South Africa

Our Team 

Globally, the healthcare sector is facing enormous, complex challenges around both development and maintenance. In Africa, the sector is undergoing major policy, system and infrastructural changes.

Anuschka Coovadia - Head of Healthcare Markets
“Having worked as a doctor in the public health sector, and having experienced being on the other side as a patient and as the family of a patient, I am inspired by the courage and the commitment of healthcare workers in our country. I am motivated by the deprivation and the need that I have witnessed, both in the system and amongst its patients, to make a positive change. I am always seeking mechanisms to support the strengthening of our healthcare sector and ease the pain of its past inequities.” Learn more about Anuschka’s experience and expertise.

Anuschka comes from a clinical background and has extensive experience in the healthcare industry, varying from market research to sales experience, health economic analysis, clinical trial operations, actuarial reporting, health risk management, data modelling and product development.

As a health economic consultant, she has worked with many governments across Africa, and private organisations, such as the Rockefeller Foundation, the HSRC and Sovereign Health, on projects that involve protocol design, data collection and analysis, budget management and presentation of results, in local and international forums.

At Novartis, she initially worked in a scientific marketing/sales position but later moved into clinical trials operations, travelling through-out Africa, establishing clinical operations, developing a network with key state officials and managing a team of medical advisors.

She also worked at Momentum Health as a Health Product Development Specialist, in the Health Actuarial Department, then headed up the managed care division in the Metropolitan’s Durban office, and later worked as the head of Strategic Projects and then as the Head of the GEMS Clinical Advisory Services.

At KPMG, Anuschka is a health actuarial specialist.


• MBChB - Bachelor of Medicine and Surgery (University of Natal)
• MSE - Masters of Economics (University of Natal)


Current Studies


• Actuarial Science - Institute of Actuaries

Anuschka Coovadia
Head of Healthcare Markets
Tel: +27 82 719 2813

Joubert Krugel - Head of Life Sciences – Africa
“Good health is central to human quality of life. As a pharmacist, I have experienced first-hand what positive impact good quality healthcare services and life sciences products can have on a patient’s health and quality of life. I am passionate to work with key stakeholders to ensure that patients gain access to good quality healthcare, products and services.” Learn more more about Joubert’s experience and expertise.

Joubert Krugel is head of KPMG’s Life Sciences practice in Africa. He is a licensed pharmacist with over 17 years’ extensive leadership and business experience in the healthcare, life sciences (incl. pharmaceutical, medical device, diagnostic, etc.), clinical, funder and managed healthcare sectors, at local and international levels, for market-leading life sciences companies and major healthcare providers in Africa.

He has secured business in the private and public sectors, dealing with patients, healthcare professionals, life sciences companies, hospitals groups, medical schemes, administrators, managed healthcare customers, government, professional societies and industry bodies at different strategic levels. He has an in-depth knowledge of the African healthcare and life sciences environment, established relationships with key stakeholders and a strong track record in industry negotiations.

Joubert has 12 years’ international experience in market access and 7 years executive level experience. He has a strong business track record in achieving business results, a strong leadership track record in building/leading teams and developing people, leading cross-functional (local and international) business teams and working groups, a strong track record in strategic thinking and delivering organisational effectiveness.

He has extensive experience in the following areas:

• Specialist knowledge in healthcare & life sciences (incl. pharmaceutical and medical devices) industries
• Business and commercial strategy
• Business development and sales strategy
• Market entry/access, health economic and reimbursement strategy
• Key account/customer relationship strategy – introduction to key players in the SA market
• Negotiation strategy – tenders, contracts, Health Technology Assessments (HTA), reimbursement and pricing
• Scenario and strategic planning
• Market scope, analysis and proposals for growth
• Risk management and forecast the impact to performance
• Value proposals – company, product and service value proposal development to secure customer support and access


Joubert Krugel
Head of Life Sciences – Africa
Tel: +27 82 572 8064

Dalene van Greune
“There is a proverb that says ‘He who has Health has hope; he who has hope has everything.’ I am excited to be part of a team who is passionate about giving hope!” Learn more about Dalene’s experience and expertise.


Dalene van Greune is the Healthcare Coordinator in KPMG Africa’s Healthcare Practice and your first point of contact for the Healthcare team.

