sahr2001 - Health Systems Trust

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Eastern Cape Free State Gauteng KwaZulu-Natal Mpumalanga Northern Cape Northern Province North West Western Cape South Africa Percentage of health sector posts vacant 2001 Public sector 3 - 48.1 48.1 34.2 36.5 45.9 44.2 49.1 34.3 57.3 Number of CSP Dentists 2001 4 15 10 12 32 25 8 15 26 10 164 Number of CSP Doctors 2001 4 149 79 126 271 107 34 150 97 141 1 194 Number of CSP Pharmacists 2001 4 33 39 68 82 39 5 33 31 48 406 African Coloured Indian/ Asian White All groups Number of Dental Practitioners 2001 Public sector 2 172 45 125 292 634 Number of Dental Specialists 2001 Public sector 2 4 0 9 32 45 Number of Dental Therapists 2001 Public sector 2 102 0 14 4 120 Number of Enrolled Nurses 2001 Public sector 2 17 227 2 375 278 811 20 691 Number of Nursing Assistants 2001 Public sector 2 21 711 4 920 409 1 606 28 646 Number of Professional Nurses 2001 Public sector 2 32 747 4 360 892 3 461 41 460 Number of Student Nurses 2001 Public sector 2 5 063 775 300 869 7 007 Number of Medical Practitioners 2001 Public sector 2 2 042 267 1 365 3 678 7 352 Number of Medical Specialists 2001 Public sector 2 474 131 509 2 698 3 812 Number of Occupational Therapists 2001 Public sector 2 136 49 50 167 402 Number of Pharmacists 2001 Public sector 2 290 74 290 606 1 260 Number of Physiotherapists 2001 Public sector 2 191 62 74 132 459 322
17 • Health and Related Indicators African Coloured Indian/Asian White All groups Number of Psychologists 2001 Public sector 2 69 17 27 146 259 Number of Radiographers 2001 Public sector 2 884 427 160 590 2 061 1. Note: Enrolled nurses includes pupils. Ref: PERSAL (Extracted 2000-12-14) 2. Note: Enrolled nurses includes pupils. Ref: PERSAL (Extracted 2001-11-30) 3. Note: Note that this total includes 153 727 vacant posts across the various professions. Total for South Africa is the total of all the provincial figures, and does not include 476 posts within the National Department of Health (of which 379 are vacant). Ref: PERSAL (Extracted 2001-11-30) 4. Note: Community Service Professional (CSP) Posts are allocated against existing (vacant) posts, therefore these health professionals form part of the figure reported by PERSAL for the relevant profession. The national figure also includes CSPs allocated to SA Military Health Services (SAMHS) and the Department of Correctional Services (DCS) and is therefore greater than the sum of provincial figures. Ref: DOH Annual Report 2000/2001 Health Financing Data from the National Health Accounts (NHA) and the Intergovernmental Fiscal Review provide insight into the degree of efficiency of the health system. Data from the NHA are presented using ‘Full’ public health expenditure where ‘Full’ is defined as direct expenditure by the provincial and national Departments of Health (Narrow) plus by Departments of Works and Local Authorities (which is then defined as Core) plus expenditure by other national departments and institutions e.g. Defence, Road Accident Fund. The Narrow expenditure may be 25% smaller than the Full definition. The section also provides various indications of the degree to which South Africans are covered by medical aids. There is uncertainty as to whether the sharp declines in medical scheme coverage recorded in the October Household Survey are accurate or reflect sample errors. This is important to clarify, given its potentially large influence on the equitable share formula and evaluation of equity issues [Fiscal Review 2001, pg 42]. In this regard, and also in respect of the allocation of the private sector ‘spend’ to various line items, the reports of the Medical Schemes Council are increasingly useful. An attempt has been made to allow some tentative comparisons of economic efficiency between the sectors. The indicators of interest are those that show the percentage of recurrent expenditure used for personnel, medicine and hospitals. Careful attention needs to be paid to the exact definitions used in each case. These are provided as notes to each line of data. 323
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NORTHERN PROVINCE GAUTENG MPUMALANG
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Foreword Among significant events t
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14 Voices of National and Provincia
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Preface Listening to ‘Voices’
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an urgent need to improve the curre
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Transformation “Things happen so
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Introduction Health legislation is
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grounds. This was driven by the nee
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statutory powers in terms of the FA
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ecommend that the Minister make reg
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the expansion of their programme to
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Health Services are provided for in
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of a circumcision operation and the
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References 1 Report by the Joint Mo
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Introduction The District Health Sy
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(viz. environmental health services
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district’. This arrangement of su
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To illustrate the progress made tow
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References 1 Department of Health.
