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Health Statistics
The objective of this section is to present the best available data on a wide range of health and related indicators.  This should provide health planners and managers with easy access to data from a variety of sources.

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ANC coverage

DefinitionProportion of pregnant women receiving some antenatal care.

DHIS data source: Estimated from the number of first ANC visits divided by the population <1 year x 1.15 (as a proxy for the number of pregnant women).
The compensation factor of 1.15 (15%):
- Add 4% due to infant mortality.
- Add 3% due to stillbirths
- Add 8% due to (spontaneous) abortions between 10 and 28 weeks.

SADHS data source: Percentage of women surveyed who reported receiving some antenatal care from a nurse, midwife or doctor during the five years preceding the survey.

ANC coverage indicates how accessible ANC services are to pregnant women in general.

DEFINITION: The percentage of pregnant women coming for at least one antenatal visit. The number of children under one year is used as a proxy denominator.

USE: Monitoring to what extent antenatal services are reaching pregnant women.

COMMENTS: This indicator must be analysed together with the indicator 'Antenatal visits per antenatal client'. Low antenatal coverage should prompt public campaigns etc, whereas a low number of visits per antenatal client is more likely related to quality of care (women see little reason to come for repeated visits).

Keywords
Indicator Type: -> Health Status -> Reproductive Health -> Maternal health

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Indicator Data
View by [Ethnic] [Geographic (SA provinces)] [International] [District]

ECFSGPKZNLPMPNCNWWCZA
ANC coverage [Definition]
1998 94.794.894.894.494.194.093.394.191.7[1] 94.2
2000 78.594.774.359.286.693.276.9106.179.4[2] 78.8
2001 91.795.991.088.899.9101.197.595.883.8[3] 92.6
2002 92.892.694.6106.6101.6103.5105.788.784.0[4] 97.1
2003 DHIS96.486.2103.6113.498.8101.5104.487.277.1[5] 99.0
2003 doctor11.514.131.253.417.416.120.217.255.6[6] 28.0
2003 doctor or nurse/midwife95.190.989.989.493.393.790.195.189.1[7] 91.7
2003 no education---------77.7
2003 nurse/midwife83.676.858.736.075.977.669.977.933.5[8] 63.7
2003 post Gr12---------93.1
2003 rural---------[9] 93.1
2003 urban---------[10] 91.0
2004 98.091.082.2112.2104.6104.3118.264.085.3[11] 95.5
2006 DHIS76.795.6115.7120.083.0104.4107.589.092.3[12] 100.0
EC: Eastern Cape  FS: Free State  GP: Gauteng  KZN: KwaZulu-Natal  LP: Limpopo  MP: Mpumalanga  NC: Northern Cape  NW: North West  WC: Western Cape  ZA: South Africa  

Notes and References

  1. SADHS 1998: Department of Health, Medical Research Council & Measure DHS+. South Africa Demographic and Health Survey 1998, Full Report. Pretoria: Department of Health; 2002. http://www.doh.gov.za/facts/1998/sadhs98/
    Local copy: http://www.hst.org.za/indicators/SADHS_1998_Full.pdf
    While antenatal care coverage is high among all groups of women, the type of provider varies considerably - e.g. in Eastern Cape and Limpopo almost all care is obtained from nurses, while in Gauteng, Western Cape and Northern Cape more than 40% of care is provided by doctors.
  2. DHIS: District Health Information System Database. National Department of Health.
    Local copy: -
    This figure may be an overestimate since the denominator (population <1 year as proxy for number of pregnant women) is suspected to be an underestimate (Census 96). The number of 1st ANC visits (numerator) has been adjusted according to extrapolation factors determined by data input coverage. Data extracted January 2003
  3. DHIS: District Health Information System Database. National Department of Health.
    Local copy: -
    Data extracted June 2004.
  4. DHIS: District Health Information System Database. National Department of Health.
    Local copy: -
    Data extracted June 2004.
  5. DHIS: District Health Information System Database. National Department of Health.
    Local copy: -
    Data extracted June 2004.
  6. SADHS 2003: Department of Health, Medical Research Council, OrcMacro. South Africa Demographic and Health Survey 2003. Pretoria: Department of Health; 2007. http://www.doh.gov.za/docs/misc/sadhs-f.html
    Local copy: http://www.hst.org.za/indicators/SADHS_2003_full.pdf
  7. SADHS 2003: Department of Health, Medical Research Council, OrcMacro. South Africa Demographic and Health Survey 2003. Pretoria: Department of Health; 2007. http://www.doh.gov.za/docs/misc/sadhs-f.html
    Local copy: http://www.hst.org.za/indicators/SADHS_2003_full.pdf
  8. SADHS 2003: Department of Health, Medical Research Council, OrcMacro. South Africa Demographic and Health Survey 2003. Pretoria: Department of Health; 2007. http://www.doh.gov.za/docs/misc/sadhs-f.html
    Local copy: http://www.hst.org.za/indicators/SADHS_2003_full.pdf
  9. SADHS 2003: Department of Health, Medical Research Council, OrcMacro. South Africa Demographic and Health Survey 2003. Pretoria: Department of Health; 2007. http://www.doh.gov.za/docs/misc/sadhs-f.html
    Local copy: http://www.hst.org.za/indicators/SADHS_2003_full.pdf
  10. SADHS 2003: Department of Health, Medical Research Council, OrcMacro. South Africa Demographic and Health Survey 2003. Pretoria: Department of Health; 2007. http://www.doh.gov.za/docs/misc/sadhs-f.html
    Local copy: http://www.hst.org.za/indicators/SADHS_2003_full.pdf
  11. DHIS: District Health Information System Database. National Department of Health.
    Local copy: -
    Data extracted May 2005.
  12. DHIS: District Health Information System Database. National Department of Health.
    Local copy: -
    Data extracted July 2007.
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