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Part-time Africa Regional Co-ordinator

Closing date: 7 August 2009

The People's Health Movement (PHM) is a global network, bringing together grassroots health activists, civil society organizations and academics from around the world, particularly from low income countries. PHM works towards the revitalisation of primary health care (as described in the Alma-Ata Declaration) and works to address the social determinants of health, including in particular, the growing inequity within and between nations, mostly due to unfair economic structures which lock so many people into poverty and poor health.

Clinical Manager

Closing date: 14 August 2009

TB/HIV Care Associations Project Integrate seeks applicants for a Clinical Manager based in the head office in Cape Town. This is a one year contract post with the possibility of renewal. Project Integrate is funded by the Presidents Emergency Plan for AIDS Relief (PEPFAR).

District Health Barometer 2007/08

Published by: 
Health Systems Trust

The Health Systems Trust (HST) released its latest edition of the District Health Barometer on the 6th of July at the Health Informatics South Africa conference, Emperors Palace, Gauteng. The publication illustrates important aspects of the health system at district level through the analysis of a selected range of health indicators from which comparisons among districts and provinces can be made. Data feeding into the report are drawn from a range of sources including the national Department of Health, Statistics SA, the TB register and the National Treasury. It is the only publication of its kind in South Africa that makes available comparative data for the purpose of measuring and tracking progress in primary health care at district level.

Media coverage of the DHB 2007/08

Table of Contents:

Foreword

Introduction and Overview
Background
Indicators used in this DHB
Methodology and Data Sources
Data Display

Section A: Indicator Comparisons by District

1. Socio-economic Indicators
1.1 Deprivation Index
1.2 Equity: Monitoring the gap between the most and least deprived districts

2. Input Indicators
2.1 Per Capita Expenditure on Primary Health Care
2.2 Proportion of District Health Services Expenditure on District Management
2.3 Proportion of District Health Services Expenditure on District Hospitals
2.4 Cost Per Patient Day Equivalent in District Hospitals

3. Process Indicators
3.1 Nurse Clinical Workload
3.2 Bed Utilisation Rate
3.3 Average Length of Stay
3.4 Clinic Supervision Rate

4. Output Indicators
4.1 Immunisation
4.1.1 Immunisation coverage
4.1.2 Immunisation drop out rate (DTP1-3)
4.1.3 Immunisation coverage (Measles 1st dose) and drop out rate (Measles 1 2)
4.2 Caesarean Section Rate
4.3 Male Condom Distribution Rate
4.4 PMTCT Indicators
4.4.1 Proportion of antenatal clients tested for HIV
4.4.2 HIV Prevalence amongst antenatal clients tested
4.4.3 Nevirapine uptake rate among pregnant HIV positive women
4.4.4 Nevirapine uptake rate among babies born to HIV positive pregnant women
4.5 Primary Health Care Utilisation Rate

5. Outcome Indicators
5.1 Incidence of New Sexually Transmitted Infections
5.2 Tuberculosis
5.2.1 Smear conversion rate
5.2.2 TB cure rate
5.3 Diarrhoeal Incidence in Children Under 5
5.4 Rate of Children Under 5 Years Not Gaining Weight
5.5 Delivery Rate in Facility

6. Impact Indicators
6.1 Stillbirth Rate
6.2 Perinatal Mortality Rate (PNMR)

Section B: District and Province Profiles
- South Africa
- Eastern Cape Province
- Free State Province
- Gauteng Province
- KwaZulu Natal Province
- Limpopo Province
- Mpumalanga Province
- Northern Cape Province
- North West Province
- Western Cape Province

Appendices
Appendix 1: Correlation of the National Antenatal Sero-Prevalence Survey with the DHIS
Appendix 2: Deprivation Indices
Appendix 3: Further Notes on Methodology
Appendix 4: Population Data by District and Province Comparing the DHIS and 2007 Community Survey Population Estimates

Raw Data, Sources and Working Documents: Most of the zipped files are in 7zip format. This free software can be downloaded from http://www.7-zip.org/

Chat spaces

Series Name: 
Nursing Update
Published by: 
Democratic Nursing Organisation of South Africa
For some young people today, mobile phones and remote social networking are their ticket to the outside world, for some, their key to survival. But this mode of communication is also rife with sexism and harassment. But something is being done to make it safer.

Counselling and testing for HIV/AIDS among TB patients in the Free State

Published by: 
Centre for Health Systems Research & Development
TB patients uptake of HIV counselling and testing (HCT) is affected by a wide variety of health systems/ services-related and patient/community-related factors. This research set out to explain comparatively low rates of HCT among TB patients in Lejweleputswa and Thabo Mofutsanyana Districts in the Free State Province. By interviewing patients, community health workers, front-line providers and health managers this fact-finding research sought to identify and illuminate barriers to and facilitators of uptake of HCT by TB patients.

District Health Barometer Launch at HISA 2009

The 2007/8 edition of the District Health Barometer 2007/08 will be launched on the 6th of July 2009 at Emperors Palace, Gauteng at the cocktail evening for the opening of the HISA conference.