DHB 2006/07 - Health Systems Trust

Section B: District and Province Profiles
Limpopo DC36 Waterberg District Municipality
Waterberg has the smallest population and is
the least deprived of all the districts in Limpopo.
It has the highest household access to piped
water (81.1%) and 14% of the population has
access to a medical aid, which is more than
double the provincial average of 6.7%.
Waterberg had the least number of public
facility beds in Limpopo with the highest cost
per PDE for district hospitals (R1276) and the
lowest bed utilisation rate (59.1%) in 2006/07.
The average length of stay has been stable.
The PHC expenditure increased to R205 per
person in 2006/07. The nurse clinical workload
was stable at the very low level of 12.9 patients
per nurse per day which is half the level of
Vhembe. The utilisation rate remained static,
again at half the rate of Vhembe! The clinic
supervision rate was 54%, meaning that one
out of every two clinics did not receive regular
supervision in 2006/07.
The TB data in Limpopo province were affected
by irregularities in the data collection during
2005, in particular in the Waterberg district.
These have now been corrected and as a result
the TB results in Waterberg show a marked
deterioration and now rank as the lowest in
SA. This priority programme needs immediate
and vigorous attention by management. The
incidence of STIs steadily declined since 2004,
while the condom distribution rate increased
to 10.8% in 2006/07.
The proportion of ANC clients tested for HIV
increased to 92.6% in 2006/07, the highest for
the province and among the top 10 districts
in SA. However the nevirapine uptake indicators
for HIV +ve mothers and their babies fluctuated
making interpretation difficult. This programme
requires improved monitoring.
The delivery rate in facility steadily increased
from 63.2% in 2003/04 to 84.3% in 2006/07.
The Caesarean section rate dropped to 14%
in 2006/07. There was an increase in both the
stillbirth and perinatal mortality rates. The
immunisation coverage of 72.7%, whilst
improved, was the lowest in the province in
2006/07, as was the drop out rate of 5.9%.
DC36
Waterberg District Municipality
Year
District Rank
(1 = best)
National
value
Demographic and
socio-economic
Impact Outcome Output Process Input
645 477 654 057 663 303 47 844 347
14 551 14 603 14 940 1 062 504
13 39
13.9 14.9 19 13.7
85.1 81.1 33 84.9
3.10 2.51 25
3 3
49 23 47.2
165 194 205 38 256
4.7 5.7 4.7
60.4 59.1 43.6
1 136 1 276 954
23.9 12.6 12.9 12.9 26.9
4.3 4.1 4.2 4.3 27 4.4
55.9 56.5 59.7 60.4 41 65.4
54.0 15
10.0 9.2 9.3 10.8 12 11.1
66.0 70.2 67.7 72.7 45 84.7
4.1 9.1 5.1 5.9 45 3.0
16.5 14.0 14.7
26.8 46.2 61.7 92.6 10 67.9
17.5 21.2 20.6 22.8 28 23.7
27.5 (23.7-31.3) 24 29.1
98.3 91.5 98.2 55.1 26 47.0
59.3 54.7 69.1 60.8 26 61.1
1.9 1.7 1.8 1.8 44 2.2
5.8 5.8 5.3 5.1 33 4.9
38.0 78.7 38.3 48 57.6
70.6 73.4 26.1 53 55.8
120.6 209.1 294.7 256.5 33 218.8
2.1 1.4 1.5 1.3 26 1.3
63.2 75.7 81.5 84.3 17 77.7
30.2 24.5 20.0 26.7 35 24.0
44.0 36.1 30.7 37.6 32 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) 52 2 31 6 2 0 0 1 890
Number of private sector facilities and beds (2007) 5 205
174
Beds