DHB 2006/07 - Health Systems Trust

Section B: District and Province Profiles
Gauteng DC46 Metsweding District Municipality
Metsweding has a population of just over
200 000 people with 83% of households
having access to piped water, down from
94% reported in the 2001 census. The district
is in the 2 nd quintile of socio-economic
ranking, yet has the highest medical aid
coverage (29.7%) in the country. It is the
only district without a district hospital in SA
and it has only one community health centre,
9 clinics, three mobile services, a rehabilitation
hospital and one small private hospital. The
PHC expenditure decreased by R40 per
capita to R167 in 2006/07, the 3 rd lowest in
the country. However, since a substantial
part of Metsweding’s expenditure was
allocated from combined expenditure for
the Tshwane / Metsweding area, these figures
should be viewed with caution.
In spite of a large increase in the utilisation
rate from 0.8 visits per person in 2005/06
to 1.4 visits in 2006/07, it was still the lowest
rate in the country. The nurse clinical
workload dropped from 30.1 to 19.8 patients
per nurse over the same period. This is
indicative of poor data quality. A high
proportion, (28.1%), of the total district
budget was spent on management in 2006/07
which were the highest management costs
in SA. Nevertheless, only one in three clinics
(32.5%) was regularly supervised.
The data for the TB cure rate and the smear
conversion rate fluctuated over the past
three years suggesting poor data quality.
This programme needs greater attention.
The proportion of pregnant women who
were tested for HIV more than doubled
from 45.5% in 2005/06 to 95.2% in 2006/07.
However, the nevirapine uptake data for
HIV +ve pregnant women and their babies
fluctuated significantly and cannot be
interpreted. In spite of the increase in the
distribution of condoms to an average of
7.1 condoms per man per year, there was a
significant increase in the incidence of STIs
treated, from 1.2% in 2005/06 to 5.9% in
2006/07.
The immunisation coverage improved from
81.5% in 2005/06 to a high of 99.8% in
2006/07. The figures of the delivery rate in
facility have fluctuated over the last four
years and the data are of no value and require
closer monitoring by management.
DC46
Metsweding District Municipality
Year
District Rank
(1 = best)
National
value
Demographic and
socio-economic
Impact Outcome Output Process Input
202 419 208 264 212 819 47 844 347
3 861 3 839 3 904 1 062 504
51 39
21.4 29.7 1 13.7
93.9 83.0 31 84.9
2.54 2.30 20
4 4
41 14 47.2
223 206 167 50 256
34.1 28.1 4.7
0.0 0.3 43.6
0 0 954
28.4 24.7 30.1 19.8 26.9
- - - - 4.4
- - - - 65.4
32.5 32
0.0 1.2 2.0 7.1 34 11.1
55.8 56.8 81.5 99.8 10 84.7
7.0 5.3 2.2 3.9 31 3.0
0.0 0.0 14.7
19.8 35.0 45.5 95.2 7 67.9
28.3 26.7 30.1 27.3 42 23.7
- (-) 0 29.1
- - 75.0 19.7 49 47.0
0.0 0.0 39.3 91.3 1 61.1
0.8 0.7 0.8 1.4 52 2.2
1.5 1.3 1.2 5.9 38 4.9
46.5 71.3 59.9 28 57.6
70.8 56.7 63.9 15 55.8
32.3 61.8 45.6 434.5 44 218.8
0.5 0.8 0.7 1.3 23 1.3
0.0 6.5 0.9 3.3 52 77.7
0.0 0.0 0.0 0.0 24.0
0.0 0.0 0.0 0.0 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) 9 1 3 0 0 0 0 1 298
Number of private sector facilities and beds (2007) 1 43
152
Beds