RHD Prelude Chapter - Health Systems Trust

Most employed people are in unskilled work. Skilled employees are in government services,
such as teachers, health workers or employed by the local municipality. There is little formal
employment outside the government related departments; most people are reliant on subsistence
living, social grants and migrant labour in commercial farms in the east of the district. In the
far north of the area, mostly within Molopo Local Municipality, there are old asbestos mines
which possibly in the past attracted families to move to the area.
The percentage of households with no annual income has increased from 23% to 31% between
1996 and 2001. This percentage represents an absolute increase in numbers from 4 901 to 8 545,
this is about 3 644 households. See Figure 2.17.
Figure 2.17: Ganyesa Health District (Kopano and Molopo Municipalities):
percentage households per income bracket in Rands - 1996 and 2001
35.0
30.0
Percent Households
25.0
20.0
15.0
10.0
5.0
67
0.0
None
1 -
4 800
4 801 -
9 600
9 601 -
19 200
19 201 -
38 400
38 401 -
76 800
76 801 -
153 600
15 601 -
307 200
307 201 -
614 400
614 401 -
1 228 800
1 228 801 -
2 457 600
Over
2 457 600
1996 2001
Income Bracket in Rands
Source: Municipal Demarcation Board at www.demarcation.org.za
2.4.3.2 Ganyesa Health District Political
Ganyesa Health District presently includes two local municipalities, namely Kagisano and
Molopo.
Kagisano and Molopo Local Municipalities are new structures created through the Municipal
Demarcation Act in 2000. Councillors are elected by the community and a Mayor appointed by
the Councillors. The Council is dominated politically by the ANC.
The Kagisano Municipal Council employs a Municipal Manager and other officials, but has not
appointed a Health Manager. This role is taken by the provincially employed Health District
Manager, who also attends all Council meetings. There is a close working relationship between
the provincial health services and the Council.
Traditional leadership is strong within the municipality. Traditional leaders have been incorporated
into the council and the health governance structures.