Lobamba –The Public Accounts Committee (PAC) has questioned the Ministry of Health over its continued reliance on acting appointments, raising concerns that prolonged vacancies in senior positions could undermine effective leadership and the delivery of healthcare services.
The concerns were raised during the ministry’s examination of Auditor General Timothy Matsebula’s Fundudzi Report. Members sought answers from Principal Secretary Khanyakwezwe Mabuza over why several strategic positions have remained vacant or filled in an acting capacity for extended periods.
PAC Chairperson and Deputy Speaker Madala Mhlanga expressed concern that the continued use of acting appointments could affect stability within the ministry’s administration and hinder decision-making at senior level.
Responding to the committee, Mabuza acknowledged that the arrangement places considerable pressure on employees, as officials serving in acting capacities are expected to perform the duties of both their substantive posts and the higher offices they temporarily occupy.
“It is a major concern and a burden to employees because while acting in a new position, you also execute the duties of your old position. This issue must be introspected,” Mabuza told the committee.
The hearing revealed that several senior positions within the ministry remain unfilled, including those of Senior Health Administrator and Senior Dental Officer, while the post of Principal Planning Officer continues to be occupied in an acting capacity.
The committee also heard that leadership transitions are taking place in key health institutions. The Eswatini Medical Aid Fund is being led by Acting Principal Officer Sicelo Mkhonta following the retirement of Peter Simelane, while the Eswatini Medical Supplies Agency is undergoing executive changes after becoming an autonomous public enterprise under the Eswatini Medical Supplies Agency Act, 2026.
The discussion formed part of the PAC’s oversight of public institutions through the Auditor General’s reports, with legislators examining governance practices and administrative efficiency within the health sector.
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