Health care system

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.

Total PHC Expenditure per Capita and PHC Non-Hospital Expenditure per Capita

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.

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

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.

Statement by the Minister of Health, Dr Aaron Motsoaledi, on the National Health Leaders' Retreat 2010

26 January 2010

Good afternoon ladies and Gentlemen

Thank you for responding to our invitation. You are joining us here at the end of three days of intensive deliberations.

We gathered as the National Health Leadership together with International Experts from more than eight different countries chosen because those countries have experience in dealing with many of the major health policy challenges we, as South African, are also faced with.

District Health Barometer 2007/08

The Health Systems Trust (HST) released its latest edition of the District Health Barometer on the 6th of July at the HISA 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 the district level.

PRESS RELEASE: Launch of the Rural Health Advocacy Project

On 13th Aug 2009 the Rural Health Advocacy Project was launched at the University of the Witwatersrand in Johannesburg, coinciding with the launch of the Wits Centre for Rural Health. A renewed focus on access to health care in rural areas is vital in a context of worsening key health indicators in South Africa, a 34% national vacancy rate for doctors, and inequitable access to quality health care.

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/

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.

The Status of Clinic Committees in Primary Level Public Health Sector Facilities in South Africa

Published by: 
Health Systems Trust
Community participation is widely accepted as a desirable feature of any health system and is considered to be an important aspect of developing and fostering effective governance at various levels of the health system. Good governance is a fundamental tenet of South African health care and the National Health Act No. 61 of 2003, makes provision for formally constituted, broad based governance structures which include community representation at various levels of healthcare delivery. Effective governance of the health system is critical to ensure both access to quality health services and the accountability of the health services to communities.