to assist us with planning, we have appointed a service provider to establish an informal settlement database for the Western Cape. This database will make preliminary recommendations of potential short, medium and long term support to be offered in terms of upgrading, and will ultimately guide the development of a Provincial Master Plan for Informal Settlements. We have budgeted R1.9 million for this project, which will be completed in the coming financial year.

Many informal settlements are created due to their proximity to social amenities, transport corridors and economic opportunities.

We must maximise the number of households that can remain in those settlements after upgrading them. We have to increase the density of our projects on well-located land. We have set ourselves a target of 90 dwelling units per hectare (average net density) on well-located land by 2014/15. A good example of this is Joe Slovo: in order to accommodate as many of the current occupants as possible, we have drafted a site layout that achieves a density of 110 units per hectare.

Besides maximising the value we extract from every hectare we upgrade, higher density developments have other benefits, such as savings in infrastructure and increasing access to affordable public transport.

The truth is that, between the province and the municipalities, we own a lot of vacant and under-utilised land within the urban edge about 7 800 hectares. Not all of it is developable, and much of it must undergo environmental and planning approval before it can be released. Most municipalities have identified enough land for at least the next two years of human settlement development. But we must start planning now for the release of land we will need for the greater numbers of serviced sites in subsequent years.

For its part, the department will release 300 hectares of land to developers and municipalities for the development of human settlements in the current financial year. We will also be working with the HDA to secure the release of well-located land owned by national departments and state entities for human settlement development.

I should also note that the provincial government is only one role player in human settlement development. Municipalities, in particular, are central to realising our vision, while National Government also influences what can be achieved as I have already mentioned. It is very important that we have a co-ordinated approach across all spheres of government and across provincial departments to integrated development planning and, in particular, human settlement planning.

Speaker, as you would have gathered from my report on the current financial year, there are some capacity challenges, both in the department and in a number of municipalities.

To address the former, we are establishing a project management unit (PMU) in the office of the Head of Department to develop a project management culture in the department. We anticipate that this unit will be operational within the first six months of this financial year. All human settlement projects will be monitored by the PMU using an Executive Dashboard system from first planning to final handover allowing early detection of potential risks and blockages, which can then be mitigated, rectified or avoided altogether.

To address capacity problems at local level, we have budgeted R3.3 million to strengthen support to municipalities. We must ensure alignment of municipal human settlement plans to the provincial and national strategic plans. This includes ensuring that future developments meet sustainability criteria based on the triple bottom line – that is, financial, social and environmental. With respect to the latter, we start with a modest target of 10 percent of houses built using energy efficient methods in 2010/11; but we wish to see this increased to 40 percent by 2014/15.

This year, we worked with six municipalities in our built environment support programme to compile credible human settlement plans and spatial development frameworks. Some cross-cutting issues were identified, including a lack of strategic focus of Integrated Development Plans.

Based on the lessons learned, we are taking a slightly different approach with the next six municipalities. We will appoint service providers to do a thorough gap analysis for each municipality, detailing the gaps in their spatial development frameworks and IDPs, as well as the proposed methodology to be used and the estimated costs of the work needed to close those gaps.

At the end of this process, each municipality will be in a position to draw up project pipelines for short, medium and long term planning, resulting in improved integrated planning.

We will also establish a provincial planning forum this year to get all role players to plan according to the new and improved human settlement plans. By placing credible human settlement plans at the centre of our forward planning, we will be able to ensure that more citizens have access to schools, clinics and other community facilities, as well as economic opportunities.

Those municipalities with the capacity will be assisted to apply for housing accreditation, in order to take on more responsibilities that are currently the preserve of the province. The City of Cape Town has already applied and been assessed for level 1 and 2 accreditation. We await the national minister’s final approval.

In addition to our focus on improved planning both at provincial and municipal level, we are introducing a regional approach to housing delivery. We have created a regional directorate with two sub-directorates one to look after Eden and the Central Karoo and one to look after the Cape Winelands. For the time being, the city of Cape Town, Overberg and the West Coast will still be assisted by the primary line function directorates in Cape Town. Our intention is to place the project packaging and implementation support we provide much closer to municipalities.

Mr Speaker, as I said earlier, if our human settlements are to be sustainable, it is also important that beneficiaries of state assistance take personal responsibility for their role. A key objective of the government in this regard is to inculcate a sense of ownership among housing beneficiaries and to increase awareness of, and buy-in to, their rights and responsibilities.

In the short-term, we are reviewing our consumer education programme. We are not satisfied that the funding we have provided to municipalities in the past has had the desired effect. This year, we have budgeted R1.05 million for workshops with prospective and new beneficiaries, as well as municipal officials working in human settlements.

In the medium to long term, we intend to upscale the proportion of the houses we build using the People's Housing Project (PHP) programme. People who make a contribution to build of their houses whether financial or with their own labour are proud of what they have built and appreciate the true value of their assets. In 2010/11, 25 percent of the houses we build will be through the PHP programme. By 2014/15, that will increase to 50 percent.

But as I said last year, we must address the institutional gaps and problems with PHP. To this end, I am happy to announce that our new Director of PHP starts on 1 April 2010. Her first job will be to improve the project management and administration capacity of her unit. We are introducing a much more hands-approach to PHP, with project managers on the ground with beneficiaries.

Speaker, it is crucial that the selection of beneficiaries is not just fair, but also seen to be fair.

In this regard, we have budgeted R4.5 million towards developing a standardised, transparent and fair policy and process for the selection of housing beneficiaries based on an improved quality of data and information management. This includes the implementation of the municipal housing demand database support programme, which will ensure that proper data is collected and captured into the national housing subsidy system needs register for verification, and maintained on an ongoing basis.

Beneficiary selection must take into account the profile of the people that are inadequately housed in a municipality, and treat them equitably.

Besides ensuring that the needs of backyarders are addressed in the selection of beneficiaries for green field developments, we have also begun to investigate the feasibility of upgrading the conditions of backyarders where they are. The city of Cape Town is working on a pilot project to upgrade the conditions of backyarders on their own properties. The in-situ upgrading of backyarders on privately held land is much more of a challenge, with many potential unintended consequences something Gauteng learnt, to its cost.

We don’t yet have the answers to this challenge. But we cannot ignore it either. We will continue to engage with municipalities, universities and other think tanks to come up with novel approaches to overcoming difficult challenges such as this one.

No government or party has a monopoly on good ideas. We have a good vision, and many good ideas to work towards that vision, but we remain open to any innovations that can help us realise our vision of an open opportunity society for all.

Thank you.

- info.gov.za