ISDS Site: Frances Baard District

The Frances Baard District is one of five health districts in the Northern Cape. The 2001 population census indicates that the population of the district is 324 799 people(including the North West cross-boundary area). The district covers 12 347 square km and has a population density of 26 people per square km, which is above the provincial average of 2.7 people per square km, making it the most densely populated district in the province.

Frances Baard district comprises of four category B municipalities (Sol Plaatje, Dikgatlong, Magareng and Phokwane) and one district municipality. Some 62% of the inhabitants live in the Sol Plaatje Municipality area. The socio-economic profile of the district indicates a 41% unemployment rate leaving 65.% of households with no income.

Primary health care services are provided by three district hospitals, one TB hospital, one community health clinic, 19 fixed clinics, four mobile clinics and six satellite clinics. The Sol Plaatje Municipality manages nine of the clinics, whilst the rest of the facilities are managed by the provincial Department of Health.

A major problem affecting the accessibility to health services and the quality of care in the clinics, is the shortage of professional nurses. The main health problems are TB, HIV/AIDS, STI's and maternal and child health.

ISDS interventions in Frances Baard District include:

• Providing support to the establishment and functioning of management structures in the district
• Providing assistance with the District Health Expenditure Review, PHC audit, the District Health Plan and the Client Satisfaction Survey
• Providing quality of care interventions around the priority health programmes (focusing on the TB control programme, STI's, mental health as well as MCWH).
  

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