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:


Introduction and Overview
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

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/

Guide to Measuring Client Satisfaction

Published by: 
Health Systems Trust

A collaborative project between the National Department of Health and the Initiative for Sub-district Support, as part Health Systems Trust

The main objective in undertaking this research study is to develop an instrument that will measure the satisfaction levels of clients utilising hospitals in South Africa. The client satisfaction tool (CS Tool) included in this guide drew on the experience of measuring client satisfaction at two district hospitals, East Griqualand and Usher Memorial Hospital in Kokstad and Gordonia Hospital in Upington. Experience was also drawn from a number of international studies, particularly from Ghana, the United States of America and the United Kingdom.

Senior Scientist/ Monitoring and Evaluation Advisor

Closing date: 20 June 2008

The Health Systems Research Unit, which focuses on research for the effectiveness of health care, requires a Monitoring and Evaluation Specialist who is interested in leading a project focused on quality improvement of PMTCT (prevention of mother-to-child transmission of HIV) in KwaZulu-Natal.

Intern District Health Barometer Project

Closing date for applications: 02 February 2007

We are seeking to appoint an Intern on a one year fixed-term contract to assist with the District Health Barometer (DHB) project and the HealthLink Cluster with respect to providing effective, accurate and useful health systems information.

The 2006 International District Health Information Systems Conference

As well as a DHIS Software Developers Workshop from 4 - 9th October 2006
Venue: Mpekweni Resort, Eastern Cape Province, South Africa
Nearest airport is East London, and Mpekweni is about 100 km south of East London towards Port Alfred.

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. The purpose of this first District Health Barometer is to function as a tool to monitor progress and support improvement of equitable provision of primary health care, as well as to highlight data irregularities and errors that may occur in the collection and collation of data available in the national District Health Information System. The District Health Barometer Year 1, uses the population figures from the DHIS which are closely based on the Census 1996 and Census 2001 data. In both sets of census data there has been an under-estimation of the number of children under 5 years old. The Department of Health are working together with StatsSA to provide accurate and official population estimates of children under 5 years in each district, and hope to have this work completed by March 2006. These estimates affect especially the immunisation indicators. The next District Health Barometer, which should be available by the end of 2006, will show the corrected immunisation and population figures for 2004 and 2005.

District Health Barometer - Current HST activities related to the DHB concept

The HST is currently involved in a number of activities which relate to the DHB, which will provide some baseline infrastructure, expertise and linkages. These include:

Extra Information: Health Information Systems and Detailed Indicator Tables

The following information is provided in electronic format only as a supplement to the SAHR 2003/04.
To download any of the files please 'right click' on the file name and choose 'save target as'