Average Occupational Therapy Salary in South Africa (2024)

The average Occupational Therapy Salary in South Africa is R40,700 per month. An entry-level Occupational Therapist earns a salary range of R23,200, a Mid-career level earns about R42,000, and a senior/experienced level earns R56,100 per month.

Average Occupational Therapy Salary in South Africa

Job Title Approximate Monthly Salary (ZAR)
Entry-Level Occupational Therapist 23,200
Mid-Career Occupational Therapist 42,000
Experienced Occupational Therapist 56,100

Types of Occupational Therapists and Their Functions in South Africa

In South Africa, occupational therapy is a dynamic field encompassing various specializations, each tailored to address specific needs and challenges. Here are some key types of occupational therapists and their functions in the South African context:

1. Pediatric Occupational Therapists

Paediatric Occupational Therapists focus on children’s development, addressing issues related to sensory processing, fine and gross motor skills, and cognitive abilities. They work with children facing developmental delays, autism spectrum disorders, and other pediatric conditions.

2. Geriatric Occupational Therapists

Geriatric Occupational Therapists specialize in working with elderly individuals, addressing issues related to ageing, mobility, and daily living activities. They aim to enhance the quality of life for older adults, promoting independence and functional abilities.

3. Mental Health Occupational Therapists

This type of therapist works with individuals facing mental health challenges, including anxiety, depression, and other psychiatric disorders. They employ therapeutic techniques to enhance coping skills, improve self-esteem, and facilitate social integration.

4. Hand Therapists

Hand Therapists focus on rehabilitation of hand and upper extremity injuries or conditions. They work with patients recovering from surgeries, fractures, or conditions like carpal tunnel syndrome, aiming to restore hand function and dexterity.

5. Community-Based Occupational Therapists

Community-Based Occupational Therapists provide services in community settings, addressing environmental factors that may impact an individual’s ability to engage in daily activities. They collaborate with communities to promote inclusivity and accessibility.

6. Vocational Rehabilitation Therapists

This type of Therapist assists individuals with disabilities or health conditions in finding and maintaining employment. They focus on developing skills, adapting work environments, and providing support to enhance employability.

7. Neurological Occupational Therapists

Neurological Occupational Therapists specialize in working with individuals who have neurological disorders such as stroke, traumatic brain injuries, or multiple sclerosis. They aim to improve cognitive function, mobility, and overall independence.

8. School-Based Occupational Therapists

This type of Occupational Therapist collaborates with educators to support students’ participation in school activities. They address issues such as handwriting difficulties, sensory processing challenges, and motor coordination problems that may impact academic performance.

9. Home Modification Specialists

These specialists assess and recommend modifications to home environments to improve accessibility and safety for individuals with disabilities or mobility issues. They play a crucial role in enabling clients to live independently at home.

10. Orthopaedic Occupational Therapists

Orthopaedic occupational therapists work with individuals recovering from orthopaedic surgeries or injuries, focusing on restoring joint mobility, strength, and functional independence. Common conditions include fractures, joint replacements, and musculoskeletal disorders.

These diverse occupational therapy specializations collectively contribute to the well-being of individuals across the lifespan in South Africa, addressing a wide range of physical, cognitive, and emotional challenges. The field continues to evolve, adapting to the unique needs of the South African population and promoting inclusivity and accessibility in healthcare services.

Factors Affecting Occupational Therapist Salaries in South Africa

Occupational therapy plays a crucial role in the healthcare system, assisting individuals in overcoming challenges and improving their quality of life. In South Africa, the salaries of occupational therapists are influenced by various factors that reflect the complex interplay of economic, social, and professional dynamics.

1. Education and Experience

Occupational therapists with advanced degrees or extensive experience generally command higher salaries.
Specialized certifications and continuing education can also contribute to salary differentials.

2. Geographical Location

Salaries can vary significantly based on the region or city. Urban centres often offer higher salaries due to the higher cost of living and demand for healthcare professionals.

3. Industry and Sector

Occupational therapists working in private practices, rehabilitation centres, or specialized clinics may earn different salaries compared to those in public hospitals or schools.
Government-employed therapists may have more standardized salary structures, while private practitioners may have more variability.

4. Demand and Supply

Areas with a shortage of occupational therapists may offer higher salaries to attract and retain qualified professionals.
Conversely, in regions with a surplus of therapists, salaries may be more competitive.

5. Economic Conditions

The overall economic health of the country can impact salaries. Economic downturns may lead to budget constraints in healthcare, affecting salary increments.

6. Negotiation Skills

Individual negotiation skills play a role in determining salary levels. Occupational therapists who effectively negotiate their contracts may secure more favourable compensation packages.

7. Diversity of Practice

Occupational therapists working in specialized areas such as paediatrics, mental health, or geriatrics may receive higher salaries due to the specific expertise required.

8. Professional Networks and Associations

Involvement in professional organizations and networks can provide access to job opportunities, mentorship, and information on salary benchmarks.

9. Government Policies and Regulations

Legislative changes and government policies related to healthcare funding and reimbursement can influence the financial landscape for occupational therapists.

10. Technological Advancements

Occupational therapists who stay updated with technological advancements in their field may be more valued, potentially leading to higher salaries.

How to Become an Occupational Therapist in South Africa

To become an Occupational Therapist in South Africa, one must follow a comprehensive educational and professional pathway. Here is a detailed guide on how to pursue this career:

1. Educational Requirements

Obtain a National Senior Certificate (NSC) or an equivalent qualification with subjects such as Mathematics and Physical Science.
Meet the specific admission requirements of the university offering an Occupational Therapy program.

2. Choose the Right Degree

Pursue a Bachelor’s degree in Occupational Therapy from a recognized institution. This typically is a four-year undergraduate program.

3. Gain Relevant Experience

Many programs require practical experience as part of the curriculum. This may involve clinical placements or internships in various healthcare settings.

4. Complete the Academic Program

Complete all the required courses and clinical placements outlined in the Occupational Therapy degree program.

5. Registration with the Health Professions Council of South Africa (HPCSA)

Graduates need to register with the HPCSA, the regulatory body for healthcare professions in South Africa. This involves submitting proof of qualification and other required documents.

6. Community Service Year

After registration, graduates are typically required to complete a community service year, working in a designated public health facility. This is a mandatory step to obtain full registration.

7. Professional Development

Engage in ongoing professional development activities to stay updated with advancements in the field. Attend workshops, conferences, and training sessions.

8. Specialization (Optional)

Occupational Therapists may choose to specialize in a particular area such as paediatrics, neurology, or mental health. Specialization often involves additional training or postgraduate studies.

9. Membership in Professional Associations

Join professional associations like the Occupational Therapy Association of South Africa (OTASA) to connect with other professionals, access resources, and stay informed about industry trends.

10. Continuing Education

Occupational Therapists should participate in continuous learning opportunities to enhance their skills and maintain professional competence.

11. Ethical Considerations

Adhere to the ethical guidelines and standards set by the HPCSA and professional associations to ensure the highest quality of patient care.

12. Career Advancement

As Occupational Therapist gains experience, they may explore leadership roles, research opportunities, or teaching positions to advance their career.



The average Occupational therapist’s Salary in South Africa is R40,700. The salary landscape for occupational therapists in South Africa is multifaceted, influenced by a combination of individual qualifications, regional dynamics, economic conditions, and the evolving healthcare landscape. Understanding these factors is essential for both professionals seeking fair compensation and employers aiming to attract and retain top talent in the field of occupational therapy.