Appendices Dhb0506

Appendices Appendices

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179 Appendices 4 7 6 52 40 43 25 53 44 19 17 24 15 14 23 10 20 11 36 22 47 42 49 32 51 50 41 46 48 Rank 2001 2001 39.8 69.1 61.0 92.7 98.7 27.6 57.5 62.4 98.1 95.6 95.8 93.8 96.7 95.7 98.4 97.0 93.9 97.7 95.3 97.3 97.5 78.3 94.9 51.8 61.5 48.5 84.4 42.5 44.6 67.2 55.1 50.7 73.2 Access to piped water 7 4 92 79 24 13 42 24 24 56 27 23 50 85 28 42 55 55 56 2006 575 113 220 966 322 592 189 139 111 106 103 1 315 1 970 1 378 Density Population Population 1 959 6 859 1 924 1 645 4 170 4 177 2 175 2 457 6 911 2 292 3 269 5 047 8 934 8 589 8 213 Area 2006 23 579 36 695 58 243 25 663 15 968 21 301 13 999 28 346 34 250 31 930 16 548 11 127 13 855 11 326 14 799 94 361 168 966 129 825 9 716 8 722 2 488 3 839 8 508 2006 45 413 21 367 26 563 16 265 42 684 10 804 11 017 17 253 17 449 59 011 53 671 76 028 16 891 46 059 14 600 13 259 64 882 15 429 17 224 18 671 15 722 13 181 15 018 21 145 21 169 170 730 211 088 224 208 9 301 8 506 2 556 3 861 8 332 2005 16 181 43 169 20 911 24 815 43 297 10 785 16 759 17 298 59 730 12 332 52 303 16 813 43 235 14 794 72 520 13 327 63 824 15 216 16 784 18 792 15 813 13 110 15 215 21 077 21 339 166 180 203 526 222 829 Population under 1 year Population 879 786 410 502 339 629 627 966 515 532 758 492 788 302 766 550 132 982 207 774 918 325 792 123 585 858 617 391 311 021 700 711 987 304 585 747 468 546 626 695 866 816 824 260 2006 1 862 482 1 126 383 7 058 853 1 812 105 2 961 858 2 530 204 3 240 795 2 101 340 9 790 561 3 158 797 9 733 146 Population 883 735 407 424 340 451 624 794 512 252 761 283 782 961 763 969 132 376 202 419 911 447 777 771 582 451 612 139 307 774 695 105 980 654 578 718 465 716 622 379 858 223 816 928 2005 1 861 961 1 116 378 7 039 650 1 804 907 2 952 841 2 476 129 3 176 946 2 052 935 9 597 647 3 132 008 9 652 095 District / Province Alfred Nzo Amathole Chris Hani Cacadu Nelson Mandela Bay Tambo O.R. Ukhahlamba Eastern Cape Fezile Dabi Fezile Lejweleputswa Motheo Thabo Mofutsanyane Xhariep State Free Ekurhuleni Metsweding Sedibeng Tshwane City of Rand West Gauteng City of Johannesburg Amajuba eThekwini iLembe Sisonke Ugu UMgungundlovu Umkhanyakude Umzinyathi Uthukela Uthungulu Zululand KwaZulu-Natal Type ISRDP ISRDP Metro ISRDP ISRDP Province ISRDP Province Metro Metro Province Metro Metro ISRDP ISRDP ISRDP ISRDP Province 2 DC12 DC13 DC10 NMA DC14 EC New Code New DC44 DC15 DC20 DC18 DC17 DC19 DC16 FS EKU JHB DC46 DC42 TSH DC48 GP DC25 ETH DC29 DC43 DC21 DC22 DC27 DC24 DC23 DC28 DC26 KZN DC12 DC13 DC10 NMA DC14 EC Code DC44 DC15 DC20 DC17 DC19 DC16 FS DC18 EKU JHB CBDC2 DC42 TSH CBDC8 GP DC25 ETH DC29 DC43 DC21 DC22 DC27 DC24 DC23 DC28 DC26 KZN Province EC EC EC EC EC EC EC EC FS FS FS FS FS FS GP GP GP GP GP GP GP KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN Data Tables

180 Appendices 5 3 8 1 2 9 39 38 45 33 30 31 28 29 26 13 35 16 12 21 34 27 37 18 Rank 2001 2001 75.8 76.1 57.1 84.2 86.4 85.1 78.0 87.1 86.6 88.7 86.7 97.1 81.5 95.9 97.2 95.0 96.6 84.1 88.1 77.7 98.4 86.2 98.7 98.0 98.9 95.7 98.8 98.0 98.3 84.5 Access to piped water 7 1 2 2 3 2 9 27 70 77 89 61 13 42 68 29 66 47 27 69 11 28 39 29 29 19 18 37 39 34 2006 1 267 1 226 Density Population Population 2 460 Area 2006 16 988 13 426 11 098 21 349 49 504 27 109 14 112 31 841 16 758 62 711 13 518 27 283 18 333 44 017 27 889 16 273 11 405 22 309 38 854 23 331 31 104 12 455 139 475 126 836 102 727 102 524 372 889 106 512 129 462 262 493 1 220 750 7 383 3 900 1 971 3 140 5 077 3 981 1 219 7 790 4 731 2006 29 635 23 477 25 479 34 199 14 603 18 830 21 586 20 237 22 740 64 563 21 471 29 082 12 030 18 157 14 612 73 881 61 199 10 967 89 887 146 223 221 209 328 402 1 061 062 7 458 4 160 2 050 3 377 5 113 1 281 7 995 3 911 4 847 2005 18 743 29 290 23 957 24 776 33 210 14 551 22 111 20 824 23 300 66 235 22 158 28 415 11 907 18 233 14 249 72 804 60 289 11 269 89 592 144 527 221 380 316 986 1 047 581 Population under 1 year Population 62 290 992 145 653 407 729 104 961 992 910 101 367 909 196 350 115 015 184 360 230 861 464 251 767 946 628 038 200 624 639 761 454 568 278 348 2006 1 195 840 1 033 709 1 293 444 5 897 649 1 104 920 2 977 013 1 094 495 1 260 111 3 120 346 3 117 361 4 752 952 9 026 753 47 386 873 15 274 880 Population

61 380 985 568 645 477 723 940 952 278 905 327 365 518 196 004 114 527 183 762 227 620 462 459 766 388 622 741 194 695 627 110 444 324 271 408 2005 1 192 992 1 033 890 1 282 063 5 863 930 1 096 877 2 954 482 1 087 431 1 247 125 3 098 713 3 047 476 4 646 393 8 989 537 46 893 182 15 001 872 District / Province Bohlabela Capricorn Greater Sekhukhune Mopani Vhembe Waterberg Limpopo Ehlanzeni Gert Sibande Nkangala Mpumalanga Frances Baard Frances Kgalagadi Namakwa ka Seme Pixley Siyanda Northern Cape Bojanala Bophirima Central Southern NorthWest City of Cape Town City of Cape Winelands Cape Karoo Central Eden Overberg Coast West Cape Western South Africa ISRDP average Metro average Type ISRDP ISRDP Province Province ISRDP Province Province Metro ISRDP Province ISRDP Metro 2 DC35 DC47 DC33 DC34 DC36 LP New Code New DC32 DC30 DC31 MP DC9 DC45 DC6 DC7 DC8 NC DC37 DC39 DC38 DC40 NW CPT DC3 DC2 DC5 DC4 DC1 WC ZA DC35 CBDC3 DC33 DC34 DC36 LP Code CBDC4 DC32 DC30 DC31 MP DC9 CBDC1 (nc) DC6 DC7 DC8 NC DC37 DC39 DC38 DC40 NW CPT DC3 DC2 DC5 DC4 DC1 WC ZA sites have been allocated. as the old codes, depending on how cross-boundary area to the same geographic codes do not always refer Note that the new demarcation Province LP LP LP LP LP LP LP MP MP MP MP NC NC NC NC NC NC NW NW NW NW NW WC WC WC WC WC WC WC SA SA SA 2 November 2006 see http://www.demarcation.org.za Board as per the Demarcation These codes are

181 Appendices 8.4 0.0 29.7 35.7 32.4 38.3 53.9 49.0 47.9 50.5 62.3 52.1 54.7 61.0 54.0 48.2 46.8 51.2 63.6 45.0 61.0 47.5 38.4 50.9 41.6 35.6 42.2 10.6 43.5 48.4 24.5 60.0 54.4 District 2005/06 Hospital % PR exp on % PR exp 2.4 5.1 3.7 0.7 2.0 1.9 1.6 1.7 2.2 1.7 2.7 1.7 8.3 4.0 7.4 6.1 5.3 8.1 5.4 4.2 2.6 8.1 7.6 6.8 5.3 6.2 9.5 2.9 1.5 10.2 17.1 18.6 19.1 2005/06 % PR exp % PR exp on District Management 9 -9 72 88 74 18 85 92 61 22 87 45 89 71 74 -93 -50 -54 113 108 148 126 122 159 115 121 104 157 211 122 102 143 abs. abs. -119 change 2001-05 75 69 91 48 89 96 71 99 137 109 129 107 128 145 389 342 169 151 190 163 285 148 179 124 169 165 200 166 134 150 150 151 165 Rank 2001/02 3 9 6 42 17 14 40 38 32 35 33 43 21 22 10 15 52 25 39 48 47 11 31 24 28 29 41 18 27 Rank 2005/06 Non-Hosp PHC exp per capita Non-Hosp PHC exp 188 245 257 195 201 213 207 222 210 184 232 228 356 221 270 249 119 225 199 154 231 166 264 216 271 226 222 309 221 195 239 222 239 2005/06 1 3 4 4 2 1 3 1 1 2 1 1 2 2 4 5 2 4 3 3 4 4 5 4 5 4 3 1 1 2001 Socio- quintiles economic 9 52 35 39 17 10 53 42 22 24 23 31 19 15 18 11 14 16 28 20 41 47 46 26 50 51 44 43 49 Rank 2001 Deprivation index Deprivation 2001 3.99 3.37 3.53 2.51 2.37 4.08 3.55 2.63 2.83 2.70 3.18 2.58 2.45 2.37 2.54 2.40 2.44 2.47 3.08 2.58 3.54 3.65 3.57 2.98 3.97 3.97 3.57 3.56 3.80 District / Province Alfred Nzo Amathole Chris Hani Cacadu Nelson Mandela Bay Tambo O.R. Ukhahlamba Eastern Cape Dabi Fezile Lejweleputswa Motheo Thabo Mofutsanyane Xhariep State Free Ekurhuleni City of Johannesburg Metsweding Sedibeng Tshwane City of Rand West Gauteng Amajuba eThekwini iLembe Sisonke Ugu UMgungundlovu Umkhanyakude Umzinyathi Uthukela Uthungulu Zululand KwaZulu-Natal Type ISRDP ISRDP Metro ISRDP ISRDP Province ISRDP Province Metro Metro Metro Province Metro ISRDP ISRDP ISRDP ISRDP Province DC15 DC17 TSH ETH DC29 DC43 DC22 DC27 DC23 DC28 DC26 KZN New Code New DC44 DC12 DC13 DC10 NMA DC14 EC DC20 DC18 DC19 DC16 FS EKU JHB DC46 DC42 DC48 GP DC25 DC21 DC24 DC15 DC17 TSH ETH DC29 DC43 DC22 DC27 DC23 DC28 DC26 KZN Code DC44 DC12 DC13 DC10 NMA DC14 EC DC20 DC18 DC19 DC16 FS EKU JHB CBDC2 DC42 CBDC8 GP DC25 DC21 DC24 Province EC EC EC EC EC EC EC EC FS FS FS FS FS FS GP GP GP GP GP GP GP KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN

