RHD Prelude Chapter - Health Systems Trust

Table 2.17: Ganyesa Health District - Health Professionals per 100 000 head of
population - 2001 Census
Prof Group
Place
No.
Appointed
Vacancy
Posts
Vacancy
Rate in %
Population
Ratio
Medical Officers
Ganyesa District
Ganyesa Hospital
Total
0
2
2
2
1
3
100
33
- 0.19
Specialists
Ganyesa District
Ganyesa Hospital
Total
0
0
0
0
0
-
0
0
- 0
Prof Nurses
Ganyesa District
Ganyesa Hospital
Total
66
14
80
8
6
-
11
30
- 7.40
Source: North West PDoH Chief Director: Health Services
73
Figure 2.21 shows that in Ganyesa there is a slight fall in the number of days for each category
of nursing staff, with an increase in professional nursing and nursing assistant days in 2003. The
continued fall in EN working days is possibly due to nurses attending bridging courses, as in
Mafikeng. With the increase demand for services this data tends to support the impression of
clinics being under staffed.
Figure 2.21: Ganyesa Health District - CHC and Clinic nursing
staff working days - 2000 to 2003
Number work days
10 000
8 000
6 000
4 000
2 000
PN work days PHC
EN work days PHC
NA work days PHC
0
2000
2001 2002 2003
year
Source: North West District Health Information System
2.5 Conclusion
Chapter 2 has provided an overview of the national, provincial and local context in which
decentralisation and health services are being implemented. An overview of health care system
at each level is given.
The three health districts are notably different. These differences will be referred to in subsequent
chapters. The researchers believe that these contextual differences between the districts are
important for understanding the impact of decentralisation on reproductive health services in
the NW Province. Table 2.18 below compares the three health districts described in detail above: