DHB 2006/07 - Health Systems Trust

Section B: District and Province Profiles
Free State DC19 Thabo Mofutsanyane District Municipality
ISRDP District
Thabo Mofutsanyane, with almost 770 000
people, is the most deprived district in the Free
State but is an average district in the national
context. Over 60% of households lived on less
than R800 pm in 2005 and the majority (91.8%)
had access to piped water. Ninety-five percent
of people do not have access to a medical aid
and depend on the public sector, yet the per
capita expenditure on PHC of R212 per person
ranks in the lowest 3 rd of districts in SA and
represents a slight drop from 2005/06.
The PHC utilisation rate in Thabo Mofutsanyane
in 2006/07 remained at 2.4 visits per person
per year. Although the percentage of the total
district expenditure spent on district
management (10.5%) dropped from 2005/06, it
was the highest of all the ISRDP districts and
the 3 rd highest in the country. The nurse clinical
workload increased to 39.2 patients per nurse
per day in 2006/07.
The TB programme data continued to show
good results, with an improved TB cure rate
making it one of the ten districts with a cure
rate of over 70% in 2005 and an improved TB
smear conversion rate of 71.5%, the 7 th highest
in the country in 2006. There is however, still
much to do to improve the TB control
programme.
There was a big improvement in the proportion
of pregnant women tested for HIV and this rose
from 39.1% in 2005/06 to 62% in 2006/07. The
PMTCT results remained poor in 2006/07 and
only one in four of those mothers who tested
positive, took nevirapine. The indicator for babies
requiring nevirapine was of poor quality.
The condom distribution rate dropped to 7.7
condoms per man per year, indicating that this
activity has not been prioritised while the STI
incidence rose to 4.8% in 2006/07. Deliveries
in facilities dropped to 78.2% in 2006/07 and of
those in district hospitals, 10% resulted in
Caesarean sections. The perinatal mortality
rates dropped again slightly in 2006/07, but the
marginal increase in the stillbirth rate ranked it
9 th highest in the country.
The immunisation programme was generally
successful and the coverage rate (84.3%) was
close to the national and ISRDP average in
2006/07, while the drop out rate, although slightly
higher, was still better than the average for the
ISRDP sites.
DC19
Thabo Mofutsanyane District Municipality
Year
District Rank
(1 = best)
National
value
Demographic and
socio-economic
Impact Outcome Output Process Input
763 969 765 464 767 862 47 844 347
17 298 17 449 17 337 1 062 504
27 39
5.6 5.0 45 13.7
93.8 91.8 21 84.9
3.18 3.45 36
3 2
61 35 47.2
94 217 212 36 256
17.0 10.5 4.7
41.8 42.5 43.6
950 1 023 954
32.0 29.2 33.2 39.2 26.9
2.7 2.9 3.0 2.8 10 4.4
58.8 61.7 61.7 57.1 45 65.4
55.9 14
12.0 8.0 8.3 7.7 28 11.1
84.3 81.9 86.4 84.3 28 84.7
4.2 6.7 4.0 4.3 34 3.0
8.0 10.0 14.7
15.1 23.3 39.1 62.0 40 67.9
29.3 26.3 25.5 25.2 38 23.7
32.2 (28.3-36.1) 36 29.1
46.9 51.7 97.1 57.8 22 47.0
1.7 13.6 25.0 24.4 48 61.1
2.5 2.4 2.4 2.4 20 2.2
5.2 4.9 4.3 4.8 28 4.9
66.4 67 70.1 10 57.6
67.2 69.1 71.5 7 55.8
194.3 205.1 188.4 156.6 25 218.8
5.1 3.9 3.8 4.3 48 1.3
76.8 79.9 79.3 78.2 30 77.7
30.4 32.1 29.0 29.8 44 24.0
45.2 44.8 39.6 38.8 36 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) 67 1 21 8 2 0 0 0 898
Number of private sector facilities and beds (2007) 1 107
Beds
145