Health policy

Equity

Series Name: 
HST Update
Published by: 
Health Systems Trust

Parents are usually instinctively aware of any of their children who are particularly vulnerable and if they are able to, take the time and trouble to give that child a bit of extra support and extra care. If we are to promote equity in our society we have to find ways of ensuring that our most vulnerable communities and individuals have access to more resources than those who are less needy. Only by doing so will the huge gaps between the haves and the have nots be lessened.

District Health Expenditure Review - Mount Currie Health District

Published by: 
Health Systems Trust

Introduction

This report documents the findings and conclusions of the first district expenditure review run for the Mt. Currie health district. The year under review is the government financial year, April 1997 to March 1998. Mt. Currie is a health district bordering on the Eastern Cape, in the southernmost part of the KwaZulu-Natal (KZN) province. Its close proximity to the Eastern Cape border, and the regions geography, have meant that the main towns in the district, Kokstad and Matatiele, have for years acted as commercial centres for rural areas extending into the Eastern Cape, or what was formerly known as the Transkei. This fact, together with the history of the regions administration, means that the health services in the district are well frequented by residents of the Eastern Cape. These cross-border flows made it essential to calculate the district catchment population, which was estimated at 247 537 people in 1997/98.

A full range of health services are rendered in the district, including primary health care services, environmental health services, district hospital level services and laboratory services. A number of health services to the district are still run directly by the province, or the regional office. In addition, as in many districts, there are two main public sector authorities running health services namely local governments (municipalities) and the KZN provincial government. The two local authorities in the district are Matatiele and Kokstad.

No Transport, No Primary Health Care! Monitoring and improving the use of health service vehicles

Published by: 
Health Systems Trust
In the Mount Frere Health District, the District Management Team (DMT) has made considerable improvements in the control and monitoring of vehicles. However, despite this, there is a common cry from programme managers, clinic supervisors, doctors and administrative staff that there is a shortage of transport for them to carry out their functions adequately. Because transport is so critical to so many functions, it is not surprising that there is a relative lack of transport, compared to needs. It is therefore important that districts make sure that they use their limited transport resources efficiently and effectively.