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Eastern Cape Category A and C Munic
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Gauteng Category A and C Municipali
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Mpumalanga Category A and C Municip
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Northern Province Category A and C
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Western Cape Category A and C Munic
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2 • The District Health System Ap
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Financing Local Government Health S
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3 • Financing Local Government He
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Private Sector Financing 4 Jane Gou
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4 • Private Sector Financing Fina
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4 • Private Sector Financing Tabl
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4 • Private Sector Financing cons
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4 • Private Sector Financing priv
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Public-Private Partnerships 5 Julia
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5 • Public-Private Partnerships t
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5 • Public-Private Partnerships B
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5 • Public-Private Partnerships P
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5 • Public-Private Partnerships a
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5 • Public-Private Partnerships S
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5 • Public-Private Partnerships E
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5 • Public-Private Partnerships e
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5 • Public-Private Partnerships s
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Using Information for Health 6 Loui
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6 • Using Information for Health
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Annual Reports and the Public Finan
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7 • Annual Reports and the Public
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HIV/AIDS Financing 8 Paul Whelan In
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8 • HIV/AIDS Financing discussed
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8 • HIV/AIDS Financing Provincial
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8 • HIV/AIDS Financing Funds to p
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8 • HIV/AIDS Financing have short
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8 • HIV/AIDS Financing plans requ
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8 • HIV/AIDS Financing district H
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8 • HIV/AIDS Financing The fundin
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8 • HIV/AIDS Financing Gauteng: G
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8 • HIV/AIDS Financing condoms, a
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8 • HIV/AIDS Financing Conditiona
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8 • HIV/AIDS Financing Financial
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Mainstreaming HIV/AIDS Progress and
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9 • Mainstreaming HIV/AIDS magnit
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9 • Mainstreaming HIV/AIDS Figure
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9 • Mainstreaming HIV/AIDS from t
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9 • Mainstreaming HIV/AIDS The sy
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9 • Mainstreaming HIV/AIDS Preven
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9 • Mainstreaming HIV/AIDS Anothe
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9 • Mainstreaming HIV/AIDS Notwit
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9 • Mainstreaming HIV/AIDS the im
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9 • Mainstreaming HIV/AIDS Rememb
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9 • Mainstreaming HIV/AIDS 8 Kiro
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9 • Mainstreaming HIV/AIDS 47 Ken
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Voices of Service Users 10 Precious
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10 • Voices of Services Users acc
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10 • Voices of Services Users Fac
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10 • Voices of Services Users ena
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10 • Voices of Services Users Box
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10 • Voices of Services Users Mor
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10 • Voices of Services Users wit
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10 • Voices of Services Users Con
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Voices of Health Policy Makers and
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• Voices of Health Policy Makers
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Voices of Facility Managers 11 Nata
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11 • Voices of Facility Managers
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Voices of Hospital Superintendents/
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12 • Voices of Hospital Superinte
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Voices of District Managers 13 Thul
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13 • Voices of District Managers
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Voices of National and Provincial M
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14 • Voices of National and Provi
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Voices of Parliamentarians 15 Alfre
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15 • Voices of Parliamentarians D
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15 • Voices of Parliamentarians
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15 • Voices of Parliamentarians d
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15 • Voices of Parliamentarians T
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Page 353 and 354: Glossary AIDS Acquired Immune Defic
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Page 357 and 358: Index A Abortion (see Termination o
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sahr2001 - Health Systems Trust

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