You Do Need power plug adapter while traveling from Macau to South Africa.

Here is Why You Need An Adapter

The outlet and plug type used in South Africa are C, M and N and in Macau is G. This is how they look like.

Macau

In Macau, outlets of type G are in use.

Type G

South Africa

In South Africa, outlets of type C, M and N are in use.

Type C

Type M

Type N