Health care

The District Health Barometer Year 1. January-December 2004.

Published by: 
Health Systems Trust

The District Health Barometer (DHB) is a collection of health indicators which presents a snapshot of how well the health districts in South Africa provide primary health care to the population. These indicators do not provide any form of complex analysis or in-depth research, yet they point to districts that need improvement and support and likewise to those districts that are doing well. They show how districts are performing relative to one another and relative to their province and the national average.Using the District Health Barometer (DHB), comparisons can now be made between the six metropolitan districts, between the 13 rural node districts or between any districts that are of a similar socio-economic status and size.

National Primary Health Care Facilities Survey - Provincial

Series Name: 
Facilities Survey
Published by: 
Health Systems Trust
The purpose of the National Primary Health Care (PHC) Facilities Survey is to measure progress with regard to availability, accessibility, effectiveness, efficiency and quality of PHC service provision. Comparisons with previous national PHC facilities surveys (1998, 2000) allow conclusions to be drawn about trends and progress made over the past six years at national and provincial levels. This report is one of a series that was compiled from data collected for the national PHC Facilities Survey 2003. As with preceding surveys, this survey seeks to draw conclusions about equity in PHC service provision by means of quantitative description of the services and required resources in a sample of PHC facilities. It is intended that these periodic surveys of PHC facilities will help to promote the use of information in planning and management of services. The survey provides health managers with information that allows them to decide on priority interventions and assists them to appropriately target areas where intervention is most required.

Health Care in Eastern Cape - Implications for planning

Published by: 
Health Systems Trust
The report is intended for health managers in the Eastern Cape Province managers at Provincial level but especially for Regional managers as the information is set out in a format which defines and compares the resources and services of the five regions. The information was obtained from ReHMIS (Regional Health Management Information System) by the Eastern Cape ReHMIS team and some additional sources were also used. Data was collected from all public (provincial and local authority) health facilities using national definitions. Maps and tables of population distribution are provided. These assist in defining the problems of reorientation from the previous administration (of South Africa and two so-called independent states Transkei and Ciskei) to a unified, integrated, decentralised, equitable health service based on Primary Health Care, and the health priorities of the Reconstruction and Development Programme.

South African Health Review 2002

Series Name: 
South African Health Review
Published by: 
Health Systems Trust

This year's Review looks at issues related to transformation such as legislation and financing of health care, human resources, and support systems for health care delivery. Other key public health issues covered in the Review include HIV/AIDS, sexually transmitted infections, tuberculosis, malaria and nutrition. In addition the Review contains comprehensive information on key health and related indicators.

The Second Equity Gauge - Monitoring Fairness in Access to Basic Services Essential for Health

Published by: 
Health Systems Trust
The second Equity Gauge seeks to place the goal of equitable health care within a broader framework that links socio-economic disparities with health outcomes. This publication highlights the fact that people do not get sick at random and that health is intimately tied up with living and working conditions. In focusing on this interdependence of socio-economic determinants with health outcomes, the document also points to the relationship between health status and geographical, racial and gender-related issues.

Cost-Effectiveness of Antiretroviral Treatment for HIV-Positive Adults in a South African Township

Published by: 
Health Systems Trust
Introduction: This study aims to establish the costs and effectiveness of antiretroviral therapy (ART) for HIV positive adults in a resource-constrained public-sector setting. The research compares ART to the current status quo for HIV-positive adults who are dependent on the public sector for care in South Africa i.e the treatment of opportunistic and HIV- elated infections and events (e.g. wasting) in the absence of ART. This research is clearly important in the developing country context, where the HIV epidemic is expected to have a dramatic impact on life expectancy and to lead to early mortality for a large proportion of the population (Dorrington, Bourne et al. 2001). This study presents the first cost-effectiveness results derived from a public sector clinic-based treatment programme. Cost, effectiveness and quality of life data have been collected from a single cohort receiving care in three HIV-dedicated clinics in Khayelitsha, a township on the outskirts of Cape Town. This setting is similar to what will be encountered in the public sector ART rollout.

The role of ISDS in the Rural District Health Support Programme (RDHSP)

Published by: 
Health Systems Trust
The Integrated Sustainable Rural Development Programme (ISRDP) is an initiative driven from the Presidents office. The ISRDP is a ten-year programme emphasising the integration of planning for services and is a major new developmental role for local government. Thirteen of the most disadvantaged rural district municipalities in South Africa have been identified for this programme. These following district councils have been identified as the pilot sites or 'nodal' points in the programme: Chris Hani, Oliver Tambo, Ukhahlamba, Alfred Nzo, Zululand, Bohlabelo, Central Karoo, Kgalagadi, Umzinyathi, Sekhukhune, Thabo Mofutsanyane, Ugu, and Umkhanyakude.

Internship Information Booklet - Research Programme

Published by: 
Health Systems Trust
The internship programme is one of the skills development initiatives developed by the research programme of the Health Systems Trust (HST). Since it was founded in 1992, HST has been concerned with the need to develop research and planning skills for health care delivery. The internship programme aims to develop a pool of health systems re-search skills in South Africa by attaching novice researchers to institutions with established research record.

South African Health Review 2001

Series Name: 
South African Health Review
Published by: 
Health Systems Trust

Among significant events that affected the health system during 2001 are the process of decentralisation of health services, greater attention to proper corporate governance especially with regard to financial reporting, and the increasingly profound impact of HIV/AIDS. Decentralisation of health care, the treasured policy goal of health services being managed by the sphere of government closest to the people, is, albeit slowly, becoming a reality to South Africans. The 2001 South African Health Review reflects on this process of transformation, including the necessary enabling legislation and funding of local government for health care delivery at this level.