182 Appendices 9.8 61.2 61.8 52.0 58.3 56.3 51.7 68.5 20.0 56.3 68.3 47.0 29.9 45.1 24.3 35.7 45.9 45.0 58.2 51.7 51.5 57.3 56.1 37.5 39.6 34.4 58.9 54.1 51.8 25.7 53.6 29.7 District 2005/06 Hospital % PR exp on % PR exp 2.4 3.3 4.7 5.2 3.3 3.8 3.0 5.6 4.8 4.5 6.0 8.7 8.1 9.8 5.7 5.0 1.3 3.6 4.1 3.6 7.5 8.3 6.2 8.3 0.9 1.4 1.5 5.4 5.1 5.6 11.1 10.2 2005/06 % PR exp % PR exp on District Management 7 -4 90 28 87 53 82 83 96 70 76 20 97 82 38 46 76 32 64 -16 -11 -18 -39 -11 104 113 131 105 120 144 141 abs. abs. change 2001-05 55 77 87 42 44 72 140 124 125 102 134 135 140 254 163 100 126 143 378 159 216 204 357 201 325 265 240 275 317 168 268 Rank 2001/02 2 1 8 4 5 7 49 44 53 23 20 45 30 50 46 36 13 19 51 26 12 34 16 37 Rank 2005/06 Non-Hosp PHC exp per capita Non-Hosp PHC exp 145 181 115 227 237 178 184 217 138 175 177 205 260 398 239 120 223 225 416 300 262 280 341 208 314 247 201 307 306 232 210 264 2005/06 2 2 1 3 3 3 2 5 3 2 2 5 2 1 3 4 5 4 4 5 5 5 5 5 2001 Socio- quintiles economic 6 8 7 3 5 4 2 1 40 36 48 38 45 29 32 30 25 13 37 12 27 34 33 21 Rank 2001 Deprivation index Deprivation 2001 3.54 3.40 3.72 3.47 3.57 3.10 3.20 3.16 2.96 2.43 3.42 2.04 2.42 2.25 3.00 3.35 3.20 2.60 2.06 1.93 2.03 2.02 1.90 1.83 District / Province Bohlabela Capricorn Greater Sekhukhune Mopani Vhembe Waterberg Limpopo Ehlanzeni Gert Sibande Nkangala Mpumalanga Baard Frances Kgalagadi Namakwa ka Seme Pixley Siyanda Northern Cape Bojanala Bophirima Central Southern NorthWest Town City of Cape Winelands Cape Karoo Central Eden Overberg Coast West Cape Western South Africa ISRDP average Metro average Type ISRDP ISRDP Province Province ISRDP Province Province Metro ISRDP Province ISRDP Metro DC35 DC33 DC34 LP DC32 DC30 DC31 DC45 DC8 NC DC37 DC39 DC38 NW CPT WC New Code New DC47 DC36 MP DC9 DC6 DC7 DC40 DC2 DC5 DC4 DC3 DC1 ZA DC35 DC33 DC34 LP DC32 DC30 DC31 CBDC1 (nc) DC8 NC DC37 DC39 DC38 NW CPT WC Code CBDC4 CBDC3 DC36 MP DC9 DC6 DC7 DC40 DC2 DC5 DC4 DC3 DC1 ZA Province LP LP LP LP LP LP LP MP MP MP MP NC NC NC NC NC NC NW NW NW NW NW WC WC WC WC WC WC WC SA SA SA

183 Appendices 2.0 5.5 4.5 2.0 1.5 0.6 1.9 2.6 7.1 5.8 1.1 0.3 4.4 7.5 5.8 6.5 1.7 -6.0 -3.7 -1.0 -0.3 -1.5 -3.1 -5.6 -1.8 -5.6 -6.0 -3.1 -7.9 -0.5 10.9 11.8 -14.1 change 2004-05 5 6 4 8 42 48 22 37 32 43 29 26 13 16 17 20 11 18 15 46 40 44 47 52 34 12 38 51 28 Rank 2005 40.8 34.4 54.0 42.2 44.5 40.4 47.1 41.8 50.2 62.7 59.9 69.1 57.4 61.1 55.3 63.3 56.7 60.2 66.3 70.6 62.2 64.7 39.7 41.0 40.3 35.4 27.9 44.0 62.9 42.0 28.6 47.5 40.4 2005 Smear conversion rate Smear conversion 38.8 40.4 43.1 45.9 45.5 34.9 47.4 37.3 48.2 61.2 59.3 67.2 58.9 58.5 58.4 56.2 70.8 54.4 65.2 70.3 57.8 57.2 45.3 29.2 42.1 41.0 33.9 47.1 57.1 35.5 36.5 48.0 38.7 2004 0.0 3.1 7.8 4.1 0.6 1.5 2.4 5.1 7.0 1.9 1.3 6.2 3.7 0.7 4.9 1.5 4.1 -6.6 -3.6 -5.9 -7.3 -3.1 -4.2 -9.6 -9.2 15.7 24.8 11.4 26.9 10.9 -27.2 -18.6 -13.4 change 2003-04 9 7 43 48 36 29 37 44 32 22 10 16 14 12 27 19 21 18 20 46 39 34 47 50 45 28 41 52 33 Rank 2004 TB Cure rate 35.9 30.5 45.5 54.8 45.4 35.3 52.1 32.1 59.0 70.9 66.8 67.0 67.2 67.2 56.1 62.5 71.3 60.6 63.8 73.9 62.6 61.1 33.8 41.6 50.6 33.4 23.0 34.9 55.1 40.2 18.1 51.3 34.8 2004 42.5 34.1 51.4 39.1 72.6 35.3 49.0 50.7 66.3 63.1 62.7 66.4 65.7 64.8 59.2 57.4 46.5 53.6 52.4 72.0 61.3 54.9 30.1 40.9 23.7 37.6 36.4 30.0 53.6 36.1 27.7 40.4 44.0 2003 District / Province Alfred Nzo Amathole Chris Hani Cacadu Nelson Mandela Bay Tambo O.R. Ukhahlamba Eastern Cape Dabi Fezile Lejweleputswa Motheo Thabo Mofutsanyane Xhariep State Free Ekurhuleni City of Johannesburg Metsweding Sedibeng Tshwane City of Rand West Gauteng Amajuba eThekwini iLembe Sisonke Ugu UMgungundlovu Umkhanyakude Umzinyathi Uthukela Uthungulu Zululand KwaZulu-Natal Type ISRDP ISRDP Metro ISRDP ISRDP Province ISRDP Province Metro Metro Metro Province Metro ISRDP ISRDP ISRDP ISRDP Province New Code New DC44 DC12 DC13 DC10 NMA DC15 DC14 EC DC20 DC18 DC17 DC19 DC16 FS EKU JHB DC46 DC42 TSH DC48 GP DC25 ETH DC29 DC43 DC21 DC22 DC27 DC24 DC23 DC28 DC26 KZN Code DC44 DC12 DC13 DC10 NMA DC15 DC14 EC DC20 DC18 DC17 DC19 DC16 FS EKU JHB CBDC2 DC42 TSH CBDC8 GP DC25 ETH DC29 DC43 DC21 DC22 DC27 DC24 DC23 DC28 DC26 KZN Province EC EC EC EC EC EC EC EC FS FS FS FS FS FS GP GP GP GP GP GP GP KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN

184 Appendices 7.3 0.2 4.4 8.1 2.8 2.9 1.4 6.4 7.4 4.7 1.1 9.8 8.7 1.6 3.6 0.4 2.7 3.9 -9.6 -4.3 -1.5 -0.7 -2.3 -2.3 -0.8 18.8 10.4 -13.6 -10.9 -10.4 change 2004-05 1 3 2 9 7 23 45 36 41 49 53 50 25 35 39 30 31 27 19 33 21 14 10 24 Rank 2005 80.9 52.5 40.1 43.5 73.1 73.4 62.0 40.9 33.8 23.0 35.6 30.6 50.7 43.9 41.6 46.3 40.5 46.1 48.7 56.2 44.3 47.7 63.6 54.6 65.4 61.4 63.5 51.4 60.7 50.5 2005 Smear conversion rate Smear conversion 73.6 52.3 53.7 39.1 65.0 70.6 43.2 38.0 43.4 33.9 34.2 24.2 43.3 39.2 40.5 36.5 31.8 50.4 59.1 54.6 45.8 48.4 60.0 56.9 55.0 63.7 63.1 52.2 58.0 46.6 2004 6.4 5.7 7.1 3.3 0.6 6.5 0.5 3.9 2.3 -7.9 -3.2 -3.1 -0.2 -1.8 -5.9 19.5 11.7 40.7 15.9 10.4 16.1 13.8 11.1 -13.4 -19.9 -11.7 -40.7 -25.0 -23.9 -26.3 change 2003-04 4 5 3 8 2 1 6 11 29 31 42 49 53 51 23 24 38 40 25 13 26 35 15 17 Rank 2004 TB Cure rate 77.8 67.8 54.8 54.1 75.1 78.7 69.5 37.6 29.1 12.0 32.0 20.1 58.4 57.6 44.5 40.8 38.3 57.5 67.1 57.4 47.1 56.6 66.9 65.6 72.5 81.8 84.5 74.7 70.1 50.8 2004 71.4 48.3 49.1 47.0 63.4 38.0 53.6 27.2 42.5 31.9 43.7 60.8 42.3 43.8 69.5 64.7 64.6 54.2 66.5 65.3 40.6 59.8 70.0 65.8 72.0 77.9 73.4 72.4 71.9 56.7 2003 District / Province Bohlabela Capricorn Greater Sekhukhune Mopani Vhembe Waterberg Limpopo Ehlanzeni Gert Sibande Nkangala Mpumalanga Baard Frances Kgalagadi Namakwa ka Seme Pixley Siyanda Northern Cape Bojanala Bophirima Central Southern NorthWest Town City of Cape Winelands Cape Karoo Central Eden Overberg Coast West Cape Western South Africa ISRDP average Metro average Type ISRDP ISRDP Province Province ISRDP Province Province Metro ISRDP Province ISRDP Metro New Code New DC35 DC47 DC33 DC34 DC36 LP DC32 DC30 DC31 MP DC9 DC45 DC6 DC7 DC8 NC DC37 DC39 DC38 DC40 NW CPT DC2 DC5 DC4 DC3 DC1 WC ZA Code CBDC4 DC35 CBDC3 DC33 DC34 DC36 LP DC32 DC30 DC31 MP DC9 CBDC1 (nc) DC6 DC7 DC8 NC DC37 DC39 DC38 DC40 NW CPT DC2 DC5 DC4 DC3 DC1 WC ZA Province LP LP LP LP LP LP LP MP MP MP MP NC NC NC NC NC NC NW NW NW NW NW WC WC WC WC WC WC WC SA SA SA

185 Appendices 1.0 2.3 4.7 0.8 1.3 4.9 2.8 4.6 3.9 4.3 4.3 0.4 5.5 1.0 5.6 5.2 0.4 -1.6 -0.9 -0.3 -1.0 -9.2 -8.3 -7.6 -15.0 -10.2 -16.8 -16.0 -17.2 -26.5 -21.9 -13.4 298.6 change 2004-05 19.8 24.4 23.3 45.3 48.4 23.8 26.4 27.8 36.5 32.3 27.3 33.2 27.2 31.5 31.7 17.7 30.1 35.8 43.2 34.6 24.2 14.4 32.2 17.2 22.5 30.8 22.7 22.4 24.3 28.6 24.3 27.2 374.2 2005/06 21.4 23.4 21.1 46.2 43.7 23.0 26.7 26.6 31.6 29.5 22.7 29.2 22.9 27.2 31.3 18.8 24.7 34.8 37.7 29.4 23.8 29.3 42.4 75.7 34.0 31.7 39.2 38.8 39.6 31.9 55.1 46.2 40.6 2004/05 Nurse clinical workload clinical Nurse 22.0 24.7 20.2 42.2 41.3 22.0 28.1 26.3 29.6 29.4 22.6 32.0 22.5 27.5 35.2 23.2 28.4 39.3 42.3 42.1 28.8 2003/04 0.1 0.3 0.4 0.3 0.2 0.2 0.1 0.2 0.2 0.0 0.0 0.2 0.1 0.1 0.0 0.0 0.3 0.2 0.0 0.0 0.0 0.0 -0.1 -0.1 -0.1 -0.1 -0.5 -0.1 -0.1 -0.2 -0.1 -0.1 -0.3 change 2003-05 4 3 40 24 18 33 41 25 38 36 20 29 52 46 53 48 50 51 28 35 31 42 32 27 26 37 47 34 45 Rank 2005/06 1.9 2.3 2.5 3.3 3.3 2.0 1.8 2.4 2.3 1.9 1.9 2.4 2.1 2.1 1.2 1.6 0.8 1.6 1.5 1.3 1.4 2.2 1.9 2.1 1.8 2.0 2.2 2.2 1.9 1.6 2.0 1.7 2.0 2005/06 Utilisation rate 1.9 2.5 2.3 3.1 3.1 1.8 1.8 2.3 2.1 2.0 2.0 2.4 2.3 2.1 1.2 1.5 0.7 1.5 1.4 1.3 1.3 2.1 1.9 2.0 2.0 2.1 2.1 2.4 2.0 1.7 2.0 1.7 2.0 2004/05 1.8 2.4 2.2 2.8 3.0 1.8 1.7 2.3 2.1 2.0 2.0 2.5 2.6 2.2 1.3 1.4 0.8 1.6 1.3 1.3 1.3 2.2 1.9 1.8 2.0 2.1 2.0 2.3 2.0 1.9 2.0 1.7 1.9 2003/04 District / Province Alfred Nzo Amathole Chris Hani Cacadu Nelson Mandela Bay Tambo O.R. Ukhahlamba Eastern Cape Dabi Fezile Lejweleputswa Motheo Thabo Mofutsanyane Xhariep State Free Ekurhuleni City of Johannesburg Metsweding Sedibeng Tshwane City of Rand West Gauteng Amajuba eThekwini iLembe Sisonke Ugu UMgungundlovu Umkhanyakude Umzinyathi Uthukela Uthungulu Zululand KwaZulu-Natal Type ISRDP ISRDP Metro ISRDP ISRDP Province ISRDP Province Metro Metro Metro Province Metro ISRDP ISRDP ISRDP ISRDP Province New Code New DC44 DC12 DC13 DC10 NMA DC15 DC14 EC DC20 DC18 DC17 DC19 DC16 FS EKU JHB DC46 DC42 TSH DC48 GP DC25 ETH DC29 DC43 DC21 DC22 DC27 DC24 DC23 DC28 DC26 KZN Code DC44 DC12 DC13 DC10 NMA DC15 DC14 EC DC20 DC18 DC17 DC19 DC16 FS EKU JHB CBDC2 DC42 TSH CBDC8 GP DC25 ETH DC29 DC43 DC21 DC22 DC27 DC24 DC23 DC28 DC26 KZN Province EC EC EC EC EC EC EC EC FS FS FS FS FS FS GP GP GP GP GP GP GP KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN

