Member Organizations

Botswana

 

Pabalelong Hospice
St Conrad’s Clinic
St Joseph’s Mission Clinic

Eastern Cape

Aliwal Diocese Welfare & Development Committee
Assumption Nutrition Centre
Camdeboo Hospice
Care Ministry
Caring Hands HBC
Caritas Queenstown
Eluthandweni Childrens’ Centre
Emadlelweni Special Day Care Centre
Enkuthazweni Centre for Disability
Ezibeleni Community Home Based Care
Good Samaritan HBC and Hospice
Good Shepherd Hospice
House of Hope 
Ikhwezi Mphatlalatsane Com Org
Ingubo Childrens’Haven (non-catholic)
Jabez Aids Healing Centre
Lesedi Hospice and Outreach
Masabelane Centre
Missionvale Care Centre
Port Alfred White Door Centre of Hope
Port Elizabeth Diocese AIDS Committee
Sithunyiwe HBC
Sizamulwazi HBC
Sizanani HBC
Sophumelela Home Base Care
St Martin De Porres
St Mary’s Development Care Centre
St Michaels Old Aged Home
Umthathi Training Project
Vukani Centre HBC

Eswatini

Caritas eSwatini
Faith Community Nursing
Florence Mission Clinic
Good Shepherd Hospital
Good Shepherd College
Hope House Hospice
Maloyi Clinic
Our Lady of Sorrows Clinic
St Juliana’s Clinic
St Mary’s Clinic
St Theresa’s Clinic

Free State

Batho Ba Lerato
Bethlehem Basic Training Project
Boitumelo Disability Centre
Caritas – Diocese of Kroonstad Development Agency
Caritas Bethlehem
Catholic Community Services
Catholic Nurses Guild  
Chief Phosholi II Multi Purpose Centre
Friedrich Bussereau Home for the Disabled
Ikemeleng Multipurpose Centre
Lesedi Centre of Hope 
Mmabahloki Clara Home
Molisa ea Molemo Place of Safety
Rebolokehile
Sekwele Centre for Social Reflection
Siyathokoza Health Care Centre
Siyathokoza OVC Centre
St Catherine Educare Centre
Thusanang Hospice and Palliative Care

Gauteng

Afra 1 Community Development 
Afra 2 Community Development 
Fr Michael D’Annucci Centre
Holy Cross Home
Inkanyezi HIV/AIDS Organisation
Kopano Lerato 
Lehlohonolo Community Welfare
Leratong Hospice
Lindanisizwe HBC/Community Development Project
Lufuno Education for Life 
Mountainview Health Care Centre
Nazareth Care JHB
Nazareth House, Pretoria
Pholong Clinic
Phumula Old Age Home
Pretoria Archdiocese Health & Welfare Assoc
SACBC AIDS Office
Siphesihle Home Based Care
Sisters of Charity Hospice
St Francis Care Centre
St John the Baptist Clinic
St Joseph’s Care & Support Trust
TLC Children’s Home (The Love of Christ Ministries)

KwaZulu Natal

Amakhasi Clinic
Asiphile e St James
Asiphile e Uganda HBC
Assisi Shelter for Children
Benedictine District Nursing (Tswasana Clinic)
Blessed Gerard’s Care Centre
Caritas Amakhasi
Caritas Durban
Catholic Nurses Guild of Emmanuel
Denis Hurley Centre
Duduza Care Centre & Hospice
Durban Parish Nurse Programme
Eshowe Diocese Development Department
Holy Cross Clinic and Hospice
Ikhaya Community Development
Intathakusa Old Age Home
iThembalethu Outreach Project
Kwa Kristo Umsindisi HIV/AIDS + Poverty Alleviation
Lulisandla Social Outreach Project
Masithuthukisane Community Organisation
Matikwe Clinic
Nazareth House, Durban
Ntuzuma AIDS Resource Centre
Phupholami Health Care Centre t/a Uthando Child Care Development
eSbongiututhuko Creche
Sicelimpilo Project
Siyabathanda St Philomena CBO
Siyathandwa Community Development Project
Sizanani Outreach Programme
St Antonine Home for the Aged
St Clement’s HBC Project
St Elizabeth’s Feeding Project
Sukumawenze Place of Care
Thandukuphila AIDS Project
The Right to Live Campaign
Umusa WoMsinga
Umzimkhulu Diocese HCW Association
Vianney Child and Youth Care Center
Vuhlngqondo Creche
Yakhumndeni AIDS Project
Zimisele HIV and AIDS Care

Limpopo

Bela Bela HIV/AIDS Prevention Group
Fanang Diatla Health Care
Good Shepherd AIDS Response
Holy Family Care Centre
Kurisanani Diocese of Tzaneen CARITAS
Ngwana Swara Atla Saka
OLSH Outreach
Schoonoord Victim Support Centre
St Joseph Children of Charisma

Mpumalanga

Akanani HBC
Asiphilenikahle HBC
Bonisuthando Creche
Dingleydale HBC
Dwarsloop Catholic Care Centre
Ekuthuleni Project
Entuthukweni Creche
Holy Trinity OVC
Ithemba Nenjabulo
Justicia Orphanage Centre
Lindokuhle Creche
Mthimba HBC
Mzamomuhle HBC
Numbi HBC
Phaphamani HBC 
Philisa HBC
Sakhasive Community Centre
Shalom Old Age In Action Centre
Silwanendlala OVC
Sisitasive HBC
Sizanani HBC
St Anthony’s Clinic
St Benedict’s Home
St John’s Care Centre
Success HBC
The Light of Life HBC
Thulamahashe HBC
Tiyimiseleni HBC
Ukukhanya Kwezwe HBC
Vezokuhle HBC
Zimiseleni HBC

North West Province

Aredireng Care Givers
Good Shepherd Madidi
Ha Ma Mohau Children’s home
Lesang Catholic Pre-School
Mamosa Home Based Care
Mofumahadi wa Tshepo Care 
Relebogile Care + Support Group
Rorisang Men & Youth Development Services
Tapologo HIV/AIDS Programme
Tsibogang Christian Action Group

Northern Cape

Francis Shannon Hospice
Kgomotsego Old Age Home
Nightingale Hospice

Western Cape

Caring Network
St Luke’s Hospice

How it all started . . .

The Church’s contribution to health care in South Africa has been enormous. In many parts of South Africa, the Catholic and other churches were the first to build hospitals and clinics and to provide modern medical care. Often that service was heroic, because of the difficulties of the environments in which these missionaries served, or because they cared for people in the front lines of violent conflict. Many times they defied the racial discrimination that was a norm in the region long even before the policy of apartheid was imposed.

Catholic clinics became again the centres of new action, and now the activity spread also into Catholic parishes, as caregivers, mostly women but also including some men, took up the challenge of caring for the sick and the orphans. Home based care became the tool with which the church tackled the problem, and together with many of the churches and with many civic groups, the Catholic church was in the forefront of the fight against AIDS.

Catholic Health Care in Southern Africa has changed in several ways over the past few decades. One trend is clear and documented: the inexorable decline of formal health care facilities controlled by Catholic institutions in the form of hospitals and clinics. These have either been taken over by the government or have been closed due to lack of funds. Patients can neither seek nor secure care in a Catholic health facility anymore. Another trend is the aging of religious health care providers, especially those whose membership is predominantly European. As members of such orders grow older and retire, the health care institutions they managed lose previously assured sources of funding and gradually reduce the scope of work before they finally close. No longer do any Catholic doctors serve institutions within the CATHCA network, with the exception of a single hospital in eSwatini. Even the number of nurses is slowly but surely dwindling. These trends started many years ago and will continue because of the reality of reducing numbers of Catholics who take up religious vocations and engage in health care.

Today, CATHCA is mostly made up of members belonging to small community-based organizations (CBOs) who provide community-based services which start and stop depending on the availability of funding. Few, if any, have any independent sources of funding. Almost all are dependent on grants from government or from national and international donors in order to function. They are skilled in providing specific services to community members which no one else provides such as home-based care and HIV counselling and adherence support. For this reason, they form the backbone of community-based health care services along with trained government community health workers. Without these cadres of grassroots workers, mortality and morbidity in South Africa would soar. Their services are increasingly appreciated and acknowledged by government, especially because access to formal health care is still quite low for the poor and marginalized.

CATHCA’s support is generally well appreciated by its members. Its periodic provincial and national conferences are appreciated by all as is the training it has provided in areas such as home-based care, Maternal and Child Health, HIV, TB and pastoral care. Much of this was made possible by grants from Catholic donors. Unfortunately, their support is slowly dwindling with some moving away from supporting health care and some away from supporting funding to South Africa which is considered better-off than other countries needing aid. This is a major risk to CATHCA since it has been reliant on funding from such Catholic donors since it was founded. Without assured funding streams, services such as capacity building for a Catholic health care network and pastoral care for health care workers, including psycho-social support, will be under threat. 

 

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