The District Health Barometer - Year 2005/06

Barron, Peter
Other Authors: 
Day C, Monticelli F, Vermaak K, Okorafor O, Moodley K, Doherty T
Publication Year: 
Published by: 
Health Systems Trust

The District Health Barometer (DHB) supports district managers with monitoring and evaluation of district performance and with their annual District Health Plans. It translates routinely collected service level data into information that supports effortless interpretation which leads to engagement.

The report compares key health indicators between the six metropolitan districts, between the 13 rural node districts and between all the districts throughout the country. Analysis of this carefully selected range of health indicators, facilitates identification of problem areas and the corresponding corrective measures. Inequities between rural and urban areas are addressed throughout the report.

Managers at all levels in the health sector and those in other sectors such as the national treasury, academia and policy, can use the DHB to

  • investigate reasons why and solutions to inequitable access to health within and between districts,
  • plan and facilitate equitable distribution of funds
  • identify gaps in data quality
  • identify research into equity,
  • identify operational research for clarification of reasons of poor performance and identification of corrective measures.


The DHB is a unique tool which aims to improve the quality, capacity and use of health information and the equitable allocation of health resources at all levels.

Table of Contents ('right click' on the link and chose 'file save as')

Full pdf of the DHB

Introduction, Background and Overview

Section A: Indicator comparisons by district

  1. Socioeconomic Indicators
    1. Deprivation Index
    2. Access to Water
  2. Input Indicators
    2.1 Per Capita Expenditure on Primary Health Care (excluding district hospitals)
    2.2 Proportion of District Health Services Expenditure on District Management
    2.3 Proportion of District Health Services Expenditure on District Hospitals
  3. Process Indicators
    3.1 Nurse Clinical Workload
    3.2 Average Length of Stay
    3.3 Bed Utilisation Rate
  4. Output Indicators
    4.1 Male Condom Distribution Rate
    4.2 Immunisation
    4.2.1 Immunisation Coverage
    4.2.2 Immunisation Drop Out Rate (DTP1-3)
    4.3 Caesarean Section 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+ve women
    4.4.4 Nevirapine uptake rate among babies born to women with HIV
    4.5 Primary health care utilisation rate
  5. Outcome Indicators
    5.1 Incidence of STI treated-new
    5.2 Tuberculosis
    5.2.1 Smear Conversion Rates
    5.2.2 TB Cure Rate
    5.3 Diarrhoea incidence in children under 5 years
    5.4 Not gaining weight rate under 5 years
    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 
- Eastern Cape Province
- Free State Province
- Gauteng Province
- KwaZulu Natal Province
- Limpopo Province
- Mpumalanga Province
- Northern Cape Province
- North West Province
- Western Cape Province

Map of 53 Health Districts in South Africa
Data Tables
Correlation Graphs
Deprivation Indices
The District Health Information System
Tuberculosis Surveillance and data collection in South Africa
Indicator Definitions
References and further reading

DHB050630.14 MB
DHB0506_begin157.46 KB
DHB0506_SecA14.49 MB
DHB0506_secA1727.61 KB
DHB0506_secA2809.77 KB
DHB0506_secA33.14 MB
DHB0506_secA45.12 MB
DHB0506_secA53.87 MB
DHB0506_secA61.36 MB
DHB00506_SecB15.23 MB
DHB0506_SecB_EC2.04 MB
DHB0506_SecB_FS1.56 MB
DHB0506_SecB_GP1.76 MB
DHB0506_SecB_KZN3.01 MB
DHB0506_SecB_LP1.82 MB
DHB0506_SecB_MP1.08 MB
DHB0506_SecB_NC1.54 MB
DHB0506_SecB_NW1.29 MB
DHB0506_SecB_WC1.76 MB
DHB0506_Appendix1.13 MB