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National Department of Health engagement report

@HealthZA - 414K followers on X

Measured over 54 original posts from a 30-day window, last computed on September 26, 2026.

Engagement

Bottom quarter for its size
Per follower
0.001%
of 414K followers
Per impression
0.155%
3.2K views on a typical post
Reach
0.78%
of its followers see a post
Typical post
5
interactions (median)
Saved
0%
0 bookmarks on a typical post
Posting rate
1.83/day
active 67% of days
Peak time
18:00 UTC
Friday

A typical post picks up 5 interactions against 414K followers, an engagement rate of 0.001%. Measured over 54 original posts, its engagement rate beats 13% of 20,444 tracked accounts of a similar size. That is a reason to look at how the audience behaves - reply depth, saves, whether the followers are recent - rather than a conclusion about it on its own. Posts are seen about 3.2K times each, and 0.155% of those impressions turn into an interaction. That is about 0.778% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 1.8 posts a day over the last 30 days, with activity on roughly 67% of days. Most posts go out around 18:00 UTC, and Friday is the busiest day of the week. Of the 54 posts sampled, 96% carry an image or video and 37% link out. The account's strongest tracked post pulled 53 interactions, about 11x its own typical post. Recurring topics include #lenacapavir, #africantraditionalmedicine, #alert.

Measured over 54 original posts from a 30-day window, last computed on September 26, 2026. Recurring tags: #lenacapavir, #africantraditionalmedicine, #alert.

Compared with accounts its own size

National Department of Health's engagement rate beats 13% of the tracked X accounts closest to it in follower count (20,444 accounts, accounts of similar size (decile 10 of 10)). A percentile is spread evenly by construction, so 50 really is the middle of that group and 90 really is its top tenth.

On engagement per impression rather than per follower it beats 11% of the same group. When those two numbers disagree, the gap is about how far its posts travel rather than how people react to them.

Where this sits in the catalog

At 0.001%, National Department of Health sits below the 10th percentile of the 204,956 accounts in this comparison. That places it in the bottom 25% band, which runs below 0.024%.

p100.004%
p250.024%
p50 (median)0.143%
p750.678%
p902.55%
p9982.4%
Engagement rate as a share of followers, across the 204,956 accounts we have scanned enough to measure. The axis is logarithmic, because the top and bottom of this population are about 22,894 times apart and a linear axis would flatten everything below the median into a single point.
Show the percentile table
Engagement rate percentiles
PercentileEngagement rate
10th percentile0.004%
25th percentile0.024%
50th percentile0.143%
75th percentile0.678%
90th percentile2.55%
99th percentile82.4%

This ruler is the whole measured catalog, not a size-matched group: it shows where the raw rate falls across every account we can measure, all of which are large. For a like-for-like comparison, read the size-band percentile above instead. See how the bands are built

Posting timing

This account posts most often around 18:00 UTC, and Friday is its busiest day of the week. The bars below are the catalog-wide pattern, with this account's own busiest slot marked. They do not show how this account performs at each hour: we keep one aggregate per account, not one per hour, so that measurement does not exist in our data.

