​Communities across Gauteng are now receiving diagnostic imaging services directly at their local Community Health Centres (CHCs) and clinics, resulting in early detection, timely treatment, and improved patient outcomes.
This development follows the Gauteng Department of Health's (GDoH) intensified rollout of X-ray machine installations in primary healthcare facilities across the province. The initiative aims not only to enhance diagnostic capabilities but to also reduce referrals to tertiary hospitals, thereby decongesting higher-level facilities and improving overall system efficiency.
Currently, the majority of CHCs in Gauteng are equipped with X-ray machines. Plans are underway to ensure that additional primary healthcare facilities including Daveyton Clinic, Phola Park, Empilisweni, and Ennerdale CHCs are equipped with on-site imaging services to minimise delays in diagnosis and treatment.
During the 2025/26 Budget Vote presentation, MEC for Health and Wellness, Nomantu Nkomo-Ralehoko, reaffirmed the department's commitment to strengthening primary healthcare. 
As part of this commitment, the MEC conducted a service delivery oversight visit to Khutsong Main CHC in Carletonville, where she reviewed ongoing refurbishments and inspected the newly installed X-ray machine, which is currently awaiting approval from the South African Health Products Regulatory Authority - expected within a month.
In the meantime, facilities without permanent X-ray installations are being supported by mobile X-ray trucks, ensuring that communities continue to receive essential diagnostic services.
"To improve access and strengthen primary healthcare services, we have successfully installed the much-needed X-ray machines in Westbury, Florida, and Fanyana Nhlapo Community Health Centres as part of our commitment to improve diagnostics in local communities," said MEC Nkomo-Ralehoko during the Budget Vote.
X-ray machines play a critical role in detecting fractures, infections, tumours, and lung conditions such as pneumonia and tuberculosis. With these diagnostic tools readily available, nurses and doctors at the primary care level can make informed decisions, significantly improving the quality and speed of care.
Many patients in townships, hostels, and informal settlements have historically had to travel long distances to access diagnostic imaging. Installing X-ray machines in local clinics brings services closer to these communities, promoting equity in healthcare.
Thembokuhle Ntuli-Karigani, Chief Director of the West Rand District Health Services, accompanied the MEC during her visit to Khutsong Main CHC. She said that by installing X-ray machines in all primary healthcare facilities, the GDoH is not only improving access but also enhancing the quality and safety of care for thousands of patients, especially those with trauma-related injuries.
"It is common that undiagnosed or mismanaged fractures can lead to permanent disability, infection, or improper healing. With this advanced medical technology, our local communities are now able to access early imaging to ensure timely and appropriate care," said Ntuli-Karigani.