Careers · Health & social services

How to become a nurse in South Africa

Nurses care for people who are sick, hurt, or having a baby. They work in hospitals, clinics, and communities all over South Africa.

From R 22 000/mo · median ~R 33 000In demand
Starting payR 22 000/mo
Study time4 years
QualificationDegree, NQF 8
Register withSANC
DemandIn demand

What you need in matric

You must have

  • English
  • Life Sciences

Also good to have

  • Mathematics (some degrees need it)
  • Physical Sciences
  • Life Orientation

Ways to become a nurse

The best way is first. If your marks are not enough for one way, try the next one down.

DegreeNQF 84 years480 creditsBest way

Bachelor of Nursing

To get in: About 30 APS or more. English, Life Sciences, A degree pass in matric. Many nursing degrees also want Mathematics. The marks change from one university to the next.

Many universities offer the Bachelor of Nursing. It is the top nursing qualification and also trains you as a midwife. You register as a professional nurse and can also work as a midwife.

Register as a student nurse with SANC when you start. Register as a professional nurse when you finish.

DiplomaNQF 63 years360 credits

Diploma in Nursing

To get in: About 25 APS or more. English, Life Sciences, A diploma pass in matric. You need lower marks than the degree.

Public colleges of nursing and some universities offer this. Each province has a college of nursing, and training there is usually free. You register as a general nurse (staff nurse).

Public colleges of nursing: Gauteng College of Nursing (campuses include Chris Hani Baragwanath and Ann Latsky), Western Cape College of Nursing, Free State School of Nursing, KwaZulu-Natal College of Nursing

You apply to a public college of nursing through your provincial Department of Health, not on the college website. Applications open at set times, often around September for the next year.

You can study further, up to the degree and to speciality nursing.

Higher certificateNQF 51 year120 credits

Higher Certificate in Nursing

To get in: About 19 APS or more. English, Life Sciences or Physical Science, A matric certificate. You need about 19 points, much lower than the degree.

Nursing colleges and some TVET colleges offer this. You register as an auxiliary nurse and work under other nurses. You work as an auxiliary nurse.

It can lead to the diploma and then the degree.

Marks too low for the degree or diploma? Start here with about 19 points. You work, learn, and move up.

If you don’t get in yet

Are your marks too low for the nursing degree? You still have real ways in.

Start with the Diploma in Nursing

Nursing colleges and some universities offer a three-year Diploma in Nursing. It needs lower marks than the degree. You register as a general nurse, and you can study up to the degree later.

Start as an auxiliary nurse

Do the one-year Higher Certificate in Nursing. You need about 19 points. You work as an auxiliary nurse, then move up to the diploma and the degree.

Upgrade your matric

You can upgrade your matric: rewrite subjects like Life Sciences to get better marks. The government runs a free Second Chance programme. Then you can apply again.

Get ready to apply

How to sign up to work

You sign up with the South African Nursing Council (SANC).

  • You must register with SANC. You cannot work as a nurse or use the title without it.
  • Register as a student nurse when you start. Register in your nurse category when you finish.
  • You must study at a SANC-accredited university or nursing college. Check it is accredited before you pay.
  • After the degree, professional nurses do one year of paid community service.
  • You pay a fee to SANC each year to stay registered.

Questions people ask