16/05/2026
New publication in South African Family Practice
📖 Read the full article: https://doi.org/10.4102/safp.v68i1.6289
Rubler TA, Von Pressentin KB, Mash RJ. Family physician deployment in South Africa’s district health system: A cross-sectional study. S Afr Fam Pract. 2026;68(1), a6289.
I would like to highlight a key study published this week:
“Family physician deployment in South Africa’s district health system.”
Congratulations to our UCT Faculty of Health Sciences MMed graduate, Dr Theresia Rubler, on this important contribution, and thanks to co-supervisor Prof Bob Mash for supporting us in conducting this first national mapping.
This study provides a national overview of the distribution and employment characteristics of family physicians within South Africa’s district health system. It demonstrates a growing national footprint — with 214 family physicians currently working in the district health system — while highlighting the substantial gap towards achieving the SAAFP 2030 targets. (See 2022 South African Academy of Family Physicians - SAAFP position paper: https://doi.org/10.4102/safp.v64i1.5473)
Key findings include:
- Overall progress remains limited: Deployment has reached 18.9% of the 2030 target, with many district health system entities still without a family physician.
- Marked inequities in distribution: Gauteng (55%) and Western Cape (34.5%) lead, while several provinces remain far below 10%, and the Northern Cape reports no coverage.
- Geographic and facility concentration: Family physicians are significantly more likely to be located in district hospitals and metropolitan areas, with comparatively limited presence in primary care facilities and rural settings.
- Workforce profile: Most family physicians are in specialist posts (78.5%) and full-time roles (96.3%), reflecting increasing integration into the system.
Importantly, the study highlights key priorities for strengthening the district health system:
- more explicit inclusion of family physicians in human resources for health planning,
- addressing geographic and facility-level inequities,
- improving alignment between specialist training and available posts, and
strengthening routine workforce data systems.
These findings contribute critical evidence for policy and planning, particularly as South Africa advances towards universal health coverage and a stronger health care system built on Primary Health Care principles and values.