sahr2001 - Health Systems Trust

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KwaZulu-Natal Category A and C Municipality Category B Municipality Population 2002 Area (km 2 ) DC21 Ugu District KZ211 Vulamehlo Municipality 111 900 966 Municipality KZ212 Umdoni Municipality 59 341 238 KZ213 Umzumbe Municipality 180 366 1 259 KZ214 uMuziwabantu Municipality 89 877 1 107 KZ215 Izingolweni Municipality 51 487 630 KZ216 Hibiscus Coast Municipality 211 170 839 DC22 uMgungundlovu KZ221 uMshwathi Municipality 124 939 1 811 District Municipality KZ222 uMngeni Municipality 76 354 1 565 KZ223 Mooi Mpofana Municipality 27 129 1 736 KZ224 Impendle Municipality 38 693 946 KZ225 The Msunduzi Municipality 574 728 648 KZ226 Mkhambathini Municipality 50 447 915 KZ227 Richmond Municipality 67 981 1 232 KZDMA22 Highmoor/Kamberg Park District Managed Area 113 167 DC23 Uthukela District KZ232 Emnambithi/Ladysmith Municipality 195 435 2 965 Municipality KZ233 Indaka Municipality 107 819 992 KZ234 Umtshezi Municipality 51 709 2 186 KZ235 Okhahlamba Municipality 130 157 3 483 KZ236 Imbabazane Municipality 122 932 718 KZDMA23 Giants Castle Game Reserve District Managed Area 643 908 DC24 Umzinyathi District KZ241 Endumeni Municipality 48 611 1 612 Municipality KZ242 Nqutu Municipality 141 002 1 454 KZ244 Msinga Municipality 176 613 2 502 KZ245 Umvoti Municipality 101 130 2 509 DC25 Amajuba District KZ252 Newcastle Municipality 314 939 1 855 Municipality KZ253 Utrecht Municipality 26 190 3 539 KZ254 Dannhauser Municipality 108 626 1 516 DC26 Zululand District KZ261 eDumbe Municipality 71 561 1 947 Municipality KZ262 uPhongolo Municipality 107 596 3 235 KZ263 Abaqulusi Municipality 183 822 4 184 KZ265 Nongoma Municipality 206 870 2 185 KZ266 Ulundi Municipality 211 573 3 754 DC27 Umkhanyakude KZ271 Umhlabuyalingana Municipality 133 895 3 693 District Municipality KZ272 Jozini Municipality 166 030 3 082 KZ273 The Big 5 False Bay Municipality 28 790 1 161 KZ274 Hlabisa Municipality 184 461 1 417 KZ275 Mtubatuba Municipality 28 071 705 KZDMA27 St Lucia Park District Managed Area 10 269 2 760 DC28 uThungulu District KZ281 Mbonambi Municipality 105 365 1 209 Municipality KZ282 uMhlathuze Municipality 214 705 796 KZ283 Ntambanana Municipality 79 596 1 083 KZ284 Umlalazi Municipality 253 130 2 214 KZ285 Mthonjaneni Municipality 40 319 1 086 KZ286 Nkandla Municipality 141 759 1 827 DC29 King Shaka District KZ291 eNdondakusuka Municipality 122 490 582 Municipality KZ292 Kwa Dukuza Municipality 143 482 630 KZ293 Ndwedwe Municipality 183 234 1 154 KZ294 Maphumulo Municipality 136 492 894 DC43 East Griqualand District KZ5a1 Ingwe Municipality 104 147 1 970 Municipality KZ5a2 Kwa Sani Municipality 15 951 1 180 KZ5a3 Matatiele Municipality 11 096 1 417 KZ5a4 Greater Kokstad Municipality 38 034 2 683 KZ5a5 Ixopo Municipality 85 986 1 627 KZDMA43 Mkhomazi Wilderness District Managed Area 1 481 1 232 eThekwini Metropolitan Municipality 3 014 665 2 299 KwaZulu-Natal 9 215 201 92 100 34
Page 2 and 3: NORTHERN PROVINCE GAUTENG MPUMALANG
Page 4: Foreword Among significant events t
Page 7 and 8: 14 Voices of National and Provincia
Page 10 and 11: Preface Listening to ‘Voices’
Page 12 and 13: an urgent need to improve the curre
Page 14 and 15: Transformation “Things happen so
Page 16 and 17: Introduction Health legislation is
Page 18 and 19: grounds. This was driven by the nee
Page 20 and 21: statutory powers in terms of the FA
Page 22 and 23: ecommend that the Minister make reg
Page 24 and 25: the expansion of their programme to
Page 26 and 27: Health Services are provided for in
Page 28 and 29: of a circumcision operation and the
Page 30 and 31: References 1 Report by the Joint Mo
Page 32 and 33: Introduction The District Health Sy
Page 34 and 35: (viz. environmental health services
Page 36 and 37: district’. This arrangement of su
Page 38 and 39: To illustrate the progress made tow
Page 40 and 41: References 1 Department of Health.
