SAHR 2007 - Health Systems Trust

for sessional work agreed upon by March 2007”. Where a
target has relevance for a particular section or indicator,
it is highlighted. Of particular importance are the national
targets set for the District Quarterly Reporting System (DQRS).
For ease of reference, these are provided in Table 2, below.
Not all of these targets can be monitored using routine data
collected as part of the NIDS and some appear not to have
been set at all. However, as evidence of a commitment to
a results-oriented approach, they are welcome. Shibuya
[Bull World Health Organ 85(423)] has, nonetheless, pointed
to a number of potential problems with results-oriented
approaches:
➤ “a commitment to results may be less binding than a
commitment to actions, because the latter requires
those making the commitment to take action whether
or not the results are achieved”;
➤ “countries that commit to results-based approaches
may have limited knowledge of the actions that are
needed to achieve the results”; and
Table 2:
National targets for 2006/07 (District Quarterly Reporting System)
Area of work Performance measure National target for 2006/07
Human resources Doctor clinical workload at PHC level 30 patients per day
Nurse clinical workload at PHC level
40 patients per day
PHC facility management Expenditure per PHC headcount R100 per PHC visit
PHC utilisation rate
PHC utilisation rate for under 5 year olds
Supervision visit rate 100%
District hospital management Bed utilisation rate 72%
HIV/AIDS, tuberculosis, sexually
transmissible infections (HAST), in
all types of facilities in the district
Disease prevention and control, in
all types of facilities in the district
Maternal, child and women’s health,
in all types of facilities in the district
Caesarean section rate 11%
Surgical fatality rate 3%
Average length of stay
Expenditure per patient day equivalent
2.5 visits per annum
5 visits per annum
3.2 days
R814
Voluntary counselling and testing by non-antenatal clients 100%
HIV testing rate (excluding antenatal) 100%
Prevention of mother-to-child transmission uptake at fixed
PHC facilities
100%
Nevirapine uptake rate by antenatal clients 100%
Nevirapine uptake rate for newborns 70%
Antiretroviral drug stock-out rate