Average Pediatrician Salary in South Africa (2024)

The average Paediatrician Salary in South Africa is R127,805 per month. An entry-level Paediatrician earns a salary range of R75,800, a Mid-career level earns about R101,000, and a senior/experienced level earns R119,000 per month.

Average Paediatrician Salary in South Africa

Job Title Approximate Monthly Salary (ZAR)
Entry-Level Paediatrician 75,800
Mid-Career Paediatrician 101,000
Experienced Paediatrician 119,000

Types of Paediatricians and Their Functions in South Africa

In South Africa, paediatricians play a crucial role in safeguarding the health and well-being of children. There are various types of paediatricians, each specializing in specific areas to address the diverse healthcare needs of young patients. Here’s an overview of some types of paediatricians and their functions in South Africa:

1. General Paediatricians

General paediatricians provide comprehensive healthcare for children from birth to adolescence. They diagnose and treat a wide range of medical conditions, monitor growth and development, administer vaccinations, and offer guidance on nutrition and preventive care.

2. Neonatologists

Neonatologists focus on the care of newborns, especially those born prematurely or with complex medical conditions. They work in neonatal intensive care units (NICUs) to provide specialized treatment, support respiratory care, and manage other critical issues in newborns.

3. Paediatric Cardiologists

Paediatric cardiologists specialize in diagnosing and treating heart conditions in children. They address congenital heart defects, heart murmurs, and other cardiac issues, often collaborating with other specialists for comprehensive care.

4. Paediatric Pulmonologists

Paediatric pulmonologists specialize in respiratory issues affecting children. They diagnose and treat conditions such as asthma, cystic fibrosis, and other respiratory disorders, ensuring optimal lung function in pediatric patients.

5. Paediatric Infectious Disease Specialists

These specialists focus on diagnosing and managing infectious diseases in children. They play a critical role in preventing the spread of infections, providing treatment for conditions like paediatric HIV, and advising on vaccinations.

6. Paediatric Gastroenterologists

Paediatric gastroenterologists specialize in digestive system disorders in children. They address issues like gastrointestinal infections, inflammatory bowel disease, and nutritional problems, providing tailored treatment plans.

7. Paediatric Neurologists

Paediatric neurologists specialize in disorders of the nervous system in children. They diagnose and treat conditions such as epilepsy, developmental delays, and neurological disorders, collaborating with other specialists for holistic care.

8. Paediatric Endocrinologists

Paediatric endocrinologists focus on hormone-related disorders in children. They address issues like diabetes, growth disorders, and thyroid problems, working to ensure hormonal balance and overall well-being.

9. Developmental Paediatricians

Developmental paediatricians specialize in the evaluation and management of developmental and behavioural issues in children. They work closely with parents, educators, and other healthcare professionals to address challenges in a child’s development.

10. Paediatric Surgeons

Paediatric surgeons perform surgical procedures on children, addressing conditions that require specialized surgical intervention. This includes congenital anomalies, trauma, and other surgical emergencies.

In South Africa, the collaboration among these various paediatric specialists ensures a comprehensive approach to paediatric healthcare. It enables the identification and treatment of diverse medical conditions, contributing to the overall health and well-being of the country’s young population.

Factors Affecting Paediatrician’s Salaries in South Africa

The salaries of paediatricians in South Africa are influenced by a variety of factors, reflecting the complex interplay of economic, social, and professional dynamics. Understanding these factors is crucial for both aspiring paediatricians and policymakers seeking to address workforce issues. Here’s a detailed exploration of the key elements affecting paediatricians salaries in South Africa:

1. Experience and Expertise

Paediatricians with more years of experience and specialized expertise often command higher salaries.
Subspecialties within paediatrics, such as paediatric cardiology or neonatology, may result in higher earning potential due to the increased demand for specialized skills.

2. Location

Geographic location plays a significant role in salary discrepancies. Urban areas, especially major cities, generally offer higher salaries to paediatricians compared to rural or underserved areas. Cost of living variations between provinces can impact salary negotiations and job offers.