Page 42: Eastern Cape Category A and C Munic
Page 46: Gauteng Category A and C Municipali
Page 52: Northern Cape Category A and C Muni
Page 56: North West Category A and C Municip
Page 60 and 61: Appendix 2: Schedule 2 - Provincial
Page 62 and 63: 4. Render personnel management serv
Page 64 and 65: Introduction The issue of local gov
Page 66 and 67: ◆ A basic services grant to suppo
Page 68 and 69: Although in recent years the dividi
Page 70 and 71: governments can order drugs from th
Page 72 and 73: distribution of those facilities am
Page 74 and 75: final stage is the approval of the
Page 76 and 77: In addition, national Treasury will
Page 78 and 79: were allocated directly from nation
Page 80 and 81: large debts. Local governments are
Page 82 and 83: References 1 Atkinson D. Local gove
Page 84 and 85: Introduction The purpose of Nationa
Page 86 and 87: Table 1: Private sector expenditure
Page 88 and 89: Table 4: Distribution of private ho
Page 90 and 91: Table 7: Total beneficiaries by sch
Page 92 and 93: (25% of gross contributions), and t
Page 94 and 95: importantly due to an asymmetry of
Page 96 and 97: References 1 Health Economics Unit,
Page 98 and 99:
Introduction South Africa continues
Page 100 and 101:
Box 1: Types of Public-Private Part
Page 102 and 103:
◆ Whether the proposals will resu
Page 104 and 105:
Lessons learnt in Gauteng The purpo
Page 106 and 107:
The objections to some of the partn
Page 108 and 109:
clinical care in private hospitals
Page 110 and 111:
of resources’ to a more cost-effe
Page 112 and 113:
successful implementation of PPPs.
Page 114 and 115:
Centre for Health Policy. World Ban
Page 116 and 117:
Introduction Participation in decis
Page 118 and 119:
Challenges The lack of organisation
Page 120 and 121:
Goals, Indicators and Targets The d
Page 122 and 123:
Table 2: Common Data Sets and their
Page 124 and 125:
Achievements Data are captured elec
Page 126 and 127:
participate in using information fo
Page 128 and 129:
Recommendations The main recommenda
Page 130 and 131:
116
Page 132 and 133:
Introduction The importance of publ
Page 134 and 135:
◆ Introduce performance reporting
Page 136 and 137:
Figure 1: Planning, Budget and Repo
Page 138 and 139:
◆ Developing strategies for maint
Page 140 and 141:
Monitoring and Evaluation Systems F
Page 142 and 143:
Basis of performance prominence to
Page 144 and 145:
◆ Monitor standards of service an
Page 146 and 147:
Box 2: Review of the Annual Reports
Page 148 and 149:
◆ The use of foreign aid assistan
Page 150 and 151:
References 1 Republic of South Afri
Page 152 and 153:
The alternative modes of delivery r
Page 154 and 155:
HIV/AIDS health units at national a
Page 156 and 157:
Figure 1: Structure of financial in
Page 158 and 159:
Funds flowing from the national lev
Page 160 and 161:
Accessing procedures ◆ The global
Page 162 and 163:
In-kind support In October 2001 it
Page 164 and 165:
National procurement and distributi
Page 166 and 167:
y health department allocations and
Page 168 and 169:
grant-funded VCT activities. Simila
Page 170 and 171:
NGO grants already existed before n
Page 172 and 173:
Other problems are evident with the
Page 174 and 175:
danger that central units will not
Page 176 and 177:
Introduction Despite a comprehensiv
Page 178 and 179:
The second way of characterising th
Page 180 and 181:
Strategic Plan: Life Skills educati
Page 182 and 183:
Improve the management of Sexually
Page 184 and 185:
from between 10% and 80% to over 99
Page 186 and 187:
constitutional and jurisdictional m
Page 188 and 189:
While such an additional injection
Page 190 and 191:
the workplace, HIV testing and coun
Page 192 and 193:
factors that play a massive role in
Page 194 and 195:
◆ Societal denial and stigmatisat
Page 196 and 197:
27 Wenger N et al. Sexual behaviour
Page 198 and 199:
184
Page 200 and 201:
Introduction The interaction betwee
Page 202 and 203:
Table 1: Utilisation of health serv
Page 204 and 205:
positively, they were also seen as
Page 206 and 207:
Box 3: Positive experiences of serv
Page 208 and 209:
“Here everyday sometimes they don
Page 210 and 211:
“They are very good and friendly.
