sahr2001 - Health Systems Trust

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Northern Cape Category A and C Municipality Category B Municipality Population 2002 Area (km 2 ) CBDC1 NC01B1 Gamagara Municipality 15 871 2 468 Kalahari-Kgalagadi NCDMACB1 Kalahari Cross Boundary District Managed Area 8 945 10 699 District Municipality DC6 Namakwa District NC061 Richtersveld Municipality 12 406 9 670 Municipality NC062 Nama Khoi Municipality 47 375 14 902 NC064 Kamiesberg Municipality 11 655 11 737 NC065 Hantam Municipality 20 185 27 975 NC066 Karoo Hoogland Municipality 12 796 29 400 NC067 Khâi-Ma Municipality 9 884 8 299 NCDMA06 Namaqualand District Managed Area 1 552 24 765 DC7 Karoo District NC071 Ubuntu Municipality 20 831 20 389 Municipality NC072 Umsobomvu Municipality 26 822 6 814 NC073 Enthanjeni Municipality 41 304 11 389 NC074 Kareeberg Municipality 12 133 17 698 NC075 Renosterberg Municipality 9 978 5 530 NC076 Thembelihle Municipality 14 021 6 978 NC077 Siyathemba Municipality 20 470 8 251 NC078 Siyancuma Municipality 35 938 10 027 NCDMA07 Bo-Karoo District Managed Area 4 878 15 689 DC8 Siyanda District NC081 Mier Municipality 6 632 11 745 Municipality NC082 Kai! Garib Municipality 61 213 7 450 NC083 !Khara Hais Municipality 80 436 4 308 NC084 !Kheis Municipality 14 917 5 522 NC085 Tsantsabane Municipality 32 606 5 947 NC086 Kgatelopele Municipality 17 833 3 650 NCDMA08 Benede Oranje District Managed Area 9 166 65 149 DC9 Frances Baard CBLC7 Phokwane Municipality 62 498 830 District Municipality NC091 Sol Plaatjie Municipality 215 857 1 877 NC092 Dikgatlong Municipality 39 056 2 378 NC093 Magareng Municipality 23 745 1 542 NCDMA09 Diamondfields District Managed Area 4 819 5 720 Northern Cape 961 353 361 830 38
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 50: Mpumalanga Category A and C Municip
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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