The District Health Barometer

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The District Health Barometer
Fiorenza Monticelli, Gauteng Health Summit,
Turfontein conference centre, 17/9/ 2007
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• The data contained in the DHB comes directly from
  the DHIS, StatsSA, Treasury (BAS) data and the
  national TB register or directly from the
  district / province .
• None of the data values received have been
  changed and have merely been illustrated in
  graphs, maps and tables to make it easier to read
  for comparative purposes. Averages have been
  calculated, ie for the metro and ISRDP districts
  and PCE values calculated from the data received
  from Treasury.
• The DHIS data is extracted at the end of June
  each year, once the official data set has been
  signed off by the provinces and sent to Treasury
  and the National Department of Health.
• The data does not belong to HST, but to the DOH,
  StatsSA and Treasury, as applicable. Where the
  data is not publicly available, such as with the
  DHIS and Treasury data, HST have asked for and
  received written permission to use the data for
  each DHB published.
• The purpose of the DHB is to portray the data as
  is, in order to highlight performance and / or
  data quality issues. Thus, if the data looks
  implausible - it merely highlights data quality
  issues at source.
• North West (Walker System)

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Awareness

• Increased awareness of
• data quality importance and issues
• indicator use and interpretation of data
• district performance
• inadequate human resources in HIS
• lack of capacity in HIS and the skillful use of
  information
• Areas that need urgent attention

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Deprivation index 2001 and Socio-economic
quintiles
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R232
Per Capita Expenditure 2005/06
R270
R249
R225
R199
R154
R199
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• Metsweding pop207 774 is the most
  socio-economically deprived in Gauteng, 6 of
  households without access to piped water.
• The only district without a district hospital in
  SA, 6 clinics and 2 mobile services (2005/6).
• The primary health care expenditure decreased
  from R169 per capita in 2001/02 to R119 in 2005/6
  and is the second lowest in SA. Inequitable when
  compared to Ekurhuleni at R270.
• West Rand, pop792 123, PCE dropped from R163 in
  2001/02 to R154 per person.
• 38 Clinics, 10 Mobile clinics, 2 district
  hospitals, hospital on R35 more per person than
  Metsweding.

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Per Capita Expenditure 2006/07
R319
R307
R290
(Sneak preview)
R221
R195
R167
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City of Johannesburg
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Spider Graphs a different way to view district
performance
The closer to the centre the better
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The further from the centre, the worse
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Ekhuruleni (GP)
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Metsweding (GP)
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Sedibeng(GP)
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City of Johannesburg(GP)
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Tshwane (GP)
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SA ave 90
Immunisation Coverage 2005/06
94.7
WR 69.5 Mtsw 65.5
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Immunisation drop-out rate (DTP1-3) 2005/06
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Demonstration on raw data table
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What to expect in the DHB 2006/07

• Socioeconomic data
• Population, Access to water, updated Deprivation
  Index using GHS 2005, poverty rate and
  socio-economic quintiles
• Financial data
• Health indicators - 3 financial years
• New indicator Supervision rate
• District hospital data (by nr of beds 0-49,
  50-99, 100-149, 150-200, 200)
• Average length of stay
• Bed utilisation rate
• Caesarean section rate
• Cost per patient day equivalent
• District profiles
• Web-GIS interface

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DHB 2006/07

• Release the final draft October/November 2007,
• Raw data table will be made available to NDHSC
  members on CD to scrutinize and work with
• Launch of hard copy publication and CD with data
  early February 2008

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THANK YOU