She is the newest member of the Healthcare team but an old hand at KPMG. Dalene spent some time in the United Kingdom, where she worked in KPMG’s Infrastructure, Government and Healthcare team for three years before returning to South Africa.


• BA Degree in Communication, Business and Personnel Psychology

Dalene van Greune
Africa HealthCare Coordinator
Tel: +27 82 719 0587

Lizwe L Siso
“My passion for healthcare stems from a deep sense of service and enduring personal values that include fairness, social justice, equity in access and outcome for everyone regardless of difference. I believe that a healthier population translates into a productive and effective workforce which in turn bolsters the economy for the benefit of all in the long run.” Learn more about Lizwe’s experience and expertise.

Lizwe is a people and change consultant with a diverse range of skills and experience, having worked in various senior roles in private and public organisations to implement strategies, manage HR and lead change projects.

Lizwe’s area of expertise includes people and change management, union negotiations, mergers and acquisitions, leading HR projects, strategic reconfiguration, organisation design and development and managing diversity. Whilst working for West Sussex PCT, Lizwe led an organisational redesign and restructuring process and saved over £500000 (over R5m) in structured people costs.

Prior to moving to SA, Lizwe was employed by the London Deanery (University of London) and led a job evaluation project for medical and non-medical professionals. He was also involved in the NHS London Workforce Strategy and the Medical and Dental Education Commissioning System (MDECS) as an expert subject lead on Equality and Diversity.

When the European Working Directive (ETD) was enacted into law in the UK (Working Time Regulations), Lizwe worked as Project Manager-Junior Doctors Hours for a Trust in Brighton. He was successful in achieving 96% compliance in 2002 - 2003 Ministerial Returns (previous year compliance stood 66%). The success was achieved by using an analysis, design, and delivery, implement and monitor or evaluate cycle. Essentially it was project managing from a concept stage to a business case design, including change and HR management.

Lizwe also has a financial background, having worked as a financial accountant for a few years. His experience as a clinical professional in the National Health Service and BUPA, has provided Lizwe with an understanding and appreciation for healthcare and healthcare provision, both in the private and public sectors, knowledge and skills which are transferable.

Away from work, Lizwe spends time with family and friends and is a committed rugby fan!


• Postgraduate Certificate in People Management and Development (2008), Brighton Business School, Brighton, UK
• Masters in Business Administration (2001), Aberdeen Business School, Scotland, UK
• Part-Qualified Accountant - ACCA
• BA (Honours) Accounting & Finance (1997), University of Brighton, Brighton, UK
• Health Studies (1994), Sussex & Kent Institute, University of Sussex, Brighton, UK

Lizwe L Siso
People and Change Consultant, Healthcare, South Africa and Africa


Kathy Tyacke
“People use health services at the times they are most vulnerable. With first- hand experience as a patient, health professional, manager and management consultant, I am concerned with making health services work.” Learn more about Kathy’s experience and expertise.

Kathy is a Principal Consultant with expertise in public and health sector strategy, planning, transformation and project management.

Kathy has 15 years experience working in the public sector as a manager for provincial government and then as a management consultant. She has project-managed a wide range of international, national, provincial and local government public sector and health projects.

Before joining KPMG, Kathy worked as a consultant with Palmer Development Group (PDG) where she managed a range of large projects, including an evaluation of a national health programme in Uganda for the World Bank, an evaluation of the Special Poverty Relief Allocation for National Treasury, studies of Public-Private Partnerships in local government and health strategies for a range of municipalities.

While with EOH Consulting, Kathy was the project manager for an OD audit of a hospital complex for Free State Department of Health, customer satisfaction survey of hospitals and clinics in the Eastern Cape, institutional capacity assessment of health services for Amathole District Municipality, and also carried out an evaluation of training needs for nurses in Eastern Cape hospitals.

Kathy also worked at the Gauteng Department of Health where she was responsible for district service planning. She played a key role in developing human resource capacity in districts to develop district health plans. This involved developing guidelines, definitions and norms for development of Community Health Centres, clinics and community services. Based on national guidelines she managed the development of the package of Primary Healthcare services for Gauteng. She designed and managed the implementation of community-based rehabilitation across Gauteng.

Since joining KPMG, Kathy has project-managed an evaluation of the performance of Funds established by the Swazi government to facilitate referral of patients to South Africa, the review of an evaluation framework for Dutch private equity firm Investment Fund for Health in Africa (IFHA), for UNICEF an evaluation of the National School Nutrition Programme, development of a private hospital business plans, assessment of capacity of a municipality to deliver municipal health services, a performance review of police stations and has provided oversight of the Evaluation of the School Food Security Programme in Northern Cape.