186 Appendices 0.1 4.1 0.3 0.0 5.4 -1.1 -2.0 -0.2 -1.0 -0.2 -3.0 -0.3 -3.0 -3.5 26.6 30.7 22.6 25.4 18.4 85.2 34.4 41.6 -33.8 -11.1 106.3 change 2004-05 14.7 13.1 13.1 23.6 26.4 12.9 18.0 48.5 52.1 43.8 46.7 63.6 49.9 70.2 82.3 47.1 54.7 37.6 59.4 50.1 31.6 133.4 140.7 21.97 39.33 2005/06 15.8 13.0 15.1 19.6 26.6 12.6 18.0 21.9 21.5 21.1 21.3 45.2 50.9 48.2 34.3 35.8 40.7 80.9 49.3 37.8 62.4 61.2 31.9 24.98 42.82 2004/05 Nurse clinical workload clinical Nurse 8.7 25.0 17.4 34.3 32.2 23.9 21.5 59.2 53.9 32.0 44.1 44.6 50.1 137.2 127.4 333.2 296.2 29.37 63.37 7,499.7 2003/04 0.2 0.1 0.0 0.0 0.3 0.1 0.0 0.0 0.1 0.0 0.1 0.2 0.0 0.3 0.1 0.5 0.2 0.0 0.0 0.4 0.1 0.2 0.2 0.0 0.1 0.1 0.1 -0.1 -0.7 -0.6 -0.2 -0.2 change 2003-05 6 2 7 9 1 5 8 14 39 49 43 23 44 30 13 11 19 21 10 12 17 15 22 16 Rank 2005/06 2.7 1.9 1.5 3.2 4.1 1.8 2.7 2.3 1.8 2.1 2.0 2.7 3.0 2.8 2.9 2.5 2.8 2.4 2.9 2.7 2.6 2.5 2.7 2.4 4.5 3.2 2.7 2.9 2.7 2.1 2.08 1.90 2005/06 Utilisation rate 2.6 1.9 1.5 3.0 4.0 1.7 2.6 2.3 1.8 2.1 2.0 2.7 3.0 3.6 3.6 2.8 3.1 2.5 2.8 2.8 2.4 2.5 2.8 2.4 4.0 3.1 2.6 2.8 2.8 2.1 2.04 1.87 2004/05 2.5 1.8 1.5 3.2 3.7 1.9 2.6 2.3 1.8 2.0 2.0 2.6 2.8 3.5 3.5 2.6 3.0 2.4 2.6 2.7 2.0 2.4 2.7 2.4 4.1 3.1 2.5 2.8 2.7 2.1 1.99 1.84 2003/04 District / Province Bohlabela Capricorn Greater Sekhukhune Mopani Vhembe Waterberg Limpopo Ehlanzeni Gert Sibande Nkangala Mpumalanga Baard Frances Kgalagadi Namakwa ka Seme Pixley Siyanda Northern Cape Bojanala Bophirima Central Southern NorthWest Town City of Cape Winelands Cape Karoo Central Eden Overberg Coast West Cape Western South Africa ISRDP average Metro average Type ISRDP ISRDP Province Province ISRDP Province Province Metro ISRDP Province ISRDP Metro New Code New DC35 DC47 DC33 DC34 DC36 LP DC32 DC30 DC31 MP DC9 DC45 DC6 DC7 DC8 NC DC37 DC39 DC38 DC40 NW CPT DC2 DC5 DC4 DC3 DC1 WC ZA Code CBDC4 DC35 CBDC3 DC33 DC34 DC36 LP DC32 DC30 DC31 MP DC9 CBDC1 (nc) DC6 DC7 DC8 NC DC37 DC39 DC38 DC40 NW CPT DC2 DC5 DC4 DC3 DC1 WC ZA Province LP LP LP LP LP LP LP MP MP MP MP NC NC NC NC NC NC NW NW NW NW NW WC WC WC WC WC WC WC SA SA SA

187 Appendices 1.7 2.0 0.2 2.7 0.2 3.4 1.3 1.7 0.4 0.6 0.5 2.0 0.4 0.8 0.8 0.7 -5.4 -6.4 -1.9 -1.8 -1.1 -0.9 -1.0 -2.4 -0.8 -4.9 -1.4 -7.2 -1.8 -0.4 -1.5 -2.0 -1.4 change 2004-05

3 28 21 24 23 29 25 32 36 34 33 14 41 38 39 31 30 44 50 53 49 35 48 52 43 27 47 46 40 Rank 2005/06 9.4 24.3 21.5 22.8 22.8 24.6 23.0 20.9 25.4 28.3 25.8 25.5 17.2 25.5 31.5 29.6 30.1 25.2 25.1 32.6 28.9 34.7 39.9 34.4 26.2 33.7 38.3 32.5 24.0 33.1 33.1 30.9 34.3 2005/06 22.7 14.8 19.5 29.3 24.7 26.4 24.1 21.8 25.2 29.3 28.2 26.3 22.0 26.9 28.8 29.4 26.7 32.4 26.9 31.3 29.3 36.2 38.2 34.0 28.2 33.1 37.7 30.5 23.6 32.4 34.6 30.1 33.6 2004/05 HIV prevalence among ANC clients tested among ANC clients HIV prevalence 27.9 22.1 21.5 33.1 27.0 28.8 36.5 25.2 27.2 34.2 28.8 29.3 22.3 28.9 25.9 25.7 28.3 13.2 27.2 23.4 24.6 34.7 41.5 35.2 28.3 33.3 36.0 30.6 23.2 33.7 34.3 28.5 34.3 2003/04 7.2 8.9 7.9 8.9 6.6 3.4 7.7 9.0 9.2 8.3 -7.7 -7.3 -3.2 -9.8 -8.5 -2.8 16.9 15.8 11.1 10.5 -57.7 -23.2 -18.6 -26.0 -14.5 -30.1 -37.8 -27.0 -25.0 -19.4 change 2004-05 -199.7

1 2 42 23 20 29 49 31 39 13 48 12 30 10 32 40 26 38 27 24 14 50 16 25 18 35 34 Rank 2005/06 37.4 52.6 54.7 46.8 27.8 44.5 39.1 62.3 40.4 29.6 63.8 45.5 72.2 43.2 38.8 47.4 47.7 39.7 47.7 50.3 62.3 24.2 58.6 48.4 57.4 41.6 42.4 43.8 149.2 140.4 122.8 2005/06 30.2 35.8 45.8 38.9 18.9 51.8 23.3 65.5 33.7 18.5 60.4 35.0 64.5 34.2 29.6 39.0 70.9 49.4 56.1 53.1 80.9 50.1 73.1 78.4 95.3 68.6 67.4 63.1 348.9 198.1 130.6 2004/05 Proportion ANC clients tested for HIV tested for Proportion ANC clients 7.3 8.3 21.0 12.4 37.0 22.2 48.4 15.1 57.0 31.1 30.1 19.8 23.2 15.8 17.6 49.2 34.8 47.0 71.2 86.2 30.9 62.2 65.5 60.8 46.0 46.3 46.7 105.6 2003/04 2,135.3 District / Province Alfred Nzo Amathole Chris Hani Cacadu Nelson Mandela Bay Tambo O.R. Ukhahlamba Eastern Cape Dabi Fezile Lejweleputswa Motheo Thabo Mofutsanyane Xhariep State Free Ekurhuleni City of Johannesburg Metsweding Sedibeng Tshwane City of Rand West Gauteng Amajuba eThekwini iLembe Sisonke Ugu UMgungundlovu Umkhanyakude Umzinyathi Uthukela Uthungulu Zululand KwaZulu-Natal Type ISRDP ISRDP Metro ISRDP ISRDP Province ISRDP Province Metro Metro Metro Province Metro ISRDP ISRDP ISRDP ISRDP Province New Code New DC44 DC12 DC13 DC10 NMA DC15 DC14 EC DC20 DC18 DC17 DC19 DC16 FS EKU JHB DC46 DC42 TSH DC48 GP DC25 ETH DC29 DC43 DC21 DC22 DC27 DC24 DC23 DC28 DC26 KZN Code DC44 DC12 DC13 DC10 NMA DC15 DC14 EC DC20 DC18 DC17 DC19 DC16 FS EKU JHB CBDC2 DC42 TSH CBDC8 GP DC25 ETH DC29 DC43 DC21 DC22 DC27 DC24 DC23 DC28 DC26 KZN Province EC EC EC EC EC EC EC EC FS FS FS FS FS FS GP GP GP GP GP GP GP KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN

188 Appendices 2.1 4.8 0.6 0.2 1.6 4.6 3.7 1.4 0.4 0.3 -2.3 -6.2 -3.7 -1.8 -0.5 -3.1 -1.9 -7.5 -2.2 -0.1 10.0 -22.0 change 2004-05

7 5 6 4 1 9 8 2 18 15 11 16 10 19 45 42 26 13 17 51 20 22 37 12 Rank 2005/06 9.6 9.7 9.5 6.5 6.8 18.9 17.9 13.9 18.4 13.0 20.6 16.6 33.1 31.9 23.3 28.0 16.7 18.5 10.0 13.6 35.3 20.9 21.7 29.1 27.5 14.5 10.5 10.0 12.7 2005/06 0.0 9.4 8.2 9.0 21.1 24.0 11.8 22.1 14.7 21.2 19.7 35.0 27.1 30.8 30.1 38.7 17.9 31.6 19.5 21.3 29.2 27.2 29.3 26.30 33.50 2004/05 HIV prevalence among ANC clients tested among ANC clients HIV prevalence 0.0 20.8 28.8 12.7 34.1 11.5 17.5 22.9 34.3 28.6 23.6 29.1 11.1 12.5 11.4 49.8 60.6 36.5 42.2 28.5 100.0 100.0 26.75 31.53 2003/04 8.8 8.9 3.5 7.7 17.3 18.7 11.4 15.5 17.0 10.0 24.7 18.5 57.0 29.0 29.3 47.0 42.7 20.0 21.9 22.5 13.2 -11.6 change 2004-05

8 3 6 9 4 5 7 37 19 33 46 28 15 44 51 47 17 43 45 11 21 41 36 22 Rank 2005/06 41.0 56.5 42.7 34.5 47.1 61.7 46.5 34.7 23.4 33.6 31.4 57.5 36.2 34.6 69.3 53.2 59.1 37.7 41.5 52.8 80.0 47.9 89.4 75.7 97.1 95.3 87.3 106.6 100.6 2005/06 8.9 0.4 7.1 5.4 6.2 32.2 39.3 24.0 46.1 35.7 46.2 37.6 17.7 13.4 12.9 65.8 16.4 29.9 21.5 30.9 57.6 34.7 42.6 66.04 34.87 2004/05 Proportion ANC clients tested for HIV tested for Proportion ANC clients 8.5 0.0 0.1 0.6 20.5 32.5 15.4 31.7 22.7 26.8 26.0 14.4 11.5 10.9 57.2 15.2 18.2 26.1 47.32 17.56 2003/04 District / Province Bohlabela Capricorn Greater Sekhukhune Mopani Vhembe Waterberg Limpopo Ehlanzeni Gert Sibande Nkangala Mpumalanga Baard Frances Kgalagadi Namakwa ka Seme Pixley Siyanda Northern Cape Bojanala Bophirima Central Southern NorthWest Town City of Cape Winelands Cape Karoo Central Eden Overberg Coast West Cape Western South Africa ISRDP average Metro average Type ISRDP ISRDP Province Province ISRDP Province Province Metro ISRDP Province ISRDP Metro New Code New DC35 DC47 DC33 DC34 DC36 LP DC32 DC30 DC31 MP DC9 DC45 DC6 DC7 DC8 NC DC37 DC39 DC38 DC40 NW CPT DC2 DC5 DC4 DC3 DC1 WC ZA Code CBDC4 DC35 CBDC3 DC33 DC34 DC36 LP DC32 DC30 DC31 MP DC9 CBDC1 (nc) DC6 DC7 DC8 NC DC37 DC39 DC38 DC40 NW CPT DC2 DC5 DC4 DC3 DC1 WC ZA Province LP LP LP LP LP LP LP MP MP MP MP NC NC NC NC NC NC NW NW NW NW NW WC WC WC WC WC WC WC SA SA SA

