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PhreeNews > Blog > Africa > Health > Delayed Well being Assessments For Incapacity Grant Payouts
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Health

Delayed Well being Assessments For Incapacity Grant Payouts

PhreeNews
Last updated: December 9, 2025 5:46 pm
PhreeNews
Published: December 9, 2025
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For tens of millions of South Africans dwelling with disabilities, the federal government’s incapacity grant is extra than simply cash; it’s a lifeline. However accessing monetary assist requires navigating a bureaucratic system affected by delays as a consequence of understaffed medical boards and an uneven distribution of South African Social Safety Company (SASSA) workplaces. 

In response to Statistics South Africa, about 3.3 million South Africans, roughly 7% of the inhabitants, stay with a incapacity. Of these, greater than 1 million obtain the incapacity grant. An extra 170 000 are beneficiaries of the care dependency grant, which helps major caregivers of youngsters beneath 18.

“To entry these grants, candidates should bear a medical evaluation by a state‑appointed physician, which determines the extent of their incapacity and eligibility for the grant,” explains SASSA performing spokesperson Sandy Godlwana.   

Each the incapacity and care dependency grants pay out about R2 315 per 30 days, and an additional Grant‑in‑Assist of R560 is out there for people who require full‑time care. 

The grants are reassessed yearly, that means that each twelve months a beneficiary should bear a medical evaluate to stay eligible. That is to forestall funds to “ghost” and deceased recipients.

Cumbersome course of

However the course of is riddled with hurdles. In response to Patrick Mahlakoane, nationwide chairperson for Disabled Folks South Africa, candidates routinely wait six to 12 months for an preliminary analysis, and re‑assessments can take simply as lengthy.

He explains that in lots of townships and rural areas there are restricted SASSA workplaces with a scarcity of workers and poor providers, forcing some to journey greater than 50 kms to the closest centre.

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The shortage of state‑appointed medical doctors compounds the issue as they’re few and much between, particularly outdoors the main cities, Mahlakoane explains. This implies disabled candidates must endure countless delays and repeated journeys for assessments that drain their restricted assets.

“We see folks being despatched backwards and forwards for assessments yearly. It’s painful, and it undermines their dignity, together with prolonged processing occasions, restricted availability of medical assessors, and a paperwork maze that calls for a number of types, identification paperwork, medical reviews and proof of revenue – all of which should be submitted in particular person,” he says, pleading with the Division of Social Improvement to simplify the method.

Requires a smoother course of 

Lebo Molobi of the Binang Basis for Particular Wants, based mostly in Hammanskraal, says an improved medical evaluation course of with incapacity‑delicate coaching for assessors, together with a transparent timeline is essential. 

Advocates argue that the answer lies in a mixture of digitisation, expanded attain and inter‑departmental collaboration.  

“A web-based portal may scale back the necessity for repeated in‑particular person visits, whereas cell clinics and extra SASSA workplaces in underserved communities would reduce journey occasions dramatically,” says Molobi. “Hiring extra state‑appointed medical doctors and offering them with incapacity‑sensitivity coaching may shorten the six‑to‑twelve‑month backlog that at the moment leaves households in limbo.”

She highlights the necessity for a coordinated method throughout authorities departments. By linking databases with Dwelling Affairs and different departments, SASSA may confirm eligibility extra effectively and curb “ghost” recipients with out imposing undue burden on real claimants.

Mahlakoane concludes that public consciousness campaigns, along with coaching and respite take care of caregivers, would additional ease the pressure on households who already shoulder the brunt of incapacity assist.

“By implementing these modifications, SASSA can enhance the general assist system for people with disabilities and their caregivers, guaranteeing they obtain the monetary assist they should stay with dignity,” Mahlakoane stresses. – Well being-e Information 

Keletso Mkhwanazi is a South African investigative journalist with a confirmed observe file of delivering impactful tales that drive change. She has labored as a contract reporter since 2016.

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