3. Education and Training

Paediatricians with advanced degrees or additional certifications may receive higher salaries.
Continuous medical education and staying updated on the latest medical advancements may contribute to enhanced earning potential.

4. Public vs. Private Sector

Paediatricians working in the private sector often earn higher salaries than their counterparts in the public sector. Government-employed paediatricians may benefit from job security and additional non-monetary perks.

5. Hospital or Clinic Type

Salaries can differ based on the type of healthcare institution. Pediatricians in specialized children’s hospitals might earn more than those working in general hospitals or clinics.

6. Demand and Supply of Pediatricians

Shortages of paediatricians in certain regions or a high demand for pediatric services can drive up salaries. Conversely, an oversupply of paediatricians in a specific area may lead to more competitive and potentially lower salaries.

7. Economic Factors

The overall economic health of the country, inflation rates, and government healthcare budgets impact salary structures.
Economic downturns may lead to constraints on healthcare spending, affecting paediatricians’ salaries.

8. Negotiation Skills

Individual negotiation skills can influence the final salary offer. Effective negotiation may result in better compensation packages, including benefits and bonuses.

9. Workload and Hours

Paediatricians with heavy workloads, on-call responsibilities, or extended working hours may negotiate for higher compensation. Balancing work-life considerations may also influence salary expectations.

10. Professional Networks and Affiliations

Active involvement in professional associations and networks may create opportunities for career advancement and increased earning potential.

How to Become a Paediatrician in South Africa

Becoming a paediatrician in South Africa involves a comprehensive educational and professional journey. Here’s a step-by-step guide:

1. Educational Requirements

Obtain a high school diploma with a focus on science subjects, including biology and chemistry.
Pursue a bachelor’s degree in a relevant field such as Medicine or Science. Ensure the program is recognized by the Health Professions Council of South Africa (HPCSA).

2. Medical School

After completing the bachelor’s degree, enrol in a medical school accredited by the HPCSA. This typically involves a five to six-year program.
During medical school, students undergo both theoretical and practical training. Clinical rotations often include paediatrics as one of the specialities.

3. Internship and Community Service

Upon graduating from medical school, complete a two-year internship at a recognized healthcare institution. This provides practical, hands-on experience in various medical fields.
Subsequently, undertake a year of community service in a designated public health facility, as required by South African law.

4. Postgraduate Training in Paediatrics

Apply for a residency program in paediatrics, which usually spans four years. This specialized training focuses on the medical care of infants, children, and adolescents.
Residents work under the supervision of experienced paediatricians, gaining expertise in various pediatric subspecialties.

5. Registration and Certification

After completing the residency, register with the HPCSA as a medical practitioner. This is a mandatory step to practice medicine in South Africa.
Paediatricians may opt to pursue additional certification through bodies like the Colleges of Medicine of South Africa (CMSA).

6. Continuing Professional Development

Engage in continuous learning and professional development activities to stay abreast of advancements in paediatric medicine.
Attend conferences, workshops, and seminars to enhance skills and knowledge.

7. Building Experience

Gain practical experience by working in various healthcare settings, including hospitals, clinics, and possibly private practice. Establish a solid professional network within the medical community.

8. Obtain a License

Paediatricians must hold a valid practising license issued by the HPCSA to legally practice medicine in South Africa.

9. Consider Subspecialization (Optional)

Paediatricians may choose to specialize further by pursuing additional training in subspecialties such as paediatric cardiology, gastroenterology, or neurology.

10. Join Professional Associations

Become a member of professional organizations such as the South African Paediatric Association (SAPA) to stay connected with peers and access resources.

By following these steps, aspiring individuals can navigate the educational and professional requirements to become qualified and licensed paediatricians in South Africa. It’s essential to stay updated with any changes in regulations and maintain a commitment to lifelong learning for a successful career in pediatric medicine.



The average Paediatrician Salary in South Africa is R127,805. The remuneration of paediatricians in South Africa is a multifaceted subject, shaped by a combination of personal, professional, and external factors. Addressing disparities and ensuring fair compensation requires a comprehensive understanding of these influences to create policies that support both the healthcare professionals and the communities they serve.