. Input Indicators - Health Systems Trust

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Section A: Indicator Comparisons by District Figure 10: Percentage of district health expenditure on district management by district, 2005/06 Percentage of District Health Services expenditure on District Management, 2005/06 South Africa Metsweding Ekurhuleni Thabo Mofutsanyane Bojanala Central Sedibeng Bophirima Alfred Nzo Namakwa Cape Winelands Xhariep Ukhahlamba Southern Kgalagadi Chris Hani City of Johannesburg City of Cape Town West Rand Cacadu West Coast Frances Baard City of Tshwane O.R. Tambo Waterberg Lejweleputswa Pixley ka Seme Mopani Siyanda Fezile Dabi Nkangala Amathole Ehlanzeni Amajuba Vhembe Greater Sekhukhune Gert Sibande Sisonke Zululand Motheo Bohlabela Nelson Mandela Bay Metro Uthukela iLembe Ugu Uthungulu Umzinyathi UMgungundlovu Overberg Umkhanyakude Eden Capricorn Central Karoo eThekwini EC FS GP KZN LP MP NC NW WC SA 0 5 10 15 20 Percentage Financing Page 1 11
Ukhahlamba Kgalagadi Chris Hani O.R. Tambo Section A: Indicator Comparisons by District Greater Sekhukhune Zululand Bohlabela Ugu Umzinyathi Metro View Figure 11: Umkhanyakude Central Karoo KZN In the metro districts, the proportion of expenditure on district management NW is 5.6%, which is only slightly higher than the national average. There WC is wide variation with the highest being in Ekurhuleni, (18.6%) whilst eThekwini SA spends only 0.7%. This wide variation begs some more detailed research to 0 unpack the reasons 5 for this. 10 15 20 Percentage Percentage of district health expenditure on district management in metro districts, 2005/06 LP MP NC Percentage of District Health Services expenditure on District Management, 2005/06 South Africa Metro average Ekurhuleni City of Johannesburg City of Cape Town City of Tshwane Nelson Mandela Bay Metro eThekwini 0 5 10 15 20 Percentage EC FS GP KZN LP MP NC NW WC SA Rural Nodes Six of the rural node districts spent more than 5% on district management. It is not clear why Thabo Mofutsanyane spent 17% of its budget on district management, which is almost double that of the next highest district. There were clear provincial differences with all four of the rural node districts in the Eastern Cape spending more than 5% on district management. Conversely, all the districts in KwaZulu-Natal appeared to be spending too little on district management (between 1.5% - 2.7%). This may compromise the level of supervision and support the district management team can offer the professional staff in primary health care facilities and district hospitals. The lowest spending district, Central Karoo, was partly managed by the management team in the neighbouring Eden district, which could account for this low proportion of 0.9%. Figure 12: Percentage of district health services expenditure on district management, 2005/06 Percentage of District Health Services expenditure on District Management, Financing 2005/06 Page 2 South Africa ISRDP average Thabo Mofutsanyane Alfred Nzo Ukhahlamba Kgalagadi Chris Hani O.R. Tambo Greater Sekhukhune Zululand Bohlabela Ugu Umzinyathi Umkhanyakude Central Karoo EC FS GP KZN LP MP NC NW WC SA 0 5 10 15 20 Percentage 12 Percentage of District Health Services expenditure on District Management, 2005/06
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. Input Indicators - Health Systems Trust

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