189 Appendices

0.4 0.1 0.5 0.0 0.3 2.1 -0.8 -0.8 -0.5 -0.1 -0.1 -0.4 -0.5 -0.9 -0.4 -1.2 -0.9 -0.3 -1.5 -0.7 -1.0 -1.0 -0.8 -0.4 -0.2 -2.9 -0.1 -1.1 -0.5 -1.0 -2.4 -1.5 -0.6 change 2003-05

2 5 48 31 36 18 19 45 32 17 35 16 26 24 13 21 20 12 44 41 37 51 47 52 43 50 39 30 38 Rank 2005/06 7.8 5.1 5.7 3.3 3.5 7.2 5.1 5.4 3.2 5.4 3.2 4.3 4.1 4.0 2.9 3.6 1.2 2.2 3.5 2.8 3.2 7.2 7.0 5.8 9.0 7.5 9.4 7.1 8.0 6.1 4.9 6.0 7.0 2005/06 Incidence of STI treated - new 8.8 5.7 6.0 3.6 3.3 6.8 5.3 5.6 3.2 5.2 3.5 4.9 3.3 4.2 3.1 3.8 1.3 2.5 4.0 3.4 3.4 6.4 7.2 5.7 8.7 5.8 9.0 7.2 7.7 6.4 5.8 6.1 7.0 2004/05 8.6 5.9 5.3 3.8 3.3 6.7 5.2 5.6 3.6 5.4 3.7 5.2 3.7 4.5 4.2 4.5 1.5 3.7 4.2 3.8 4.1 7.9 7.4 6.0 7.6 7.3 8.2 8.5 7.1 7.3 7.5 7.6 11.9 2003/04 0.5 0.5 3.9 3.0 3.6 1.3 1.6 2.5 3.0 1.0 2.4 0.7 2.1 4.5 2.0 4.1 4.6 2.9 3.9 2.7 2.1 3.5 0.1 0.8 2.5 1.3 0.4 0.5 -0.8 -3.6 -0.3 -1.4 -1.4 change 2003-05 5 9 8 19 15 12 31 11 26 20 44 23 47 29 51 46 37 50 22 21 33 10 16 40 13 25 32 48 39 Rank 2005/06 9.3 9.5 6.4 7.5 8.7 4.6 8.3 7.4 4.0 6.5 2.0 4.2 5.5 3.6 5.2 8.4 8.6 6.0 9.4 5.2 7.9 6.4 3.9 5.3 7.5 15.0 11.3 11.9 11.4 10.3 12.4 11.5 10.9 2005/06 9.4 9.3 8.2 8.6 9.7 9.7 5.7 6.2 4.1 8.0 9.9 6.2 3.0 1.2 1.0 2.9 1.7 6.1 6.8 9.2 4.5 6.4 4.5 6.8 5.9 3.5 4.3 7.1 14.7 10.9 12.5 10.8 10.5 Male condom distribution rate Male condom distribution 2004/05 8.8 9.0 8.4 7.1 8.3 8.8 5.0 5.7 3.6 6.8 1.9 2.0 0.0 0.0 0.9 0.8 1.3 5.8 8.8 3.9 5.9 5.1 5.4 5.1 3.5 6.7 7.0 11.1 10.1 12.0 10.0 12.9 10.1 2003/04 District / Province Alfred Nzo Amathole Chris Hani Cacadu Nelson Mandela Bay Tambo O.R. Ukhahlamba Eastern Cape Dabi Fezile Lejweleputswa Motheo Thabo Mofutsanyane Xhariep State Free Ekurhuleni City of Johannesburg Metsweding Sedibeng Tshwane City of Rand West Gauteng Amajuba eThekwini iLembe Sisonke Ugu UMgungundlovu Umkhanyakude Umzinyathi Uthukela Uthungulu Zululand KwaZulu-Natal Type ISRDP ISRDP Metro ISRDP ISRDP Province ISRDP Province Metro Metro Metro Province Metro ISRDP ISRDP ISRDP ISRDP Province New Code New DC44 DC12 DC13 DC10 NMA DC15 DC14 EC DC20 DC18 DC17 DC19 DC16 FS EKU JHB DC46 DC42 TSH DC48 GP DC25 ETH DC29 DC43 DC21 DC22 DC27 DC24 DC23 DC28 DC26 KZN Code DC44 DC12 DC13 DC10 NMA DC15 DC14 EC DC20 DC18 DC17 DC19 DC16 FS EKU JHB CBDC2 DC42 TSH CBDC8 GP DC25 ETH DC29 DC43 DC21 DC22 DC27 DC24 DC23 DC28 DC26 KZN Province EC EC EC EC EC EC EC EC FS FS FS FS FS FS GP GP GP GP GP GP GP KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN

190 Appendices

0.1 0.5 0.4 0.0 0.3 0.7 0.3 0.3 -1.8 -0.8 -0.2 -2.9 -0.5 -1.0 -0.6 -0.7 -0.2 -0.6 -0.7 -0.8 -1.1 -0.9 -0.8 -1.2 -1.0 -1.7 -0.7 -1.2 -0.1 -0.6 -0.4 -0.5 change 2003-05

1 3 4 7 6 9 8 49 23 15 42 53 34 46 25 11 27 40 10 33 28 29 22 14 Rank 2005/06 7.9 4.0 3.1 7.1 5.3 6.5 7.5 4.1 2.7 4.6 4.6 6.7 1.1 2.7 2.0 3.4 5.1 4.7 4.8 4.0 4.7 2.9 2.2 2.4 2.3 2.7 2.6 2.7 4.8 10.4 6.20 3.99 2005/06 Incidence of STI treated - new 9.5 4.7 3.2 8.8 9.2 5.8 6.9 8.1 4.4 3.2 5.1 5.3 6.9 1.6 3.8 2.7 4.1 6.4 5.1 5.5 4.5 5.5 3.4 2.2 2.7 2.4 2.2 2.7 3.0 5.1 6.23 4.27 2004/05 9.7 4.9 3.4 5.8 7.5 7.0 4.7 3.4 4.9 5.1 7.5 1.9 3.8 2.9 4.2 6.3 5.7 6.5 4.7 5.8 2.5 2.2 2.1 2.4 2.0 2.3 2.4 5.4 10.0 10.3 6.63 4.53 2003/04 6.9 5.0 2.8 4.3 3.6 3.9 8.5 0.8 0.5 3.1 0.3 2.2 1.1 0.0 0.2 1.4 0.9 0.7 0.6 3.4 2.9 2.6 2.5 2.3 8.5 2.9 1.9 4.2 -0.6 -0.3 -1.6 11.8 change 2003-05 4 7 3 6 2 1 24 18 52 53 42 36 45 14 49 27 28 35 43 30 17 34 41 38 Rank 2005/06 7.9 9.3 0.8 0.5 6.0 4.8 5.6 4.5 9.6 3.9 5.1 6.7 6.5 5.9 4.8 5.9 6.4 9.4 6.0 5.0 5.4 8.8 15.4 12.5 15.6 13.2 12.7 16.7 26.8 19.2 10.14 10.07 2005/06 8.8 5.5 9.2 0.0 0.0 4.6 4.8 5.4 5.7 8.6 4.3 5.2 6.2 6.1 5.4 5.9 5.7 4.7 8.6 4.3 3.5 5.0 8.0 16.4 12.8 10.2 10.3 13.7 21.1 15.1 8.76 Male condom distribution rate Male condom distribution 10.12 2004/05 8.4 7.6 5.1 9.6 8.8 8.2 0.0 0.0 2.9 4.5 3.5 4.8 8.5 3.9 5.0 5.3 5.7 5.3 6.4 5.3 3.0 6.4 3.3 2.5 3.2 5.9 11.3 10.0 14.9 10.6 8.21 5.89 2003/04 District / Province Bohlabela Capricorn Greater Sekhukhune Mopani Vhembe Waterberg Limpopo Ehlanzeni Gert Sibande Nkangala Mpumalanga Baard Frances Kgalagadi Namakwa ka Seme Pixley Siyanda Northern Cape Bojanala Bophirima Central Southern NorthWest Town City of Cape Winelands Cape Karoo Central Eden Overberg Coast West Cape Western South Africa ISRDP average Metro average Type ISRDP ISRDP Province Province ISRDP Province Province Metro ISRDP Province ISRDP Metro New Code New DC35 DC47 DC33 DC34 DC36 LP DC32 DC30 DC31 MP DC9 DC45 DC6 DC7 DC8 NC DC37 DC39 DC38 DC40 NW CPT DC2 DC5 DC4 DC3 DC1 WC ZA Code CBDC4 DC35 CBDC3 DC33 DC34 DC36 LP DC32 DC30 DC31 MP DC9 CBDC1 (nc) DC6 DC7 DC8 NC DC37 DC39 DC38 DC40 NW CPT DC2 DC5 DC4 DC3 DC1 WC ZA Province LP LP LP LP LP LP LP MP MP MP MP NC NC NC NC NC NC NW NW NW NW NW WC WC WC WC WC WC WC SA SA SA

191 Appendices

2 3 1 5 9 49 40 41 36 50 52 24 47 33 37 34 38 28 42 46 31 15 32 12 23 16 19 10 29 Rank 2005/06

16.5 96.8 37.0 71.9 98.5 36.9 43.0 50.8 16.5 14.7 54.5 25.0 44.3 31.3 41.8 44.1 39.3 50.9 35.5 28.6 41.9 47.3 60.2 69.7 44.8 63.3 54.7 68.5 59.4 56.8 67.9 48.9 59.8 2005/06 2.4 7.8 4.4 6.9 0.0 7.6 0.0 28.9 89.9 43.0 70.9 75.4 48.0 35.5 55.5 36.0 13.6 39.4 21.1 46.0 10.5 43.8 62.0 62.8 41.3 55.5 59.0 57.5 53.6 45.1 55.1 56.7 55.9 2004/05 pregnant HIV+ women Nevirapine uptake rate among Nevirapine 0.1 0.1 1.7 5.1 4.5 2.1 0.0 0.0 1.3 0.0 2.0 21.4 73.8 23.8 94.6 69.1 39.6 22.2 49.5 10.3 12.3 49.6 84.6 67.5 59.8 70.5 88.2 47.3 86.0 62.1 81.4 64.2 73.0 2003/04

3 7 1 5 9 4 47 41 44 40 39 15 31 11 14 46 43 17 34 24 34 17 17 17 45 37 34 17

Rank 2005/06

96 99 96 77 92 96 100 100 100 100 72.6 85.8 77.0 86.4 86.2 91.1 97.1 75.0 83.6 142.1 107.6 225.8 117.5 100.7 101.9 100.8 101.1 105.1 100.0 118.5 100.6 2005/06

82 98 76 97 98 89 95 95 79 100 93.7 87.8 87.6 11.0 62.9 98.4 73.5 91.9 51.7 54.3 91.8 97.8 91.3 94.0 111.3 164.2 101.3 100.0 105.3 363.6 2004/05 babies of HIV+ women

87 74 87 88 77 97 96 85 91 Nevirapine uptake rate among newborn uptake rate among newborn Nevirapine 27.3 52.9 80.0 94.3 46.9 60.7 86.0 95.3 73.0 87.2 103.8 160.9 213.2 193.1 224.3 112.8 100.0 1,039.4 2003/04 District / Province Alfred Nzo Amathole Chris Hani Cacadu Nelson Mandela Bay Tambo O.R. Ukhahlamba Eastern Cape Dabi Fezile Lejweleputswa Motheo Thabo Mofutsanyane Xhariep State Free Ekurhuleni City of Johannesburg Metsweding Sedibeng Tshwane City of Rand West Gauteng Amajuba eThekwini iLembe Sisonke Ugu UMgungundlovu Umkhanyakude Umzinyathi Uthukela Uthungulu Zululand KwaZulu-Natal Type ISRDP ISRDP Metro ISRDP ISRDP Province ISRDP Province Metro Metro Metro Province Metro ISRDP ISRDP ISRDP ISRDP Province New Code New DC44 DC12 DC13 DC10 NMA DC15 DC14 EC DC20 DC18 DC17 DC19 DC16 FS EKU JHB DC46 DC42 TSH DC48 GP DC25 ETH DC29 DC43 DC21 DC22 DC27 DC24 DC23 DC28 DC26 KZN Code DC44 DC12 DC13 DC10 NMA DC15 DC14 EC DC20 DC18 DC17 DC19 DC16 FS EKU JHB CBDC2 DC42 TSH CBDC8 GP DC25 ETH DC29 DC43 DC21 DC22 DC27 DC24 DC23 DC28 DC26 KZN Province EC EC EC EC EC EC EC EC FS FS FS FS FS FS GP GP GP GP GP GP GP KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN

