Health care system

Doctors' Visits to Clinics

This article is an opinion piece discussing issues pertaining to the doctors' visits to primary health care clinics. Although the article was written a few years ago, the challenges it discusses are still with us. The article offers suggestions on what the doctor ought to do during his/her visit. In addition the article can be used to facilitate discussions on improving the doctor's clinic visit. It makes a good reading for the new doctors who are inspired to do well during their clinic visits and it would most likely stimulate discussions among the experienced doctors and nurses. We hope you will find the article valuable and that it can contribute to improving your clinic.

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.

The Southern African Development Community Project on Sexually Transmitted Infections in High Transmission Areas

1. Enhancement of Syndromic Management of STIs in the Selected Cross Border/High Transmission Sites: Botswana, Lesotho, Namibia and Swaziland

Africa south of the Sahara is the region most affected by the HIV/AIDS pandemic, with more than thirty million people living with HIV and AIDS in the region. It is estimated that there are approximately 10 million young people aged 15-24 years and almost 3 million children under 15 years of age living with HIV.