Metropole District Health Services Services ANNU AL REPORT

Department of Health Western Cape

Metropole District Health ANNU ANNU ANNU ANNU Services

Cape Town AL REPORT AL REPORT 20032003---20042004 AL REPORT AL REPORT

April 20032003---MarchMarch 2004 0HWURSROH'LVWULFW+HDOWK6HUYLFHV 0'+6 $FNQRZOHGJHPHQWV

The following persons are thanked for their willingness to undertake this journey to turn ignorant curiosity into general understanding and transforming data into meaning. They are also specifically thanked for their strategic thinking, ideas, support, enthusiasm, data and information.

- Dr Bitalo and Senior Management of MDHS - Dr B Daya - Ms S Misbach - Dr K Grammer - Dr K Cloete & Dr J Claassen (Provincial Office) - Medical Superintendents/Managers of District and Special Hospitals - Ms C Adonis and the Priority Programme Managers

With special thanks to

Ms L Solomon with the Health Information component for health data Ms N Booysen for financial information Dr R Martell for close editing Ms M Soeker for general co-ordination of all the role-players. Ms C Ruiters for Final Typing and Layout

COPYRIGHT The MDHS Planning Task Team, under direction of Drs Bitalo and le Grange, compiled this report. This document therefore remains under the copyright of the MDHS and may be used as long as the source is properly acknowledged. This information was deemed correct in August 2004 and can serve as a basis for further discussion with stakeholders. Final verification is however needed for detailed planning.

Contact: METRO DHS Private Bag X7 7915 Dr L Bitalo: 021-460-9119, [email protected] Dr C le Grange: 021-447-1758, [email protected]

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AIDS Acquired Immune Deficiency Syndrome APH Associated Psychiatric Hospitals CHBC Community Home Based Care CHC Community Health Centre CHSO Community Health Services Organisation CMD Cape Medical Depot COCT City of Cape Town (LG) DHIS District Health Information System DHP District Health Plan DHS District Health Services DOH Department of Health DOTS Directly Observed Treatment Short-course DPC District Planning Committee DPW Department of Public Works ERH EersteRiver Hospital FBH False Bay Hospital FTE Full-time Equivalent GSH Groote Schuur Hospital HAART Highly Active Antiretroviral Therapy HBC Home Based Care HIV Human Immuno-deficiency Virus ID Intellectual Disability IMLC Institutional Management and Labour committee IMCI Integrated Management of Childhood Illnesses INP Integrated Nutrition programme Km kilometre LG Local Government (COCT) MCWH Maternal, Child and Women's health MDHS Metropole District Health Services MDR Multi-drug Resistant TB MMH Mowbray Maternity Hospital MO Medical Officer MOU Midwife Obstetric Unit MTEF Medium-term expenditure framework NGO Nongovernmental organisation NPO Non profit Organisation PDE Patient Day Equivalent PFMA Public Finance Management Act PGWC Provincial Government Western Cape PHC Primary Health Care PMTCT Prevention of mother-to-child transmission of HIV PN Professional Nurse PPP Public/Private Partnership PSNP Primary School Nutrition Programme PSRG Psycho-social Rehabilitation Groups PTB Pulmonary tuberculosis RHC Reproductive Health Clinic SLA Service Level Agreement STI Sexually transmitted infection TB Tuberculosis TOP Termination of pregnancy UCT University of Cape Town US University of Stellenbosch UWC University of the Western Cape VCT Voluntary Counselling and Testing WHO World Health Organization

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Comparisons between sub-district population & types of service

Population/ Service point 140,000 Population/ Fixed CHC/Clinic Population per MDHS's CHC 120,000

100,000

80,000

60,000

40,000

20,000

0 Central Eastern Khayelitsha Klipfontein Plain Mitchells a Panoram Northern Southern Tygerberg Metro

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