DHB 2006/07 - Health Systems Trust

Section B: District and Province Profiles
Eastern Cape DC15 O.R. Tambo District Municipality
ISRDP District
O.R. Tambo is the 2 nd most populous
district in the Eastern Cape, with over 1.8
million people of which only 5.7% belong
to a medical aid. The district is ranked as
the most deprived in the country with
more than 60% of households having no
access to piped water and 78%
documented as having lived on a monthly
expenditure of less than R800pm in 2005.
The small increase in PHC expenditure
to R201 per capita in 2006/07 was below
the SA average and inadequate for a poor
and struggling district. There has been a
steady increase in the clinical nurse
workload to 25.8 patients per nurse per
day in 2006/07, close to the national average
of 26.9. The bed utilisation rate was among
the lowest in the country at 44.6% and
the average length of stay at 7.3 days was
one of the highest, indicating that district
hospitals were not efficiently managed and
that there is a need for interventions and
support.
The 2005 TB cure rate improved
remarkably to 64.0% compared to 35.3%
in 2004 (probably due to poor data), whilst
the smear conversion rate also improved
for the second successive year to 48.8%
in 2006.
The male condom distribution rate
decreased to 9.8 condoms per man per
year from 11.9 in 2005/06. The proportion
of ANC clients tested for HIV for 2006/07
was 80.6% which is more realistic than
the 2005/06 figure, which reflected poor
data quality. Over the last four years, the
PMTCT data has fluctuated considerably
and therefore is of doubtful quality and
the STI incidence rate has remained
constant and high.
The Caesarean section rate increased to
10.7% over the past year. Both the stillbirth
rate and the perinatal mortality rates
improved in 2006/07, but remained high
compared to the national average.
DC15
O.R. Tambo District Municipality
Year
District Rank
(1 = best)
National
value
Demographic and
socio-economic
Impact Outcome Output Process Input
1 804 907 1 816 537 1 822 740 47 844 347
43 297 42 684 44 987 1 062 504
114 39
4.4 5.7 41 13.7
27.6 37.4 53 84.9
4.08 4.66 53
1 1
78 52 47.2
120 197 201 41 256
5.5 6.2 4.7
43.5 42.3 43.6
761 910 954
22.0 23.0 23.8 25.8 26.9
9.8 9.4 9.1 7.3 49 4.4
46.2 44.7 48.0 44.6 49 65.4
-
8.3 8.6 11.9 9.8 16 11.1
72.9 80.9 87.0 86.0 24 84.7
8.9 19.6 9.8 6.3 47 3.0
7.5 10.7 14.7
2 135.3 198.1 140.4 80.6 21 67.9
28.8 26.4 24.6 24.2 32 23.7
29.7 (26.8-32.6) 29 29.1
193.1 164.2 86.4 36.7 42 47.0
39.6 48.0 36.9 32.0 46 61.1
1.8 1.8 2.0 1.9 39 2.2
6.7 6.8 7.2 6.7 43 4.9
35.3 35.3 64.0 26 57.6
34.9 40.4 48.4 36 55.8
135.0 61.8 50.5 105.8 14 218.8
1.8 1.1 0.9 0.7 5 1.3
52.1 62.9 66.7 70.1 38 77.7
31.7 35.2 44.4 34.1 48 24.0
46.4 52.2 62.4 56.9 49 33.8
Number of Health facilities and beds Clinic CHCs
Mobile
Service
District
Hospital
Regional
Hospital
Provincial
Tertiary
Hospital
Central
Hospital
Specialised
Hospital
Private
Hospitals
Number of public sector facilities (2007) and beds (2005) 143 10 13 10 3 0 0 1 3 280
Number of private sector facilities and beds (2007) 1 110
138
Beds