192 Appendices

7 6 4 8 13 21 22 18 27 26 30 43 51 48 17 53 45 44 39 35 25 14 20 11 Rank 2005/06

62.4 54.8 68.6 54.7 58.2 69.1 60.7 53.0 53.3 48.4 52.0 31.6 16.4 21.7 58.3 10.3 28.6 28.6 30.8 38.1 43.6 34.6 71.3 68.6 53.5 60.5 55.6 67.0 69.2 51.7 48.36 54.15 2005/06 3.3 40.2 50.0 54.9 36.3 43.3 54.7 45.3 48.0 93.2 71.7 66.1 91.7 18.8 37.0 20.5 37.8 36.9 38.5 24.1 32.0 43.5 49.72 35.23 2004/05 pregnant HIV+ women Nevirapine uptake rate among Nevirapine 0.0 0.0 0.0 0.0 0.0 0.0 41.7 32.3 50.1 34.0 53.3 59.3 39.0 32.5 51.3 92.8 52.5 57.3 60.8 58.1 46.9 49.23 43.38 2003/04

2 8 6 30 42 32 27 28 10 48 49 38 12 13 16 33 25 29 22 23 26

Rank 2005/06 97.4 85.7 96.6 98.3 98.2 40.7 23.9 90.6 91.1 99.4 96.5 99.0 98.1 99.4 99.2 98.9 97.1 190.4 105.3 107.3 103.1 116.3 101.8 101.6 100.6 2005/06 0.0 95.6 98.9 77.5 98.8 91.5 96.5 80.0 82.6 77.5 93.8 100.3 103.7 103.6 100.3 102.0 1,500.0 2004/05 babies of HIV+ women 0.0 0.0 0.0 0.0 0.0 0.0 Nevirapine uptake rate among newborn uptake rate among newborn Nevirapine 80.8 97.8 91.1 98.3 96.3 81.5 95.3 100.9 103.3 277.8 2003/04 District / Province Bohlabela Capricorn Greater Sekhukhune Mopani Vhembe Waterberg Limpopo Ehlanzeni Gert Sibande Nkangala Mpumalanga Baard Frances Kgalagadi Namakwa ka Seme Pixley Siyanda Northern Cape Bojanala Bophirima Central Southern NorthWest Town City of Cape Winelands Cape Karoo Central Eden Overberg Coast West Cape Western South Africa ISRDP average Metro average Type ISRDP ISRDP Province Province ISRDP Province Province Metro ISRDP Province ISRDP Metro New Code New DC35 DC47 DC33 DC34 DC36 LP DC32 DC30 DC31 MP DC9 DC45 DC6 DC7 DC8 NC DC37 DC39 DC38 DC40 NW CPT DC2 DC5 DC4 DC3 DC1 WC ZA Code CBDC4 DC35 CBDC3 DC33 DC34 DC36 LP DC32 DC30 DC31 MP DC9 CBDC1 (nc) DC6 DC7 DC8 NC DC37 DC39 DC38 DC40 NW CPT DC2 DC5 DC4 DC3 DC1 WC ZA Province LP LP LP LP LP LP LP MP MP MP MP NC NC NC NC NC NC NW NW NW NW NW WC WC WC WC WC WC WC SA SA SA

193 Appendices

9.3 4.7 5.1 8.1 7.7 2.7 6.5 4.5 1.6 0.0 7.1 2.5 9.6 3.3 0.0 9.9 3.0 9.8 -1.6 -1.3 17.4 15.7 11.5 13.4 11.4 14.4 13.9 16.7 16.5 18.5 17.3 12.4 11.0 change 2003-05

1 7 9 2 8 43 10 21 11 44 17 23 34 24 48 22 35 16 36 31 14 42 13 20 19 41 15 45 Rank 2005/06 0.0 66.7 96.7 85.8 95.8 63.6 89.6 87.0 85.8 77.6 98.8 84.5 59.8 85.6 85.8 76.8 97.8 90.5 76.6 83.7 78.8 94.1 66.7 94.2 86.1 86.4 98.4 66.9 91.5 63.1 85.7 139.4 114.0 2005/06 Delivery rate in facility 0.0 66.8 90.7 88.5 73.0 89.0 90.7 82.9 79.3 84.9 60.7 86.0 83.8 77.6 97.9 93.0 77.0 84.5 78.2 96.2 67.9 99.5 88.5 88.2 94.8 66.2 95.3 53.9 86.2 107.3 127.8 100.3 114.8 2004/05 0.0 57.4 79.4 70.1 84.2 52.1 75.3 73.1 81.1 72.5 90.6 76.8 57.1 79.1 81.3 75.2 90.7 88.0 67.0 80.5 62.0 77.7 66.7 95.5 76.9 87.6 74.0 87.4 57.0 88.5 64.3 75.9 126.0 2003/04 2.9 3.7 3.2 3.9 4.1 2.8 3.4 3.3 4.4 4.1 4.5 4.7 4.5 4.5 3.2 3.6 3.8 3.5 3.7 2.5 3.4 3.6 3.8 3.8 3.9 4.0 3.0 3.9 3.5 3.9 3.5 2.8 3.6 2005/06 2.8 4.0 3.1 4.2 3.8 2.8 3.2 3.3 4.3 4.0 5.1 5.0 5.2 4.6 3.2 3.7 4.1 3.1 3.8 2.8 3.4 3.8 4.2 3.1 3.3 4.0 4.0 3.9 4.0 3.8 4.5 3.4 3.9 2004/05 2.7 4.0 3.0 4.5 4.0 2.7 3.0 3.3 4.6 4.1 5.1 4.7 5.0 4.6 3.4 3.6 4.2 3.1 3.9 3.3 3.5 3.5 4.6 3.7 3.8 4.4 3.9 4.3 4.2 3.8 4.6 3.5 4.2 ANC visits per antenatal client rate ANC visits per antenatal client 2003/04 District / Province Alfred Nzo Amathole Chris Hani Cacadu Nelson Mandela Bay Tambo O.R. Ukhahlamba Eastern Cape Dabi Fezile Lejweleputswa Motheo Thabo Mofutsanyane Xhariep State Free Ekurhuleni City of Johannesburg Metsweding Sedibeng Tshwane City of Rand West Gauteng Amajuba eThekwini iLembe Sisonke Ugu UMgungundlovu Umkhanyakude Umzinyathi Uthukela Uthungulu Zululand KwaZulu-Natal Type ISRDP ISRDP Metro ISRDP ISRDP Province ISRDP Province Metro Metro Metro Province Metro ISRDP ISRDP ISRDP ISRDP Province New Code New DC44 DC12 DC13 DC10 NMA DC15 DC14 EC DC20 DC18 DC17 DC19 DC16 FS EKU JHB DC46 DC42 TSH DC48 GP DC25 ETH DC29 DC43 DC21 DC22 DC27 DC24 DC23 DC28 DC26 KZN Code DC44 DC12 DC13 DC10 NMA DC15 DC14 EC DC20 DC18 DC17 DC19 DC16 FS EKU JHB CBDC2 DC42 TSH CBDC8 GP DC25 ETH DC29 DC43 DC21 DC22 DC27 DC24 DC23 DC28 DC26 KZN Province EC EC EC EC EC EC EC EC FS FS FS FS FS FS GP GP GP GP GP GP GP KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN

194 Appendices

1.8 6.3 0.5 3.2 2.0 2.1 4.2 3.6 1.2 5.5 -1.8 -5.2 -6.2 -0.6 -3.7 -3.9 -3.6 30.4 36.1 31.9 20.0 19.4 16.9 26.4 11.4 14.2 -19.8 -31.9 -16.8 -10.1 -44.7 -28.1 change 2003-05

3 5 4 6 12 29 39 49 46 18 33 37 50 26 40 47 32 25 52 27 30 28 51 38 Rank 2005/06 95.7 80.1 98.4 73.7 59.2 60.6 67.9 86.8 77.9 74.1 52.9 82.0 80.9 69.0 60.2 78.6 82.5 69.7 43.5 81.7 79.3 81.5 52.5 73.8 55.9 81.1 106.4 102.9 104.2 100.2 82.77 80.04 2005/06 Delivery rate in facility 92.4 95.5 86.9 93.1 75.3 90.5 78.6 56.8 71.6 72.5 85.8 80.4 90.9 89.9 86.6 78.2 76.1 85.2 77.0 82.1 89.4 76.1 79.9 55.3 73.0 80.9 84.8 101.0 116.7 103.2 82.91 87.81 2004/05 76.1 66.8 72.4 75.7 80.8 63.2 72.0 71.9 52.9 60.2 64.7 79.7 79.2 84.8 88.2 97.7 69.6 70.3 67.2 80.5 67.6 88.2 85.4 75.1 77.9 56.4 72.6 84.0 75.7 106.6 68.53 83.69 2003/04 3.7 4.2 4.1 3.7 4.4 4.0 4.1 4.0 3.6 3.7 3.8 4.3 4.0 5.5 4.8 4.5 4.5 4.6 4.1 4.7 3.8 4.2 4.8 5.7 5.3 5.6 5.6 5.9 5.1 3.8 3.49 3.77 2005/06 3.5 4.0 4.2 4.0 4.7 3.8 4.1 3.9 3.5 3.4 3.6 4.4 4.3 5.8 4.5 4.2 4.4 5.6 4.7 4.3 3.5 4.6 4.8 6.0 4.8 5.5 5.4 5.8 5.1 3.9 3.60 3.89 2004/05 3.7 4.0 4.3 3.8 4.7 3.3 4.1 3.9 3.7 3.4 3.7 4.2 4.5 5.8 4.2 3.9 4.3 4.2 4.3 4.6 4.0 4.3 4.6 5.6 4.3 5.0 5.3 5.7 4.9 4.0 3.63 3.99 ANC visits per antenatal client rate ANC visits per antenatal client 2003/04 District / Province Bohlabela Capricorn Greater Sekhukhune Mopani Vhembe Waterberg Limpopo Ehlanzeni Gert Sibande Nkangala Mpumalanga Baard Frances Kgalagadi Namakwa ka Seme Pixley Siyanda Northern Cape Bojanala Bophirima Central Southern NorthWest Town City of Cape Winelands Cape Karoo Central Eden Overberg Coast West Cape Western South Africa ISRDP average Metro average Type ISRDP ISRDP Province Province ISRDP Province Province Metro ISRDP Province ISRDP Metro New Code New DC35 DC47 DC33 DC34 DC36 LP DC32 DC30 DC31 MP DC9 DC45 DC6 DC7 DC8 NC DC37 DC39 DC38 DC40 NW CPT DC2 DC5 DC4 DC3 DC1 WC ZA Code CBDC4 DC35 CBDC3 DC33 DC34 DC36 LP DC32 DC30 DC31 MP DC9 CBDC1 (nc) DC6 DC7 DC8 NC DC37 DC39 DC38 DC40 NW CPT DC2 DC5 DC4 DC3 DC1 WC ZA Province LP LP LP LP LP LP LP MP MP MP MP NC NC NC NC NC NC NW NW NW NW NW WC WC WC WC WC WC WC SA SA SA

195 Appendices 5.5 9.4 6.9 5.0 -2.1 -3.3 -2.9 -2.6 -1.4 -2.2 -6.1 -4.0 -4.9 -4.1 -9.5 -5.2 -5.0 -6.6 -4.4 -5.1 -4.7 -8.8 -5.1 10.5 28.0 12.6 10.0 12.3 28.2 -13.1 -13.2 -13.1 2003-05 abs. change abs.