• Masters in Business Administration, Gordon Institute of Business Science (GIBS), South Africa
• Bachelor of Science, New York University, United States
• Bachelor of Arts, University of Witwatersrand, South Africa

Kathy Tyacke
Principal Consultant, Healthcare, South Africa and Africa
Tel: +27 82 430 2506

Dominic Volek
“For the vast majority of people that are unable to pay for health provision, new models of care need to be designed, as governments begin to acknowledge the importance of prevention over curative action. Governments are experimenting with different forms of universal health provision and the reforms that they undertake over the next decade will be crucial to cutting mortality rates and improving health outcomes – KPMG has a crucial role to play in this process.” Learn more about Dominic’s experience and expertise.

Dominic is a Manager: Global Infrastructure, Africa, and specialises in providing strategic, financial and commercial advice to public and private sector clients on infrastructure-related transactions across Africa.

Dominic has extensive experience in construction contracts together with applicable tax and corporate experience including full financial statement audits and internal control evaluation.

Recent advisory project experience:

• Strategic energy and environmental risk assessment for a large South African mining company including the assessment of total resource availability, security of supply, pricing and technology development, adoption and diffusion. The project focussed on South Africa as well as a high level overview of the strategic and environmental risks in Zimbabwe.

• Consultancy services for a cost benefit and comparative analysis of Shale Gas vs. Nuclear Power for the South African Department of Energy including an analysis of policy requirements, permitting, licensing, environmental issues, pricing methodologies, funding, tariff impacts and construction schedule and related risks

• Financial modelling, business planning and assistance with the execution of a capital raising strategy and potential privatisation of NTP Radioisotopes (Pty) Ltd.

• Financial modelling, business case compilation and debt fund structuring for the Nelson Mandela Children’s Hospital, including government negotiations. Dominic was also responsible for the management of the entire Hospital Operator procurement process, drafting  tender documents, creating scoring matrices, running the RFP adjudication workshops and managing a virtual dataroom.

• Financial modelling and project information memorandum compilation for the debt raising for the Beitbridge Border Post rehabilitation project.

Dr. George Mukhari Hospital PPP feasibility - Financial advisor to Driver Consortium that advises the Gauteng Department of Health on the final feasibility study and subsequent procurement phase of this new hospital.

• Assistance in numerous proposal submissions and advisory projects relating to renewable energy projects, healthcare infrastructure and rail transport.


• Bachelor of Arts (Corporate Communication)
• Bachelor of Commerce (Accounting) - Honours
• Qualified Chartered Accountant – CA(SA)
• Registered with the South African Institute of Chartered Accountants (SAICA)

Dominic Volek
Manager: Global Infrastructure – Africa
Tel: +27 82 718 4587

Stephanie Gormley
“I am passionate about healthcare because everyone will, at some point, rely on a healthcare system and be forced to place their trust in that system. I believe it is their right to receive the best possible service and treatment.” Learn more about Stephanie’s experience and expertise. 

Stephanie Gormley recently joined the KPMG healthcare team as a consultant. She has played an active role in the public health sector since 2010.

Prior to working with KPMG, Stephanie was involved in conducting research that informed and was used to evaluate programmes and strategies aimed at high HIV-risk populations. - She has been involved in developing various case studies of good practice, designing and testing capacity building models, as well as quantitative and qualitative research and analysis of routine monitoring and evaluation data.

Stephanie has experience in conducting both qualitative and quantitative research.

She has also been involved in the development of capacity development programmes for high HIV-risk populations. This included developing training materials and conducting training workshops. Stephanie has also been involved in market research conducted with government departments and healthcare workers in South Africa, Lesotho and Kenya to inform the potential roll-out of new HIV prevention technologies.


• Physiology (Msc) –University of the Witwatersrand (2009 – present)

• Honours in Experimental Physiology (BSc (Hons))– University of the Witwatersrand (2008)

• BSc (Human Anatomy & Physiology) –University of the Witwatersrand (2005 – 2007)



Stephanie Gormley
Consultant, Healthcare, South Africa and Africa
Tel: +27 82 719 3176

Our Team

 Thought Leadership