Statement by Zandile Phiri, Acting Secretary General of the United Democratic Movement The United Democratic Movement (UDM) joins the world in observing International Nurses Day, a moment to recognise, celebrate, and reflect on the indispensable role nurses play in society. This year’s theme, “Our Nurses. Our Future. The Economic Power of Care”, calls us to reimagine not only healthcare but how we value care work itself, materially, morally, and structurally. As we pay tribute to nurses across our country, we pause to reflect on the enduring legacy of Florence Nightingale, the founder of modern nursing. Nightingale’s unwavering dedication to treating wounded soldiers in the Crimean War, often by candlelight, gave birth to a profession rooted in selfless service and scientific excellence. But beyond her famed lamp, Nightingale carried a radical belief: that care is not charity, but justice. That nurses are not assistants, but leaders in health. That public health must be based on evidence, empathy, and equity. It is precisely this vision that guides the UDM in its unwavering support for nurses in South Africa, and our rejection of the injustices they continue to face. Solidarity with UNTU-SA: pay the promised rural allowance The UDM stands in resolute solidarity with the United Nurses Trade Union of South Africa (UNTU-SA) in their ongoing campaign to secure the rural allowance that was promised, but still not delivered, to frontline workers during the COVID-19 pandemic. It is unacceptable that the same nurses who held the nation together in its most fragile moment are now being failed by the very institutions that applauded them. The UDM demands: • Immediate payment of outstanding rural allowances to qualifying nurses. • Full transparency from the Department of Health on outstanding cases, timelines, and accountability. • Structural embedding of rural and hardship allowances in all healthcare worker contracts moving forward. Urban struggle: nurses in informal settlements under siege Nightingale once said, “The very first requirement in a hospital is that it should do the sick no harm.” Yet in clinics across South Africa’s informal settlements, from KwaMashu to Alexandra, from Khayelitsha to Ivory Park, harm is the order of the day. Nurses in these facilities operate under: • Dangerous working conditions marked by overcrowding, failing infrastructure, and lack of basic medical supplies. • Rampant insecurity, where nurses are forced to serve in areas plagued by crime and insufficient law enforcement. • Unmanageable patient loads, with too few staff to meet the growing health needs of sprawling communities. These nurses embody Nightingale’s values every day — not through candles, but through courage. The UDM calls for: 1. A national infrastructure and safety plan for clinics in informal settlements and rural areas. 2. Urgent increase in healthcare staffing and nurse-to-patient ratios across high-pressure zones. 3. Incentives, psychosocial support, and professional development pathways for nurses working in marginalised communities. A country’s character is revealed in how it treats its healers Nursing is not a cost to the state; it is the spine of our healthcare system. If we are to honour Florence Nightingale’s legacy in any meaningful way, we must begin by honouring our nurses not just with words, but with policy, protection, and pay. On this International Nurses Day, the UDM recommits to championing the rights, dignity, and voice of every nurse in South Africa, in Parliament, in Councils, and on the ground. To the nurses of South Africa: your fight is our fight. You carry not only the lamp, but the light.
Address BY Ms CN Majeke, UDM Member of Parliament in the National Assembly on Budget Vote 16 – Health (MTEF) Honourable Chairperson Minister and Deputy Minister Honourable Members The United Democratic Movement (UDM) commits to protecting and promoting the Constitutional right of all South Africans to basic health care, and providing proper and immediate responses to the major health risks facing the country. In re-engineering the primary health care, the department must priorities access and quality of this service as it continues to disadvantage poor South Africans. In this regard, we reiterate our position, that health care has to be linked to other social cluster portfolios, further recognising the role social welfare, water, sanitation, basic life skills and awareness to improve the basic health of the nation. The current quality of health facilities and their maintenance especially in hospital in the rural areas is not in good standard. Hygiene at many clinics and hospitals in the Eastern Cape needs to be addressed as a matter of urgency. UDM believes that jobs creation can be achieved through infrastructure maintenance and development whilst providing quality health facilities. Provision and stocking of medicines at many clinics and hospitals still fall short of the basic requirement. Distances travelled by communities to access these facilities remain a challenge. Staffing for primary health care facilities must be qualified, trained and available at all times to give quality service to all South Africans. In some state hospitals, access to a doctor is almost impossible; this is the case in the Eastern Cape, at Esulenkama Hospital in Mhlontlo municipality. It should not be a privilege for rural people to be serviced by a qualified doctor. We believe that diseases such as TB, cholera and malaria are preventable and can be treated; however, unless and until we link health with other socio economic factors, we will not be able to provide a sustainable service to the nation. Additional hospitals to rural communities need to be prioritised to address the congestion that is always found in the health facilities. The UDM supports vote 16. Thank you