48 42 22 47 51 49 46 37 45 43 38 34 27 13 20 14 11 50 41 40 16 33 36 21 30 25 19 52 Rank 2005/06 39.5 31.7 22.5 37.7 56.4 44.4 36.7 38.3 28.9 35.5 31.7 29.0 27.8 31.2 24.1 18.9 22.2 19.6 17.9 21.3 53.2 31.1 30.7 20.1 27.8 28.5 22.3 26.1 24.0 22.0 64.1 31.2 2005/06 Stillbirth rate (per 1000 births) 24.1 26.5 20.7 27.8 39.6 35.2 26.2 29.9 29.9 34.0 31.0 32.1 19.4 31.4 22.4 19.8 24.4 18.9 25.6 21.8 40.0 29.1 30.9 22.2 28.1 34.5 22.6 24.7 27.8 28.8 49.7 30.5 2004/05 28.9 26.1 24.6 28.3 28.4 31.7 29.8 28.4 32.2 38.4 34.3 30.4 22.8 33.4 30.2 22.9 27.1 23.8 27.4 26.5 40.8 44.2 35.7 26.6 32.2 33.5 35.5 30.8 37.0 30.9 35.9 36.3 2003/04

1.5 4.8 3.5 4.2 1.2 9.5 0.7 4.4 1.2 0.3 2.9 0.2 0.9 0.9 3.6 0.6 3.0 1.1 5.9 1.4 4.9 1.8 1.9 2.2 5.6 1.9 2.0 -0.3 -0.7 -3.3 -2.5 10.3 change 2003-05 8.0 6.6 4.4 18.5 10.3 15.9 25.7 21.1 18.0 15.4 14.0 20.0 13.8 15.6 14.1 20.0 19.2 23.2 16.7 18.9 14.2 30.0 23.2 18.3 27.4 35.2 11.6 14.8 20.9 25.2 15.9 24.1 2005/06 7.9 7.6 7.0 3.1 15.9 12.5 25.6 12.2 14.5 16.6 14.1 19.7 14.6 16.0 14.3 19.0 16.7 23.0 15.5 18.3 13.9 30.2 20.8 16.7 23.4 28.2 10.5 13.3 16.6 21.9 14.2 22.3 2004/05 Caesarean section rate 6.5 6.9 5.9 1.5 9.8 13.7 11.7 24.5 11.7 13.7 15.7 12.8 20.7 13.5 15.4 13.2 19.1 15.5 22.6 13.7 17.8 17.6 32.5 17.3 16.9 22.6 24.9 12.9 18.7 19.6 14.0 22.1 2003/04 District / Province Alfred Nzo Amathole Chris Hani Cacadu Nelson Mandela Bay Tambo O.R. Ukhahlamba Eastern Cape Dabi Fezile Lejweleputswa Motheo Thabo Mofutsanyane Xhariep State Free Ekurhuleni City of Johannesburg Metsweding Sedibeng Tshwane City of Rand West Gauteng Amajuba eThekwini iLembe Sisonke Ugu UMgungundlovu Umkhanyakude Umzinyathi Uthukela Uthungulu Zululand KwaZulu-Natal Type ISRDP ISRDP Metro ISRDP ISRDP Province ISRDP Province Metro Metro Metro Province Metro ISRDP ISRDP ISRDP ISRDP Province New Code New DC44 DC12 DC13 DC10 NMA DC15 DC14 EC DC20 DC18 DC17 DC19 DC16 FS EKU JHB DC46 DC42 TSH DC48 GP DC25 ETH DC29 DC43 DC21 DC22 DC27 DC24 DC23 DC28 DC26 KZN Code DC44 DC12 DC13 DC10 NMA DC15 DC14 EC DC20 DC18 DC17 DC19 DC16 FS EKU JHB CBDC2 DC42 TSH CBDC8 GP DC25 ETH DC29 DC43 DC21 DC22 DC27 DC24 DC23 DC28 DC26 KZN Province EC EC EC EC EC EC EC EC FS FS FS FS FS FS GP GP GP GP GP GP GP KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN

196 Appendices 7.2 0.4 1.1 1.4 0.7 5.0 0.6 1.9 -3.7 -3.6 -5.9 -5.6 -8.4 -6.2 -1.7 -5.3 -0.7 -2.8 -2.2 -5.1 -4.6 -3.6 -1.1 -1.7 -0.6 -3.2 -2.3 -2.7 -10.2 -16.7 -12.4 -21.7 2003-05 abs. change abs.

8 6 5 2 4 3 1 9 7 18 26 31 24 15 29 35 44 28 32 39 17 12 23 10 Rank 2005/06 9.6 4.0 5.0 4.2 2.0 4.0 21.0 24.0 26.3 23.9 15.9 20.0 21.5 25.1 28.2 35.4 28.6 24.1 11.4 26.5 30.6 24.9 17.1 20.1 18.9 23.8 14.1 17.2 18.3 24.8 32.2 23.8 2005/06 9.7 4.0 4.4 5.3 1.7 4.0 Stillbirth rate (per 1000 births) 24.0 27.9 26.2 21.6 25.5 24.5 25.7 21.1 31.7 65.7 34.7 30.8 29.3 23.8 43.3 32.0 19.7 20.0 15.1 17.0 11.5 21.3 19.2 25.1 28.9 23.1 2004/05 7.6 4.6 5.3 0.8 5.7 24.7 27.6 32.2 29.5 24.3 30.2 27.7 26.8 33.5 36.0 31.3 26.4 16.5 19.3 26.3 43.0 29.5 15.7 20.7 18.2 18.8 35.8 20.4 17.7 27.1 30.4 26.4 2003/04

2.8 3.1 1.5 2.2 1.9 1.6 2.2 2.3 2.0 3.2 2.3 0.6 0.8 1.7 0.7 1.7 1.2 3.7 0.2 1.8 1.1 0.1 7.4 2.2 3.1 2.2 -4.5 -3.0 -0.9 -1.8 -1.1 14.1 change 2003-05 8.4 8.6 6.7 12.7 13.0 10.3 12.8 15.4 13.7 13.1 14.3 15.2 14.9 14.4 14.9 12.3 11.2 10.9 13.4 11.7 22.8 11.9 32.1 17.2 14.5 21.3 15.5 10.5 24.4 18.4 14.67 23.40 2005/06 9.5 7.6 8.9 7.6 6.5 9.7 11.3 14.0 11.3 14.8 12.8 12.6 12.9 14.0 10.1 12.1 22.2 12.0 13.3 15.9 11.0 20.4 10.5 19.7 14.3 13.7 19.4 14.6 18.0 16.6 12.26 21.75 2004/05 Caesarean section rate 9.9 8.8 9.3 6.9 6.0 10.0 10.7 13.5 12.0 10.9 11.9 13.2 11.7 12.1 19.3 11.7 14.1 10.1 15.2 12.8 21.1 10.7 18.1 13.5 14.3 19.5 14.5 10.4 16.9 16.2 11.58 21.23 2003/04 District / Province Bohlabela Capricorn Greater Sekhukhune Mopani Vhembe Waterberg Limpopo Ehlanzeni Gert Sibande Nkangala Mpumalanga Baard Frances Kgalagadi Namakwa ka Seme Pixley Siyanda Northern Cape Bojanala Bophirima Central Southern NorthWest Town City of Cape Winelands Cape Karoo Central Eden Overberg Coast West Cape Western South Africa ISRDP average Metro average Type ISRDP ISRDP Province Province ISRDP Province Province Metro ISRDP Province ISRDP Metro New Code New DC35 DC47 DC33 DC34 DC36 LP DC32 DC30 DC31 MP DC9 DC45 DC6 DC7 DC8 NC DC37 DC39 DC38 DC40 NW CPT DC2 DC5 DC4 DC3 DC1 WC ZA Code CBDC4 DC35 CBDC3 DC33 DC34 DC36 LP DC32 DC30 DC31 MP DC9 CBDC1 (nc) DC6 DC7 DC8 NC DC37 DC39 DC38 DC40 NW CPT DC2 DC5 DC4 DC3 DC1 WC ZA Province LP LP LP LP LP LP LP MP MP MP MP NC NC NC NC NC NC NW NW NW NW NW WC WC WC WC WC WC WC SA SA SA

197 Appendices

0.8 0.0 0.2 0.5 0.8 0.7 0.3 0.7 1.0 0.9 1.3 1.4 0.6 0.9 0.9 3.2 0.6 2.4 1.2 -0.4 -0.8 -1.7 -0.8 -0.6 -0.8 -0.1 -0.8 -0.8 -0.6 -0.5 -1.3 -0.4 -0.8 change 2003-05 1 7 30 17 37 42 12 10 32 47 51 34 48 46 18 19 26 11 14 22 31 39 40 13 29 20 52 15 45 Rank 2005/06 1.6 1.2 2.2 2.5 1.0 0.9 1.8 1.3 3.3 4.5 1.9 3.8 3.2 3.4 1.2 0.3 0.7 1.2 1.5 0.9 0.7 1.1 1.3 1.7 2.2 2.3 1.1 1.6 1.3 4.7 1.1 3.0 1.8 2005/06 1.7 1.4 2.9 3.0 1.1 1.1 1.9 1.6 3.0 4.5 2.3 3.9 2.6 3.4 0.8 0.5 0.8 1.0 1.3 1.0 0.7 1.2 0.8 1.9 2.1 1.8 0.0 1.2 0.8 3.8 1.0 1.6 1.2 2004/05 Not gaining weight under 5 years rate Not gaining weight under 5 years 2.0 1.9 3.9 3.3 1.5 1.8 2.0 2.1 4.1 5.1 2.3 5.1 3.6 4.2 0.4 0.4 0.5 0.6 0.7 0.3 0.4 0.3 0.4 0.8 0.9 0.9 0.4 0.8 0.4 1.5 0.5 0.6 0.6 2003/04

1.3 5.0 7.3 3.2 4.2 1.4 -6.5 -4.5 -4.3 -2.5 -5.6 -3.8 -6.7 -1.1 -3.9 -3.1 -2.1 -2.6 -9.9 -5.4 -3.1 -8.4 17.1 54.3 16.0 12.1 13.4 20.9 -19.4 -17.6 -15.0 -12.5 change 2003-05

50 41 12 46 52 49 47 24 44 37 38 34 30 14 17 19 28 48 35 45 40 29 26 18 31 21 22 51 Rank 2005/06 64.7 41.3 27.7 47.9 91.2 62.4 57.7 54.7 33.0 47.0 39.6 39.6 38.1 40.0 35.4 29.3 29.9 30.3 34.7 32.7 57.9 39.2 47.1 40.6 34.9 34.3 30.1 35.9 31.2 31.4 69.0 39.7 2005/06 42.4 38.2 28.8 41.5 53.7 52.2 41.4 43.8 36.6 45.4 38.8 44.8 28.5 41.3 32.8 29.6 31.3 20.7 47.8 31.1 50.5 38.5 44.3 39.5 33.3 42.4 30.8 31.5 40.1 39.8 64.4 40.5 2004/05 Perinatal mortality rate in facility (per 1000 births)Perinatal 47.6 40.0 34.2 42.9 37.0 46.4 45.6 41.3 37.5 51.4 42.1 45.2 30.8 43.9 42.1 30.4 33.8 27.1 37.8 34.8 53.8 58.6 49.7 39.2 44.8 39.6 47.7 39.1 46.1 43.9 48.1 48.2 2003/04 District / Province Alfred Nzo Amathole Chris Hani Cacadu Nelson Mandela Bay Tambo O.R. Ukhahlamba Eastern Cape Dabi Fezile Lejweleputswa Motheo Thabo Mofutsanyane Xhariep State Free Ekurhuleni City of Johannesburg Metsweding Sedibeng Tshwane City of Rand West Gauteng Amajuba eThekwini iLembe Sisonke Ugu UMgungundlovu Umkhanyakude Umzinyathi Uthukela Uthungulu Zululand KwaZulu-Natal Type ISRDP ISRDP Metro ISRDP ISRDP Province ISRDP Province Metro Metro Metro Province Metro ISRDP ISRDP ISRDP ISRDP Province New Code New DC44 DC12 DC13 DC10 NMA DC15 DC14 EC DC20 DC18 DC17 DC19 DC16 FS EKU JHB DC46 DC42 TSH DC48 GP DC25 ETH DC29 DC43 DC21 DC22 DC27 DC24 DC23 DC28 DC26 KZN Code DC44 DC12 DC13 DC10 NMA DC15 DC14 EC DC20 DC18 DC17 DC19 DC16 FS EKU JHB CBDC2 DC42 TSH CBDC8 GP DC25 ETH DC29 DC43 DC21 DC22 DC27 DC24 DC23 DC28 DC26 KZN Province EC EC EC EC EC EC EC EC FS FS FS FS FS FS GP GP GP GP GP GP GP KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN

198 Appendices

0.0 0.4 1.9 2.8 2.3 1.4 2.2 0.0 0.3 0.0 0.1 0.0 0.4 -0.5 -0.3 -0.1 -0.4 -0.6 -0.2 -0.7 -0.6 -1.1 -0.8 -0.7 -0.3 -1.0 -0.5 -0.6 -0.3 -0.4 -0.2 -0.2 change 2003-05 6 8 4 3 5 9 2 27 36 24 16 28 21 35 38 53 49 50 33 44 41 23 25 43 Rank 2005/06 1.6 0.6 2.0 0.8 0.5 1.5 0.9 1.1 1.6 1.3 1.4 2.0 2.2 5.2 3.8 4.4 3.2 1.9 2.8 2.3 1.4 2.2 0.5 0.5 1.5 2.6 0.9 0.4 0.8 1.4 1.92 0.87 2005/06 1.4 0.6 2.1 0.8 0.5 1.4 0.9 1.4 2.1 1.8 1.8 2.6 3.6 4.7 3.4 4.2 3.3 2.6 3.9 2.1 1.9 2.6 0.4 0.8 1.8 2.9 0.8 0.6 0.7 1.4 1.78 0.70 2004/05 Not gaining weight under 5 years rate Not gaining weight under 5 years 2.1 0.9 2.1 1.2 0.5 2.1 1.2 1.8 2.2 2.4 2.1 2.7 2.5 4.8 4.7 4.9 3.8 0.4 0.8 1.9 2.3 1.1 0.6 0.8 1.3 1.91 0.49 2003/04

