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DHB 2006/07 - Health Systems Trust

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Section A: Indicator Comparisons by District<br />

Figure 46: Change in immunisation coverage by rural district, 2005/06 - <strong>2006</strong>/<strong>07</strong><br />

Change in Immunisation coverage, 2005/06 - <strong>2006</strong>/<strong>07</strong><br />

South Africa<br />

ISRDP average<br />

Chris Hani<br />

Central Karoo<br />

Ukhahlamba<br />

Umzinyathi<br />

Zululand<br />

Alfred Nzo<br />

Greater Sekhukhune<br />

O.R. Tambo<br />

Umkhanyakude<br />

Thabo Mofutsanyane<br />

Ugu<br />

Kgalagadi<br />

EC<br />

FS<br />

GP<br />

KZN<br />

LP<br />

MP<br />

NC<br />

NW<br />

WC<br />

SA<br />

-10 -8 -6 -4 -2 0 2 4 6 8<br />

Percentage points<br />

4.1.2 Immunisation drop out rate (DTP1-3)<br />

The immunisation drop out rate measures the percentage of children who dropped out between the<br />

first and the third dose of the DTP-Hib vaccine. It measures out of 100 children who received their first<br />

DTP-Hib vaccination, how many did not receive their third dose. The advantage of this indicator is that<br />

both the numerator and the denominator are available from routine health data and are thus not<br />

subject to the inherent complications associated with a population-based denominator, as with the<br />

immunisation coverage indicator.<br />

District View The national average for <strong>2006</strong>/<strong>07</strong> was 3%, down from 4.7% in 2005/06.<br />

Only one district, Umzinyathi (KZN), had a drop out rate higher than 10%<br />

and 23 districts were below the national average in <strong>2006</strong>/<strong>07</strong>. The districts<br />

in Mpumalanga generally had low drop out rates with the overall provincial<br />

drop out rate of 0.7%, the lowest in the country.<br />

As illustrated in Figure 47, a number of districts (Frances Baard, Xhariep, City<br />

of Tshwane, Bophirima, Ugu, Bojanala and Ehlanzeni) showed negative drop<br />

out rates in the <strong>2006</strong>/<strong>07</strong> year, indicating that more children were immunised<br />

with DTP3, than DTP1, possibly as a result of inwards migration.<br />

THE DHIS INDICATORS PRESENTED HERE ARE AS RECEIVED FROM THE NATIONAL DHIS AND HAVE NOT BEEN ALTERED BY THE AUTHORS OR HST 51

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