Since 1992, the Health Systems Trust has contributed to the development of a health system that can meet the needs of all South Africans, including the most disadvantaged. We will continue to work with all stakeholders in order to improve health care, particularly in areas most underserved and in need.

District Health Barometer 2008/09
2010-02-03

Health Systems Trust's District Health Barometer 2008/09 to be published exclusively online and on CD

District health managers and policy makers across South Africa and world-wide will soon be able to enjoy internet access to draft chapters of the District Health Barometer 2008/09.

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District Health Barometer 2008/09 Draft
Health Systems Trust
2010-02-09

Part A: Indicator Comparisons by District

1. Input indicators

1.4 Proportion of District Health Services Expenditure on District Hospitals

This indicator shows the proportion of total district expenditure on hospitals and is helpful in assessing the focus of service delivery in the district. The proportion of total district expenditure on district hospitals during 2008/09 was 41.8% and this proportion has been in an annual and steady decline from 44.9% in 2005/06. This is partly due to the corresponding rise in the proportion spent on district management teams but is more likely due to increased expenditure on HIV/AIDS via conditional grants, an expenditure which was 11.9% in 2008/09 compared with 9.2% in 2005/06 (see Table 1).

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District Health Barometer 2008/09 Draft
Health Systems Trust
2010-02-09

Part A: Indicator Comparisons by District

1. Input indicators

1.3 Proportion of District Health Services Expenditure on District Management¹

The proportion of total district expenditure for management activities during the 2008/09 financial year, including the management of district hospitals, was 5.6%. This proportion is the highest over the past four years the lowest being 4.7% in 2006/07.

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District Health Barometer 2008/09 Draft
Health Systems Trust
2010-02-08

Part A: Indicator Comparisons by District

1. Input indicators

In 2008/09 the District Health Services Programme (Programme 2) spent R31.4 billion¹ on health care according to Treasury's Provincial Budgets and Expenditure Review². This is up from R18.4 billion in 2005/06 and is estimated to reach R41 billion in 2011/12 the significant growth attributable to the increased spending on primary health care and HIV/AIDS. In the sections of this chapter that follow, pertinent finance indicators are highlighted and the R31.5¹ billion expenditure is broken down, per district, within South Africa.

The District Health Barometer (DHB) reflects only financial data from Programme 2 (District Health Services). Table 1, Budget programme structure for provincial health expenditure, depicts what is included in Programme 2 and also lists the sub-programmes. The per capita cost of delivering Primary Health Care services at district level provides insights into equity and efficiency of the country's health services, as well as providing a useful measure of comparison. In the first two sections of this input indicators' chapter, per capita expenditure (PCE) is looked at in two ways - one including all District Health Services expenditure (total PCE) and the other, a subset of the first, is based on selected non-hospital³ expenditure (non-hospital PCE). Both types of PCE include nett Local Government expenditure on PHC.

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Meeting the Demand for Results and Accountability: A Call for Action on Health Data from Eight Global Health Agencies
2010-02-02

Recent substantial increases in international attention to health have been accompanied by demands for statistics that accurately track health progress and performance, evaluate the impact of health programs and policies, and increase accountability at country and global levels. The use of results-based financing mechanisms by major global donors has created further demand for timely and reliable data for decision-making. In addition, there is increasing country demand for data in the context of health sector strategic plans, including in countries that have established International Health Partnership (IHP+) compacts.
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