2.4 1.4 1.1 1.6 2.3 5.9 1.4 0.8 -5.1 -1.8 -8.3 -2.6 -4.4 -5.1 -4.9 -2.1 -3.1 -0.7 -0.4 -1.3 -3.7 -2.5 -0.8 -10.1 -10.9 -19.1 -13.3 -10.2 -23.6 -23.9 -11.0 -17.1 change 2003-05

8 5 6 2 3 4 1 9 7 42 32 36 23 20 27 39 43 15 16 33 11 25 13 10 Rank 2005/06 5.1 6.0 6.5 2.4 5.2 43.4 36.1 39.3 32.6 23.3 30.7 33.1 34.6 40.3 44.8 39.5 29.6 14.3 29.8 19.9 36.4 31.0 23.7 25.2 34.2 28.5 21.5 24.0 24.6 34.5 44.7 34.1 2005/06 4.3 5.6 6.4 2.7 4.7 40.5 41.0 36.7 40.3 36.1 65.4 29.5 44.4 80.6 46.7 38.5 14.1 56.9 34.7 58.5 44.3 26.8 25.4 32.1 21.8 17.6 29.6 26.1 37.9 56.6 31.5 152.9 2004/05 Perinatal mortality rate in facility (per 1000 births)Perinatal 8.2 4.6 5.3 0.8 5.9 41.0 41.2 49.4 43.5 42.4 44.0 43.3 36.4 48.7 47.3 43.9 34.7 19.2 31.9 43.5 60.3 42.0 21.4 25.6 35.5 22.5 38.7 27.7 23.2 37.0 43.9 34.9 2003/04 District / Province Bohlabela Capricorn Greater Sekhukhune Mopani Vhembe Waterberg Limpopo Ehlanzeni Gert Sibande Nkangala Mpumalanga Baard Frances Kgalagadi Namakwa ka Seme Pixley Siyanda Northern Cape Bojanala Bophirima Central Southern NorthWest Town City of Cape Winelands Cape Karoo Central Eden Overberg Coast West Cape Western South Africa ISRDP average Metro average Type ISRDP ISRDP Province Province ISRDP Province Province Metro ISRDP Province ISRDP Metro New Code New DC35 DC47 DC33 DC34 DC36 LP DC32 DC30 DC31 MP DC9 DC45 DC6 DC7 DC8 NC DC37 DC39 DC38 DC40 NW CPT DC2 DC5 DC4 DC3 DC1 WC ZA Code CBDC4 DC35 CBDC3 DC33 DC34 DC36 LP DC32 DC30 DC31 MP DC9 CBDC1 (nc) DC6 DC7 DC8 NC DC37 DC39 DC38 DC40 NW CPT DC2 DC5 DC4 DC3 DC1 WC ZA Province LP LP LP LP LP LP LP MP MP MP MP NC NC NC NC NC NC NW NW NW NW NW WC WC WC WC WC WC WC SA SA SA

199 Appendices 8.1 5.9 8.9 7.7 7.5 9.6 4.9 9.1 9.8 9.2 8.8 0.6 9.9 7.0 1.4 5.3 7.7 -9.9 -4.8 12.2 13.5 23.2 31.7 12.0 17.0 19.3 17.4 11.7 13.6 20.7 27.0 11.2 11.7 change 2003-05 6 1 5 8 7 2 3 11 20 30 15 34 24 25 41 36 29 53 21 14 51 38 37 13 16 27 42 12 44 Rank 2005/06 96.0 87.8 98.5 84.9 92.6 92.1 80.5 91.0 82.2 88.1 65.5 94.7 99.3 69.5 85.8 82.0 82.2 96.8 90.0 79.9 79.5 91.9 111.2 101.6 120.5 111.3 104.6 105.8 100.0 105.7 117.9 113.7 100.6 2005/06 98.4 87.6 80.9 77.3 93.3 85.7 84.3 86.3 81.9 71.1 83.7 75.6 83.6 56.8 85.2 90.6 53.4 79.5 83.6 81.1 91.3 95.1 99.1 89.2 87.5 69.9 89.1 76.5 85.9 Immunisation coverage < 1 year coverage Immunisation 100.2 108.7 107.0 106.6 2004/05 99.0 88.1 97.4 87.9 72.9 75.7 88.8 79.2 78.9 83.7 84.3 73.0 81.5 77.3 79.0 55.8 85.5 81.9 57.8 77.0 86.8 81.6 86.5 95.8 97.2 86.7 85.6 83.1 78.5 88.9 74.2 84.2 121.2 2003/04 7.7 8.2 -4.5 -5.9 46.4 22.5 31.9 50.1 13.3 30.0 29.9 41.0 38.5 70.9 69.4 45.4 74.3 -61.0 -97.7 -57.3 -84.5 -79.2 -17.4 140.4 216.6 218.5 149.3 210.3 187.4 152.1 141.5 -142.7 -134.2 change 2003-05 8 1 2 4 3 32 26 20 18 22 36 10 15 14 17 13 38 43 50 44 42 45 39 40 27 46 41 Rank 2005/06 73.4 10.8 18.4 50.5 43.1 77.5 45.6 288.4 233.6 156.5 151.7 188.4 350.1 187.6 116.1 106.6 138.9 105.5 102.4 413.9 493.9 631.9 501.1 490.1 506.0 417.9 435.0 244.9 519.0 481.9 470.5 2005/06 84.9 28.0 67.8 35.4 34.0 61.8 62.6 67.3 61.8 95.2 98.2 92.9 247.2 213.0 170.6 151.8 205.1 303.0 189.8 102.6 115.7 477.0 529.8 810.6 469.5 451.4 497.3 489.5 479.2 312.9 618.8 508.5 516.6 Diarrhoea incidence under 5 years 2004/05 97.7 75.7 45.6 66.0 32.3 76.7 64.5 63.9 134.3 153.4 134.2 135.0 148.0 122.3 187.2 148.9 156.2 194.3 327.6 179.4 109.1 343.0 277.3 413.4 351.8 279.8 318.6 348.5 389.5 262.3 366.9 407.7 329.0 2003/04 District / Province Alfred Nzo Amathole Chris Hani Cacadu Nelson Mandela Bay Tambo O.R. Ukhahlamba Eastern Cape Dabi Fezile Lejweleputswa Motheo Thabo Mofutsanyane Xhariep State Free Ekurhuleni City of Johannesburg Metsweding Sedibeng Tshwane City of Rand West Gauteng Amajuba eThekwini iLembe Sisonke Ugu UMgungundlovu Umkhanyakude Umzinyathi Uthukela Uthungulu Zululand KwaZulu-Natal Type ISRDP ISRDP Metro ISRDP ISRDP Province ISRDP Province Metro Metro Metro Province Metro ISRDP ISRDP ISRDP ISRDP Province New Code New DC44 DC12 DC13 DC10 NMA DC15 DC14 EC DC20 DC18 DC17 DC19 DC16 FS EKU JHB DC46 DC42 TSH DC48 GP DC25 ETH DC29 DC43 DC21 DC22 DC27 DC24 DC23 DC28 DC26 KZN Code DC44 DC12 DC13 DC10 NMA DC15 DC14 EC DC20 DC18 DC17 DC19 DC16 FS EKU JHB CBDC2 DC42 TSH CBDC8 GP DC25 ETH DC29 DC43 DC21 DC22 DC27 DC24 DC23 DC28 DC26 KZN Province EC EC EC EC EC EC EC EC FS FS FS FS FS FS GP GP GP GP GP GP GP KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN

200 Appendices 6.8 5.1 3.9 1.5 4.0 5.8 8.2 6.3 9.5 8.2 2.1 0.8 9.9 1.6 2.8 3.0 8.6 5.2 -0.1 -4.8 -6.4 -2.8 15.8 12.8 20.7 13.0 12.1 20.3 12.2 20.5 17.1 -11.9 change 2003-05 9 4 26 18 28 22 52 49 47 35 17 50 10 33 39 32 48 46 23 40 19 31 43 45 Rank 2005/06 91.1 96.5 88.9 92.9 65.9 94.0 73.2 76.0 83.4 75.4 96.5 69.6 85.0 80.5 86.5 74.8 76.3 83.2 92.9 80.5 96.4 87.0 79.7 79.1 89.0 90.3 104.0 113.2 103.9 102.0 97.92 89.38 2005/06 84.2 87.8 74.0 81.9 95.4 70.2 85.3 67.4 80.8 82.6 74.7 93.5 95.9 80.1 99.8 73.9 79.9 73.2 73.1 76.0 90.6 76.3 82.2 80.3 70.9 79.4 85.7 83.8 Immunisation coverage < 1 year coverage Immunisation 111.8 101.6 85.70 85.11 2004/05 75.3 83.7 68.2 86.2 91.0 66.0 81.9 68.2 72.1 88.3 73.9 92.9 84.3 76.0 81.0 96.2 72.3 80.2 77.6 66.7 75.0 90.7 79.8 75.9 77.1 78.1 76.2 86.0 81.7 115.8 80.77 84.17 2003/04 2.5 5.6 -0.7 76.8 37.6 19.8 11.2 11.2 13.8 72.0 51.8 67.4 -17.3 -53.5 -63.9 -39.7 -92.0 -71.1 -10.0 -41.5 273.3 241.6 107.3 250.1 383.8 174.1 253.6 476.7 148.7 146.1 120.8 132.1 change 2003-05 9 5 7 6 47 37 25 49 48 33 31 21 24 30 51 12 23 19 29 34 35 28 16 11 Rank 2005/06 90.3 87.3 74.9 52.2 67.9 61.9 526.6 388.7 222.2 578.2 571.3 294.7 445.4 284.8 159.3 221.2 219.5 282.5 802.5 196.7 154.1 214.4 258.0 304.3 329.1 252.2 298.4 128.6 106.0 257.7 276.46 190.46 2005/06 94.9 94.4 60.5 60.9 62.0 350.8 235.3 149.4 449.1 421.0 209.1 313.4 267.4 167.1 253.1 222.2 194.8 526.7 159.3 196.8 153.7 185.4 124.6 291.8 299.8 179.4 208.6 133.5 111.1 244.6 262.93 190.28 Diarrhoea incidence under 5 years 2004/05 76.1 52.9 56.7 56.3 92.2 253.3 147.1 115.0 328.1 187.5 120.6 191.7 302.1 212.8 285.1 259.2 205.7 325.8 182.3 267.8 164.0 211.9 109.3 266.7 183.1 131.5 166.4 108.7 116.4 185.7 224.65 123.04 2003/04 District / Province Bohlabela Capricorn Greater Sekhukhune Mopani Vhembe Waterberg Limpopo Ehlanzeni Gert Sibande Nkangala Mpumalanga Baard Frances Kgalagadi Namakwa ka Seme Pixley Siyanda Northern Cape Bojanala Bophirima Central Southern NorthWest Town City of Cape Winelands Cape Karoo Central Eden Overberg Coast West Cape Western South Africa ISRDP average Metro average Type ISRDP ISRDP Province Province ISRDP Province Province Metro ISRDP Province ISRDP Metro New Code New DC35 DC47 DC33 DC34 DC36 LP DC32 DC30 DC31 MP DC9 DC45 DC6 DC7 DC8 NC DC37 DC39 DC38 DC40 NW CPT DC2 DC5 DC4 DC3 DC1 WC ZA Code CBDC4 DC35 CBDC3 DC33 DC34 DC36 LP DC32 DC30 DC31 MP DC9 CBDC1 (nc) DC6 DC7 DC8 NC DC37 DC39 DC38 DC40 NW CPT DC2 DC5 DC4 DC3 DC1 WC ZA Province LP LP LP LP LP LP LP MP MP MP MP NC NC NC NC NC NC NW NW NW NW NW WC WC WC WC WC WC WC SA SA SA

