District Health Barometer, 2007- 8. Health Systems Trust

Health Aids and HIV South Africa Trackbacks (0)
Summary: The Health Systems Trust (HST) released its latest edition of the District Health Barometer on the 6th of July at the Health Informatics South Africa conference, Emperors Palace, Gauteng. The publication illustrates important aspects of the health system at district level through the analysis of a selected range of health indicators from which comparisons among districts and provinces can be made. Data feeding into the report are drawn from a range of sources including the national Department of Health, Statistics SA, the TB register and the National Treasury. It is the only publication of its kind in South Africa that makes available comparative data for the purpose of measuring and tracking progress in primary health care at district level.

Table of Contents:


Introduction and Overview
Indicators used in this DHB
Methodology and Data Sources
Data Display

Section A: Indicator Comparisons by District

1. Socio-economic Indicators
1.1 Deprivation Index
1.2 Equity: Monitoring the gap between the most and least deprived districts

2. Input Indicators
2.1 Per Capita Expenditure on Primary Health Care
2.2 Proportion of District Health Services Expenditure on District Management
2.3 Proportion of District Health Services Expenditure on District Hospitals
2.4 Cost Per Patient Day Equivalent in District Hospitals

3. Process Indicators
3.1 Nurse Clinical Workload
3.2 Bed Utilisation Rate
3.3 Average Length of Stay
3.4 Clinic Supervision Rate

4. Output Indicators
4.1 Immunisation
4.1.1 Immunisation coverage
4.1.2 Immunisation drop out rate (DTP1-3)
4.1.3 Immunisation coverage (Measles 1st dose) and drop out rate (Measles 1 – 2)
4.2 Caesarean Section Rate
4.3 Male Condom Distribution Rate
4.4 PMTCT Indicators
4.4.1 Proportion of antenatal clients tested for HIV
4.4.2 HIV Prevalence amongst antenatal clients tested
4.4.3 Nevirapine uptake rate among pregnant HIV positive women
4.4.4 Nevirapine uptake rate among babies born to HIV positive pregnant women
4.5 Primary Health Care Utilisation Rate

5. Outcome Indicators
5.1 Incidence of New Sexually Transmitted Infections
5.2 Tuberculosis
5.2.1 Smear conversion rate
5.2.2 TB cure rate
5.3 Diarrhoeal Incidence in Children Under 5
5.4 Rate of Children Under 5 Years Not Gaining Weight
5.5 Delivery Rate in Facility

6. Impact Indicators
6.1 Stillbirth Rate
6.2 Perinatal Mortality Rate (PNMR)

Section B: District and Province Profiles
- South Africa
- Eastern Cape Province
- Free State Province
- Gauteng Province
- KwaZulu Natal Province
- Limpopo Province
- Mpumalanga Province
- Northern Cape Province
- North West Province
- Western Cape Province

Appendix 1: Correlation of the National Antenatal Sero-Prevalence Survey with the DHIS
Appendix 2: Deprivation Indices
Appendix 3: Further Notes on Methodology
Appendix 4: Population Data by District and Province Comparing the DHIS and 2007 Community Survey Population Estimates



Economic Crisis And HIV: UNAIDS And World Bank Report

Economic conditions and policy Aids and HIV Trackbacks (0)

UNAIDS and World Bank Report on the Economic Crisis and HIV

The Joint United Nations Programme on HIV/AIDS (UNAIDS) and the World Bank have issued a report, The Global Economic Crisis and HIV Prevention and Treatment Programmes: Vulnerabilities and Impact (pdf), that examines the potential negative impact of the financial crisis on HIV prevention and treatment (news release).

UN Pulse: Permanent Link: UNAIDS and World Bank Report on the Economic Crisis and HIV

Millennium Development Goals Report 2009

Millenium Development Goals Trackbacks (0)

At the opening of the High-Level Segment of the UN Economic and Social Council (ECOSOC) in Geneva, the Secretary-General launched the Millennium Development Goals Report 2009 (full-text, 7.94 MB). The report assesses the progress towards the MDGs and warns that, despite many successes, overall progress has been too slow for most of the targets to be met by 2015. It states that "although data are not yet available to reveal the full impact of the recent economic downturn, they point to areas where progress towards the eight goals has slowed or reversed." UN Pulse: Permanent Link: Millennium Development Goals Report 2009