Engagement by hour posted, UTCTwenty-four bars, one per UTC hour. Each bar shows how posts published in that hour compare with their own authors' median engagement. Bars above the centre line ran higher than the median, bars below ran lower. A marker flags Busiest hour: 18:00 UTC.
0003060912151821
Above the authors' own mediansBelowScale: plus or minus 111%Busiest hour: 18:00 UTC
Show engagement by hour posted, utc as a table
Engagement by hour posted, UTC
Hour (UTC)Vs author medianPosts
00:00 UTC-1%89K
01:00 UTC-2%90K
02:00 UTC-3%88K
03:00 UTC-4%94K
04:00 UTC-5%76K
05:00 UTC-4%75K
06:00 UTC-5%86K
07:00 UTC-5%93K
08:00 UTC-4%108K
09:00 UTC-4%124K
10:00 UTC-3%129K
11:00 UTC-3%141K
12:00 UTC-3%154K
13:00 UTC-3%167K
14:00 UTC-4%173K
15:00 UTC-2%176K
16:00 UTC-3%171K
17:00 UTC-3%159K
18:00 UTC-2%149K
19:00 UTC-2%141K
20:00 UTC-1%131K
21:00 UTC0%116K
22:00 UTC-2%100K
23:00 UTC-1%90K
Engagement by day of weekSeven bars, one per weekday, Sunday first. Each bar shows how posts published on that day compare with their own authors' median engagement. Bars above the centre line ran higher than the median, bars below ran lower. A marker flags Busiest day: Friday.
SunMonTueWedThuFriSat
Above the authors' own mediansBelowScale: plus or minus 111%Busiest day: Friday
Show engagement by day of week as a table
Engagement by day of week
DayVs author medianPosts
Sunday+5%393K
Monday+1%483K
Tuesday-2%520K
Wednesday-3%472K
Thursday-2%430K
Friday-3%447K
Saturday+2%393K
See what moves engagement across the whole catalogWhat counts as a good engagement rate at this size

Formats this account uses

Its own posting mix on the left, and what each of those formats does across every account we track on the right. Only formats where the effect clears our publish test appear here, so an empty row is a format we could not measure rather than one that does nothing.

This account's posting mix compared with catalog-wide effects
FormatThis accountCatalog effect95% intervalAccounts behind it
Image or video96% of posts+111%+108% to +115%34K
Outbound link37% of posts-41%-42% to -40%32K
Typical length-no effect-2% to -1%42K
  • 96% of this account's sampled posts carry an image or video. Across the catalog, posts with an image or video run 111% above the same accounts' other posts.
  • 37% of its posts carry a link off X. Across the catalog, posts with an outbound link run 41% below the same accounts' other posts.
  • Its average post runs 268 characters, which falls in the 180 - 280 characters band. Across the catalog, posts of 180 to 280 characters match the same accounts' other posts almost exactly.

These are catalog-wide differences applied to this account's own posting mix, not a measurement of how each format performs for this account specifically. We keep one median per account, not one per format per account, so the second thing is not something this data can tell you.

Best tweets

  • Sep 18, 202611x their median

    The Department of Health is urging citizens to remain vigilant of mpox symptoms as the country is experiencing a rapid increase in laboratory confirmed mpox cases in the past few weeks. As of 17 September 2026, the country has recorded 18 confirmed and one probable case. https://t.co/Qp3FkwKFHI

    25252114K viewsView on X
  • Sep 8, 20268.4x their median

    Meet Precious Mafanga who got the HIV prevention jab #Lenacapavir (LEN), intended for HIV-negative people including adolescent girls, young women and other key population. "I’m 39, a mother of four, a wife and a sex worker." Read more: https://t.co/3Eb7cILC4x @GovernmentZA https://t.co/uaroyngsUT

    2216316.8K viewsView on X
  • Aug 14, 20267.0x their median

    WATCH | Tens of thousands of South Africans die from diabetes each year. According to Stats SA, it is now the leading natural cause of death, claiming more than 27,000 lives annually. Health Minister Dr Aaron Motsoaledi says the development is not surprising at all - @SABCNews https://t.co/fR4s2oDXVM

    18133112K viewsView on X
  • Sep 18, 20266.8x their median

    The NDoH Athletics Club organised a memorial run/walk in honour of fellow runner Elizabeth “Tsontso” Moselakgomo, member of the Run With Sole Running Club, from Kempton Park, who was tragically killed after disappearing during her routine afternoon run on 9 September 2026. https://t.co/xrb2IIoveB

    14321531K viewsView on X
  • Sep 23, 20266.4x their median

    UPDATE ON MPOX CASE IN SOUTH AFRICA A total number of 22 cases confirmed as of 22 September 2026. The other 3 cases include 2 imported infections involving a German and a Norwegian citizens. All patients are male except one. Read more: https://t.co/1aaIyfMMQf https://t.co/AD7R6rHqtm

    1018226.8K viewsView on X
  • Sep 9, 20266.2x their median

    Siviwe Gaika, 24, from Gqeberha, shares her journey after receiving the HIV prevention jab, #Lenacapavir. Credit: @Bhekisisa_MG Read more: https://t.co/3Eb7cILC4x https://t.co/Sd6bsUObRD

    226305.3K viewsView on X
  • Sep 8, 20265.4x their median

    #PrEP is a daily oral pill that helps prevent HIV. Learn more about who can use PrEP, whether it’s right for you, and the steps to get started. 📍 Visit your nearest clinic 📞 Call our Helpline: 0800 012 322 https://t.co/FoO2g1Dbbg

    179013.5K viewsView on X
  • Sep 3, 20265.4x their median

    Rotavirus season is upon us, with cases reported in Pretoria. Parents and caregivers are urged to ensure that children are vaccinated against rotavirus. Continue breastfeeding infants, and give children with diarrhoea oral rehydration solution to help prevent dehydration. @GCIS https://t.co/pX3o27cboR

    169025.2K viewsView on X
  • Sep 12, 20265.2x their median

    7 September 2026 - Department of Health reports on progress in Lenacapavir HIV prevention programme rollout Since the National launch on 5 June 2026, #lenacapavir has been rolled out through 360 public health facilities across 24 districts in six provinces. https://t.co/QE08xM2xm9

    1510104.0K viewsView on X
  • Sep 1, 20264.0x their median

    The Gauteng Department of Health is biddding farewell 18 young aspiring doctors from disadvantaged communities across the province who are going to pursue medical studies in Cuba through the Nelson Mandela Fidel Castro (NMFC) Medical Training Programme. 🇿🇦🇨🇺👩🏽‍⚕️👨🏽‍⚕️ #AsibeHealthyGP #GrowingGautengTogether #NMFCProgramme

    134126.6K viewsView on X

Ranked by total interactions across everything we have tracked for this account, which is a longer history than the 30-day window the rates above use. The multiple compares each post to this account's own median.

Recurring topics

#lenacapavir#africantraditionalmedicine#alert#asibehealthygp#govupdates

The most frequent hashtags in the sampled posts. They describe what this account writes about; they are not a performance signal, and the catalog-wide breakdown on the hub shows how little hashtag count moves.

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Reading these numbers

A typical post picks up 5 interactions against 414K followers, an engagement rate of 0.001%. Measured over 54 original posts, its engagement rate beats 13% of 20,444 tracked accounts of a similar size. That is a reason to look at how the audience behaves - reply depth, saves, whether the followers are recent - rather than a conclusion about it on its own. Posts are seen about 3.2K times each, and 0.155% of those impressions turn into an interaction. That is about 0.778% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 1.8 posts a day over the last 30 days, with activity on roughly 67% of days. Most posts go out around 18:00 UTC, and Friday is the busiest day of the week. Of the 54 posts sampled, 96% carry an image or video and 37% link out. The account's strongest tracked post pulled 53 interactions, about 11x its own typical post. Recurring topics include #lenacapavir, #africantraditionalmedicine, #alert.

What is National Department of Health's engagement rate on X?
National Department of Health (@HealthZA) has an engagement rate of 0.001%, based on the median interactions across 54 original posts from the last 30 days against 413,798 followers. Replies, reposts and quote-posts of other people are excluded from that sample.
Is that a good engagement rate?
At 0.001%, National Department of Health sits below the 10th percentile of the 204,956 accounts in this comparison. Those comparison accounts are all large ones, because our scanning cadence is weighted towards big accounts, so this is a ranking among peers of similar scale rather than a ranking across X.
Does @HealthZA have real engagement?
Its engagement rate beats 13% of the tracked X accounts closest to it in follower count (20,444 accounts), which puts it in the bottom quarter for its size group. Ranking inside a size band matters because engagement rate falls as accounts grow, so a raw rate would mostly re-measure the follower count. It is a starting point for a look at follower quality, not a verdict on it.
When does @HealthZA post?
Most posts go out around 18:00 UTC, and Friday is its busiest day, at roughly 1.83 posts per day across the measured window.

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