DHB 2006/07 - Health Systems Trust

Section B: District and Province Profiles
Western Cape DC3 Overberg District Municipality
Overberg district in the Western Cape has a
population of just over 200 000 people and is
one of the highest ranked districts in terms of
socio-economic status. Household access to
water is excellent at 99%, while the poverty
rate for households was 31% in 2005. Although
the PHC expenditure increased by R24 to
R246 per capita in 2006/07, it was the lowest
expenditure of all the districts in the province.
The utilisation rate has consistently increased
over the past four years to 3.1 visits per person
in 2006/07. The nurse clinical workload of 34.3
patients per day per nurse was collected for
the first time during 2006/07 as was the clinical
supervision rate of 33%. This lack of
supervision, with two out of three clinics
receiving irregular supervision, is not conducive
to improving quality of care.
The average length of stay in district hospitals
of 2.5 days was ranked 7 th lowest in SA. The
bed utilisation rate steadily increased to 67.2%
in 2006/07 but remained the lowest in the
province.
The TB cure rate of 83.6% was ranked highest
in SA and the smear conversion rate improved
from 63.5% in 2005 to 73.6% 2006 and was
among the three best districts in SA. The
challenge is to now get both indicators over
85% in line with WHO targets. Although the
Overberg is to be congratulated on the
antenatal testing rate for HIV of 99.2% achieved
in 2006/07, the nevirapine uptake rate of HIV
+ve pregnant women of 59.1% and their babies
of 69.8%, leaves much more to be done to
improve this programme. The condom
distribution rate more than doubled to 12.8
condoms per man per year during 2006/07
but the incidence of STIs continued its steady
increase to 3.3% in 2006/07, the highest in the
province.
The delivery rate in facilities was the lowest
in the province (69.2%) but the Caesarean
section rate remained steady at 19% which
was the 2 nd highest in the province. The stillbirth
rate of 15.5 per 1000 births was ranked 4 th in
SA and the perinatal mortality rate of 19.7 per
1000 births was among the top two districts
in the country. The immunisation coverage
decreased from 94.1% in 2005/06 to 87.5% in
2006/07, now the lowest in the province.
Conversely the drop out rate of 1.4% was the
best in the province.
DC3
Overberg District Municipality
Year
District Rank
(1 = best)
National
value
Demographic and
socio-economic
Impact Outcome Output Process Input
194 695 200 213 205 910 47 844 347
3 911 3 981 4 046 1 062 504
18 39
16.5 16.5 15 13.7
98.8 99.0 2 84.9
1.90 1.13 2
5 5
31 7 47.2
317 222 246 25 256
1.0 1.0 4.7
51.8 47.6 43.6
677 816 954
- - - 34.3 26.9
2.5 2.4 2.4 2.5 9 4.4
58.2 58.8 59.4 67.2 23 65.4
33.0 31
2.5 3.5 5.0 12.8 8 11.1
78.1 70.9 94.1 87.5 20 84.7
-0.1 -0.2 1.5 1.4 14 3.0
19.0 19.0 14.7
- - 95.3 99.2 3 67.9
- - 10.0 10.4 7 23.7
13 (7.5 -18.5) 7 29.1
- - 99.2 69.8 8 47.0
- - 55.6 59.1 30 61.1
2.5 2.6 2.7 3.1 8 2.2
2.0 2.2 2.7 3.3 16 4.9
73.4 84.5 83.6 1 57.6
63.1 63.5 73.6 3 55.8
56.7 60.9 67.9 92.3 12 218.8
1.1 0.8 0.9 1.7 35 1.3
56.4 67.4 63.7 69.2 40 77.7
35.8 11.5 14.1 15.5 4 24.0
38.7 17.6 21.5 19.7 2 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) 31 1 14 5 0 0 0 0 193
Number of private sector facilities and beds (2007) 1 45
Beds
199