DHB 2006/07 - Health Systems Trust
DHB 2006/07 - Health Systems Trust
DHB 2006/07 - Health Systems Trust
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Section A: Indicator Comparisons by District<br />
Figure 53: Caesarean section rate by district, <strong>2006</strong>/<strong>07</strong><br />
Caesarean section rate, <strong>2006</strong>/<strong>07</strong><br />
South Africa<br />
City of Cape Town<br />
Uthungulu<br />
UMgungundlovu<br />
Vhembe<br />
Ugu<br />
eThekwini<br />
Sedibeng<br />
Uthukela<br />
Nelson Mandela Bay Metro<br />
Central<br />
Overberg<br />
Sisonke<br />
Mopani<br />
Cape Winelands<br />
Eden<br />
Cacadu<br />
Motheo<br />
Bophirima<br />
Umkhanyakude<br />
Central Karoo<br />
Gert Sibande<br />
West Rand<br />
Fezile Dabi<br />
Zululand<br />
iLembe<br />
Umzinyathi<br />
Waterberg<br />
Namakwa<br />
City of Johannesburg<br />
Ekurhuleni<br />
Kgalagadi<br />
Ehlanzeni<br />
Alfred Nzo<br />
Greater Sekhukhune<br />
O.R. Tambo<br />
Nkangala<br />
Bojanala<br />
Thabo Mofutsanyane<br />
Capricorn<br />
Lejweleputswa<br />
West Coast<br />
Ukhahlamba<br />
Pixley ka Seme<br />
City of Tshwane<br />
Amathole<br />
Southern<br />
Chris Hani<br />
Frances Baard<br />
Siyanda<br />
Xhariep<br />
Amajuba<br />
Metsweding<br />
No data<br />
No district hospitals<br />
0 5 10 15 20 25 30 35<br />
Percentage<br />
EC<br />
FS<br />
GP<br />
KZN<br />
LP<br />
MP<br />
NC<br />
NW<br />
WC<br />
SA<br />
Metro View<br />
The metro average of 17.8% in <strong>2006</strong>/<strong>07</strong> was far higher than the South<br />
African average. This is largely due to the very high Caesarean section rate<br />
in the City of Cape Town. 12 Three of the metros were above the national<br />
average and the three Gauteng metros were below, with the City of Tshwane<br />
having a very low rate of 7.2%. This probably indicates that most Caesarean<br />
sections in the City of Tshwane were being inappropriately performed at<br />
higher level hospitals where there are greater costs, thus causing resultant<br />
inefficiencies for the health sector as a whole. This scenario is likely to be<br />
applicable to the other metros in Gauteng as well.<br />
12 This high rate is probably due to the re-classification of facilities as district level hospitals, which previously were classified as<br />
higher level facilities.<br />
THE DHIS INDICATORS PRESENTED HERE ARE AS RECEIVED FROM THE NATIONAL DHIS AND HAVE NOT BEEN ALTERED BY THE AUTHORS OR HST 59
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