DHB 2006/07 - Health Systems Trust

Section B: District and Province Profiles
KwaZulu-Natal DC24 Umzinyathi District Municipality
ISRDP District
With only 45% of households having access
to piped water and close on 70% of households
living on less than R800pm, Umzinyathi district
is one of the three poorest districts in the
country. The per capita expenditure on PHC
increased by R23 per person to R230 in
2006/07, close to the national average of R256.
The PHC utilisation rate remained steady at
2.0 visits per person per year, while the nurse
clinical workload dropped to 20.1 visits per
nurse per day. The clinic supervision rate was
the 4 th highest in the country at 76.2% in
2006/07. The average length of stay in a district
hospital remained high but stable at 5.9 days
in 2006/07. The bed utilisation rate was also
stable.
The TB results showed improvement from
the previous year. The cure rate improved to
65.8% in 2005 and the smear conversion rate
increased by 6.1percentage points to 69.0%
in 2006. Although there is much more to be
done, these encouraging results set an example
for most of the other districts in the province.
The proportion of pregnant women tested
for HIV has fluctuated widely over the last
four years and has almost doubled since
2005/06 to 84.2% in 2006/07. * The nevirapine
uptake among pregnant HIV positive women
has remained steady at the low rate of 62%
while the data for their babies appears
unreliable. More attention needs to be given
to this priority HIV prevention.
Similarly more attention should be placed on
the condom distribution activity with the rate
having declined since 2005/06. The STI
incidence at 7.9% was the 3 rd highest in the
country in 2006/07.
The delivery rate in facilities remained
unchanged at 85.0% in 2006/07 and the
Caesarean section rate was steady at 14.6.
The stillbirth and perinatal mortality rates
remained fairly constant at 27.7 and 37.9 deaths
per 1000 respectively.
Umzinyathi had the highest immunisation dropout
rate (10.5%) in the country in 2006/07,
although the immunisation coverage had
increased by 3.4 percentage points to 77.7%.
*The PMTCT data from the KZN Department of Health is representative
of only five months of data. No further data was available at time of
extraction from the DHIS.
DC24
Umzinyathi District Municipality
Year
District Rank
(1 = best)
National
value
Demographic and
socio-economic
Impact Outcome Output Process Input
465 716 468 962 471 260 47 844 347
13 110 13 181 13 439 1 062 504
55 39
5.1 6.5 38 13.7
44.6 45.0 51 84.9
3.97 4.30 50
1 1
69 44 47.2
177 207 230 28 256
1.6 2.3 4.7
63.2 56.9 43.6
749 819 954
- 39.6 22.4 20.1 26.9
6.2 6.0 6.1 5.9 44 4.4
52.5 60.3 68.8 67.0 25 65.4
76.2 4
5.4 6.8 7.9 7.2 33 11.1
83.1 87.5 74.3 77.7 40 84.7
9.6 8.4 3.3 10.5 52 3.0
15.1 14.6 14.7
65.5 78.4 48.4 84.2 17 67.9
23.2 23.6 24.0 18.3 14 23.7
27.9 (23.0-32.8) 25 29.1
85.0 95.0 92.0 52.4 29 47.0
86.0 53.6 59.4 62.0 23 61.1
2.0 2.0 1.9 2.0 35 2.2
8.5 7.7 8.0 7.9 50 4.9
53.6 55.1 65.8 19 57.6
57.1 62.9 69.0 11 55.8
389.5 479.2 435.0 473.1 46 218.8
0.4 0.8 1.3 0.7 4 1.3
87.4 83.9 85.6 85.0 16 77.7
30.8 24.7 26.1 27.7 37 24.0
39.1 31.5 35.9 37.9 35 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) 41 0 10 4 0 0 0 0 1 170
Number of private sector facilities and beds (2007) 0 0
164
Beds