Page 212 and 213:
Table 2: Summary of user voices fro
Page 214 and 215:
Reducing waiting times through bett
Page 216 and 217:
An overall profile of the parliamen
Page 218 and 219:
Even though all interviewees seem t
Page 220 and 221:
And another: “For now I can say I
Page 222 and 223:
◆ Accessibility of management, an
Page 224 and 225:
Internal Policies Facility managers
Page 226 and 227:
Several managers stressed the impor
Page 228 and 229:
Frustrations The facility managers
Page 230 and 231:
For another manager: “The other t
Page 232 and 233:
220
Page 234 and 235:
variation in experience of the job
Page 236 and 237:
“Look I have always liked working
Page 238 and 239:
“I didn’t see head office as th
Page 240 and 241:
And another: “Lets put it this wa
Page 242 and 243:
All speak of the variety that the j
Page 244 and 245:
In terms of race, over half of the
Page 246 and 247:
Another district manager indicated
Page 248 and 249:
“... the increasingly, unplanned
Page 250 and 251:
Opportunities for developing skills
Page 252 and 253:
Sources of motivation and job satis
Page 254 and 255:
officers and generic managers with
Page 256 and 257:
244
Page 258 and 259:
These themes are presented in four
Page 260 and 261:
The three managers who had worked i
Page 262 and 263:
working after hours and on weekends
Page 264 and 265:
Several interviewees suggested that
Page 266 and 267:
Prioritisation Meetings knew, got
Page 268 and 269:
Hierarchies While all recognised th
Page 270 and 271:
departments were moving towards “
Page 272 and 273:
ut in the short run added to the pr
Page 274 and 275:
Legislators seem to give priority t
Page 276 and 277:
The Need for Improvements A number
Page 278 and 279:
Respondents were more specific, how
Page 280 and 281:
However, for some, a feeling of fru
Page 282 and 283:
“... To see firstly doing away wi
Page 284 and 285:
272 Despite having a wealth of vari
Page 286 and 287:
Experiences of policy makers and im
Page 288 and 289:
“The rewards like the fulfillment
Page 290 and 291:
Below are a few other quotes that i
Page 292 and 293:
To enable hospital managers to mana
Page 294 and 295:
282
Page 296 and 297:
Research. Additional socio-economic
Page 298 and 299:
This model is able to produce outpu
Page 300 and 301:
Eastern Cape Free State Gauteng Kwa
Page 302 and 303:
African Coloured Indian/Asian White
Page 304 and 305:
Socio-Economic Indicators The basic
Page 306 and 307:
Page 308 and 309:
Health Status Indicators Mortality
Page 310 and 311:
Page 312 and 313:
Page 314 and 315:
Page 316 and 317:
Definitions: AIDS Orphans: Number c
Page 318 and 319:
Figure 4: Percentage of deaths due
Page 320 and 321:
Abortion ratio: the number of abort
Page 322 and 323:
Page 324 and 325:
Page 326 and 327:
Page 328 and 329:
Health Services Indicators Health F
Page 330 and 331:
Page 332 and 333:
Page 334 and 335:
Page 336 and 337:
Definitions: Health Expenditure % o
Page 338 and 339:
Figure 5: Line item expenditure as
Page 340 and 341:
Drug Expenditure Data A large perce
Page 342 and 343:
Top 25 items of ABC Analysis for Pu
Page 344 and 345:
South Algeria Botswana Brazil Ghana
Page 346 and 347:
ASSA 2000 Actuarial Projection of t
Page 348 and 349:
HDR 2001 Human Development Report 2
Page 350 and 351:
RRA Barometer Aug 2001 Braam, T (ed
Page 352 and 353:
StatsSA OHS Statistics South Africa
Page 354 and 355:
DMT District Management Team DoH De
Page 356 and 357:
PPP PWA RFP Public-Private Partners
Page 358 and 359:
D Decentralisation ................
Page 360:
V Policies ........................
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