"The 2019-2020 District Health Barometer once again sheds light on SA health's progress with Sustainable Development Goals and the Universal Health Coverage index"
The Health Systems Trust is proud to present the 2019/20 edition of the District Health Barometer (DHB). The District Health Barometer is the premier resource for information on health system performance, inequities in health outcomes, and health resource allocation and delivery. It also tracks healthcare delivery processes across all provinces and districts in South Africa.
As with the 2018/19 edition of the DHB, the areas of focus of the 2019/20 edition are the Sustainable Development Goals and the Universal Health Coverage index. It includes 8 chapters covering 30 indicators. In addition, the publication focuses on the burden of disease to assess and compare the cause-of-death profiles for each of the 52 health districts in South Africa. It also includes a chapter on the evolution of the COVID-19 pandemic and health system responses in South Africa with an analysis of provincial data and lessons learnt from the Western Cape Province − how decision-making was supported by data.
The country is on track with some of the 2030 Sustainable Development Goals and the Universal Health Coverage index goals and targets. Some of the key issues we can take away from the DHB are:
Mortality rates in South Africa increased between 1997 and 2006 and declined thereafter until 2017, mainly due to the HIV epidemic and the roll-out of antiretroviral therapy respectively. Despite this, HIV and AIDS and associated conditions still stand out as a leading cause of years of life lost together with cerebrovascular diseases, ischaemic heart disease, diabetes mellitus, interpersonal violence and hypertensive heart disease. The quality of the cause-of-death data is still a matter of concern since there is still a high proportion of ill-defined and garbage codes. A
garbage code refers to anything that is marked as a cause of death on a death certificate that cannot officially kill you. These official causes of death are listed in the International Classification of Diseases (ICD).
These are just some of the many gleanings that emanated from the detailed analysis of the data and the 2019-2020 edition will most assuredly be used as extensively as other editions have been over the years.
As said by the CEO of the Health Systems Trust, Dr Themba Moeti, "the value of the publication lies in both the depth and breadth of information that the publication brings together," This has certainly rung true in terms of the value the publication has added over time to not only district managers and public health practitioners to whom it is targeted, but increasingly to private individuals and companies who request information based on the DHB from HST.
The DHB can be access on www.hst.org.za:https://www.hst.org.za/publications/Pages/DHB2019-20.aspx
About the District Health Barometer
The District Health Barometer plays an important role in providing information for district managers to benchmark their districts against others in the country and in strengthening the use of data for priority-setting and decision-making. This annual publication continues to provide policy-makers, healthcare workers, planners, researchers, academics and other consumers of national health system information a unique overview of the performance of public health services in South Africa. The publication seeks to highlight inequities in health outcomes and health-resource allocation and delivery, and to track the efficiency of health processes across all provinces and districts.
The District Health Barometer is published by the Health Systems Trust.
The Health Systems Trust (HST) is a leading role-player in the South African public health arena, focusing on health systems strengthening, research, and strategic support in the implementation of priority health programmes. Established in April 1992, on the brink of democracy in South Africa, HST has played a significant role in the evolution of the national health system. Today our strength lies in the knowledge, insight and experience we harness through synergising our research and implementation outputs towards a healthy life for all.
Antoinette Stafford Cloete, E:
Lunga Memela E:
HEALTH SYSTEMS TRUST - CONTACT DETAILS
1 Maryvale Road, Westville, Durban, 3630
+27(0)31 266 9090