DHB 2006/07 - Health Systems Trust

Section B: District and Province Profiles
Northern Cape DC45 Kgalagadi District Municipality
ISRDP District
Kgalagadi has a very low population density
and is also among the poorer districts in the
country. Household access to water increased
from 81.5% in 2001 to 91.4% in 2005. Eleven
percent of the population had access to a
medical aid in 2006 and 60% of households
lived on an income of less than R800 per
month in 2005.
The per capita expenditure on PHC increased
by R7 per person to R275 in 2006/07. The
steep decline in the PHC utilisation rate points
to underlying data quality issues. The nurse
clinical workload has declined since 2003/04
to realistic values of 36.4 patients per nurse
per day. Kgalagadi has the 2 nd highest bed
utilisation rate (88.7%) and lowest average
length of stay (two days) of district hospitals
in the country.
The TB cure rate improved once again in 2005
to 67.7%, and this upward trend is encouraging.
The smear conversion rates however, dropped
back to 43.6% in 2006 from 50.7% in 2005.
Greater managerial attention is required for
the TB control programme.
There was a continued increase in the
proportion of pregnant women tested for HIV
to 75.4%. Close on two out of three HIV +ve
mothers (64.5%) and their babies (65.3%)
received nevirapine, although the data has
fluctuated and improved monitoring of this
important HIV prevention programme is
required.
The delivery rate in facilities increased to 107%
in 2006/07. This is 30% higher than the national
average suggesting that these data need to be
checked for quality. The Caesarean section
rate increased to 13.3% and is now close to
the national average. The stillbirth rate in
2006/07 has changed significantly from previous
years and possibly reflects a more realistic
picture for this district. The district had one
of the lowest male condom distribution rates
(4.6 per man per year) in the country in
2006/07. The STI incidence rate fell to 5.2%,
but is still a high rate.
The immunisation coverage rate of 98.2% in
2006/07 indicates a relatively successful
immunisation programme, although the dropout
rate was more than double the national
average.
DC45
Kgalagadi District Municipality
Year
District Rank
(1 = best)
National
value
Demographic and
socio-economic
Impact Outcome Output Process Input
196 004 197 609 197 337 47 844 347
4 160 3 900 4 133 1 062 504
7 39
12.5 11.2 27 13.7
81.5 91.4 23 84.9
3.42 3.35 35
2 2
60 33 47.2
185 268 275 19 256
7.5 9.9 4.7
55.8 58.3 43.6
631 656 954
137.2 50.9 49.9 36.4 26.9
3.3 3.7 3.2 2.0 1 4.4
58.8 73.5 76.7 88.7 2 65.4
44.8 21
3.5 5.4 5.6 4.6 49 11.1
84.3 95.9 105.9 98.2 13 84.7
8.3 2.7 6.5 6.9 50 3.0
9.9 13.3 14.7
0.1 7.1 36.2 75.4 26 67.9
100.0 17.9 18.5 16.2 11 23.7
18.4 (7.5 -29.2) 12 29.1
0.0 1 500.0 103.1 65.3 11 47.0
0.0 3.3 16.4 64.5 18 61.1
2.8 3.0 3.0 2.2 30 2.2
7.5 6.9 6.7 5.2 35 4.9
42.3 58.4 67.6 16 57.6
43.3 50.7 43.6 42 55.8
325.8 526.7 802.5 301.3 36 218.8
2.5 3.6 2.2 2.1 42 1.3
79.7 84.2 94.3 107.1 3 77.7
16.5 9.7 11.4 32.8 47 24.0
19.2 14.1 14.3 51.4 48 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) 34 1 6 2 0 0 0 0 278
Number of private sector facilities and beds (2007) 1 25
Beds
183