201 Appendices 0.0 0.2 0.1 0.3 0.1 0.3 0.4 0.0 0.0 -0.4 -0.2 -0.1 -1.8 -0.7 -0.3 -0.1 -0.1 -0.1 -0.4 -0.2 -0.8 -1.2 -1.3 -0.5 -0.4 -0.6 -2.2 -0.1 -0.8 -0.7 -0.5 -0.8 change 2003-05 3 9 2 8 50 46 44 31 21 51 41 38 15 16 36 14 20 17 39 49 37 43 25 48 45 35 47 42 Rank 2005/06 8.7 6.5 5.9 4.2 3.3 9.1 5.3 6.2 2.4 2.6 4.8 3.0 2.2 3.2 3.1 4.4 3.0 2.5 3.3 2.9 3.1 4.9 8.2 4.6 5.5 3.6 7.2 6.1 4.4 6.8 5.3 5.5 2005/06 7.4 6.0 5.8 4.1 3.4 9.4 5.3 6.0 2.1 2.8 4.5 2.9 2.4 3.0 3.5 3.8 2.8 2.5 3.5 2.9 3.4 5.6 9.2 4.8 5.2 3.4 8.4 6.0 4.4 7.1 5.4 5.7 2004/05 Average length of stay - all patients length of stay Average 9.1 6.8 6.1 4.1 5.1 9.8 5.1 6.5 2.5 2.7 4.7 2.7 2.3 3.1 3.4 4.1 2.6 2.5 3.5 2.9 4.0 6.0 9.5 5.1 6.0 4.3 9.3 6.2 5.2 7.5 5.8 6.2 2003/04 1.2 2.1 0.9 2.2 6.4 1.0 3.8 0.6 1.7 -0.4 -4.5 -1.8 -3.9 -0.1 -3.7 -2.8 -0.2 -4.4 -4.6 -2.3 -4.8 -3.7 -2.4 -2.6 -1.2 -1.6 -6.6 -8.0 -6.3 -5.7 -1.2 -1.9 -12.2 change 2003-05 5 1 3 2 20 25 40 45 51 28 15 33 26 49 21 14 12 53 47 44 50 34 37 52 32 16 36 18 29 Rank 2005/06 3.5 4.0 1.0 6.4 7.0 9.8 4.5 6.0 2.9 5.2 4.0 7.9 1.9 3.6 2.9 2.2 0.0 7.2 3.6 7.0 8.3 5.6 5.8 5.1 3.3 5.7 3.4 4.8 5.9 -5.2 -3.5 11.8 11.8 2005/06 6.8 4.8 5.3 9.1 6.2 7.6 8.3 7.3 2.2 6.7 1.4 5.6 7.1 5.2 5.3 8.0 5.8 6.4 7.3 8.7 8.7 7.3 6.4 7.9 8.4 7.7 8.6 9.1 19.6 10.2 12.3 13.6 12.8 2004/05 Immunisation drop out rate (DTP1-3) drop Immunisation 2.3 4.4 5.5 8.2 4.9 8.9 8.4 6.1 6.6 8.0 7.0 4.2 5.7 6.4 8.2 5.1 7.0 5.4 3.7 9.6 6.2 8.1 7.4 7.2 2.0 3.2 4.5 9.6 4.0 9.1 6.0 7.8 19.8 2003/04 District / Province Alfred Nzo Amathole Chris Hani Cacadu Nelson Mandela Bay Tambo O.R. Ukhahlamba Eastern Cape Dabi Fezile Lejweleputswa Motheo Thabo Mofutsanyane Xhariep State Free Ekurhuleni City of Johannesburg Metsweding Sedibeng Tshwane City of Rand West Gauteng Amajuba eThekwini iLembe Sisonke Ugu UMgungundlovu Umkhanyakude Umzinyathi Uthukela Uthungulu Zululand KwaZulu-Natal Type ISRDP ISRDP Metro ISRDP ISRDP Province ISRDP Province Metro Metro Metro Province Metro ISRDP ISRDP ISRDP ISRDP Province New Code New DC44 DC12 DC13 DC10 NMA DC15 DC14 EC DC20 DC18 DC17 DC19 DC16 FS EKU JHB DC46 DC42 TSH DC48 GP DC25 ETH DC29 DC43 DC21 DC22 DC27 DC24 DC23 DC28 DC26 KZN Code DC44 DC12 DC13 DC10 NMA DC15 DC14 EC DC20 DC18 DC17 DC19 DC16 FS EKU JHB CBDC2 DC42 TSH CBDC8 GP DC25 ETH DC29 DC43 DC21 DC22 DC27 DC24 DC23 DC28 DC26 KZN Province EC EC EC EC EC EC EC EC FS FS FS FS FS FS GP GP GP GP GP GP GP KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN

202 Appendices 1.1 0.4 1.3 0.2 0.3 0.1 0.1 0.6 0.0 0.3 0.0 -1.9 -0.6 -0.7 -1.2 -0.1 -1.0 -0.1 -0.3 -0.5 -0.2 -0.3 -0.6 -0.3 -0.3 -0.1 -0.1 -0.2 -0.3 -0.5 -0.3 change 2003-05 4 7 1 5 6 33 27 26 40 32 24 30 18 28 19 29 34 23 10 12 11 22 13 Rank 2005/06 4.4 3.8 3.6 5.0 4.2 4.2 3.6 4.0 2.4 3.6 2.5 3.2 3.8 2.1 3.2 2.5 4.0 4.4 3.4 2.8 4.0 2.9 2.8 3.4 2.9 2.4 2.5 2.8 4.3 5.5 3.6 2005/06 4.5 3.6 3.9 5.4 4.1 4.3 2.9 4.1 3.0 3.3 2.9 3.7 2.4 2.3 3.3 2.7 4.0 4.3 3.7 2.5 4.0 2.8 2.7 3.1 2.9 2.4 2.5 2.7 4.3 5.5 3.7 2004/05 Average length of stay - all patients length of stay Average 6.3 4.4 4.4 6.2 4.3 5.2 2.5 4.1 2.8 3.2 2.9 3.3 2.5 2.4 3.8 2.8 3.8 4.1 3.8 2.6 3.8 2.3 2.8 3.1 3.0 2.5 2.6 2.7 4.6 6.0 3.9 2003/04 1.2 1.8 2.6 1.0 0.7 0.4 7.3 3.9 0.3 1.5 2.7 2.6 -0.6 -3.7 -4.6 -6.7 -2.7 -4.5 -1.8 -1.3 -2.0 -5.9 -1.0 -4.2 -0.7 -0.5 -7.6 -1.1 -1.6 -0.6 20.9 15.5 change 2003-05 9 6 7 4 8 46 19 35 23 31 13 11 22 41 30 17 43 10 39 42 48 38 24 27 Rank 2005/06 7.2 1.6 3.5 5.6 3.7 5.1 4.1 2.2 1.1 2.1 2.0 3.7 6.5 1.4 4.8 3.4 3.8 6.7 1.7 6.3 6.5 5.3 7.3 5.9 0.9 3.8 1.5 4.4 6.3 4.7 4.68 4.94 2005/06 5.8 8.1 7.6 6.5 9.1 7.4 7.7 7.8 3.5 6.5 6.2 2.7 0.2 6.7 6.8 5.4 6.3 7.4 6.8 4.9 7.3 6.0 3.8 6.0 7.7 -0.4 -0.2 10.0 10.2 13.7 9.93 6.69 2004/05 Immunisation drop out rate (DTP1-3) drop Immunisation 6.0 2.2 7.2 3.8 1.1 4.1 3.4 6.9 7.9 4.7 6.5 8.3 1.0 6.1 5.4 7.3 6.0 3.4 6.3 8.5 3.4 1.7 3.6 5.8 -3.4 -0.1 12.6 10.7 6.31 5.55 -17.2 -13.8 2003/04 District / Province Bohlabela Capricorn Greater Sekhukhune Mopani Vhembe Waterberg Limpopo Ehlanzeni Gert Sibande Nkangala Mpumalanga Baard Frances Kgalagadi Namakwa ka Seme Pixley Siyanda Northern Cape Bojanala Bophirima Central Southern NorthWest Town City of Cape Winelands Cape Karoo Central Eden Overberg Coast West Cape Western South Africa ISRDP average Metro average Type ISRDP ISRDP Province Province ISRDP Province Province Metro ISRDP Province ISRDP Metro New Code New DC35 DC47 DC33 DC34 DC36 LP DC32 DC30 DC31 MP DC9 DC45 DC6 DC7 DC8 NC DC37 DC39 DC38 DC40 NW CPT DC2 DC5 DC4 DC3 DC1 WC ZA Code CBDC4 DC35 CBDC3 DC33 DC34 DC36 LP DC32 DC30 DC31 MP DC9 CBDC1 (nc) DC6 DC7 DC8 NC DC37 DC39 DC38 DC40 NW CPT DC2 DC5 DC4 DC3 DC1 WC ZA Province LP LP LP LP LP LP LP MP MP MP MP NC NC NC NC NC NC NW NW NW NW NW WC WC WC WC WC WC WC SA SA SA

203 Appendices 7 9 1 3 3 9 2 1 8 1 2 2 6 1 3 1 17 17 21 38 34 13 20 36 115 2005 health Private Private facilities 43 90 52 98 26 419 940 100 140 979 826 149 616 110 443 308 1 459 2 094 2 567 5 166 4 232 1 533 2 625 3 752 2005 beds 14 157 Private Private facilities 2.8 8.3 4.1 1.8 0.6 4.7 2.9 2.3 6.9 0.2 0.1 0.8 9.8 4.0 1.7 9.3 5.2 0.1 2.0 5.8 -5.2 -3.1 -2.2 -7.9 -9.9 -3.1 14.1 18.8 10.5 16.3 -13.7 -23.4 change 2003-05

6 3 9 23 36 28 17 50 12 11 26 35 14 24 29 27 21 51 15 37 38 34 20 25 19 43 48 47 Rank 2005/06 68.0 61.6 66.3 70.6 76.8 48.0 74.2 61.7 74.6 67.7 79.9 61.7 75.8 71.1 72.8 68.0 66.0 66.7 68.3 68.0 36.7 72.8 61.2 60.0 64.1 68.6 67.8 68.8 57.6 51.0 53.7 61.7 2005/06 76.2 56.3 60.2 64.9 82.3 44.7 75.4 58.9 80.4 73.9 71.3 61.7 67.4 69.9 82.6 51.1 70.7 65.0 78.2 70.4 30.4 67.6 58.9 61.3 56.7 55.7 59.9 60.3 53.7 52.8 53.9 57.7 2004/05 Usable bed utilisation rate - all patients Usable 81.7 58.8 58.0 66.5 46.2 79.4 61.0 77.7 69.9 75.2 58.8 61.6 68.8 80.7 49.2 59.1 66.5 78.2 67.9 35.9 63.0 57.2 58.3 54.8 63.4 57.3 52.5 57.5 54.1 51.7 55.9 100.2 2003/04 District / Province Alfred Nzo Amathole Chris Hani Cacadu Nelson Mandela Bay Tambo O.R. Ukhahlamba Eastern Cape Dabi Fezile Lejweleputswa Motheo Thabo Mofutsanyane Xhariep State Free Ekurhuleni City of Johannesburg Metsweding Sedibeng Tshwane City of Rand West Gauteng Amajuba eThekwini iLembe Sisonke Ugu UMgungundlovu Umkhanyakude Umzinyathi Uthukela Uthungulu Zululand KwaZulu-Natal Type ISRDP ISRDP Metro ISRDP ISRDP Province ISRDP Province Metro Metro Metro Province Metro ISRDP ISRDP ISRDP ISRDP Province New Code New DC44 DC12 DC13 DC10 NMA DC15 DC14 EC DC20 DC18 DC17 DC19 DC16 FS EKU JHB DC46 DC42 TSH DC48 GP DC25 ETH DC29 DC43 DC21 DC22 DC27 DC24 DC23 DC28 DC26 KZN Code DC44 DC12 DC13 DC10 NMA DC15 DC14 EC DC20 DC18 DC17 DC19 DC16 FS EKU JHB CBDC2 DC42 TSH CBDC8 GP DC25 ETH DC29 DC43 DC21 DC22 DC27 DC24 DC23 DC28 DC26 KZN Province EC EC EC EC EC EC EC EC FS FS FS FS FS FS GP GP GP GP GP GP GP KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN

204 Appendices 1 1 2 4 2 3 5 1 1 1 1 4 4 1 1 8 5 5 1 1 7 10 14 30 42 259 152 2005 health Private Private facilities 64 25 26 40 40 93 45 44 193 102 359 258 285 380 923 234 325 422 484 609 387 410 1 039 3 026 4 111 2005 beds 28 219 18 556 Private Private facilities 1.0 2.9 3.8 3.7 4.6 3.7 5.4 0.5 3.6 5.3 1.2 4.0 9.8 3.3 6.2 5.1 -0.3 -3.9 -0.8 -2.3 -1.5 -1.8 -8.8 12.7 17.9 38.8 19.9 20.5 13.8 -24.2 -17.4 change 2003-05

7 2 4 8 1 5 33 30 31 16 40 42 10 39 44 45 46 18 49 32 13 41 22 Rank 2005/06 64.4 65.5 65.0 70.6 59.7 65.9 58.6 75.1 59.8 65.0 57.6 76.7 82.2 56.3 77.4 71.6 54.7 68.9 48.1 64.7 58.8 73.0 75.8 83.1 77.3 59.4 68.2 72.6 63.9 62.5 71.6 2005/06 66.7 56.9 65.8 65.1 56.5 62.5 63.7 71.9 52.3 65.6 67.1 73.5 60.1 65.8 96.6 78.4 55.6 63.5 47.8 55.4 56.1 70.6 74.4 79.7 75.9 58.8 66.4 71.0 61.5 58.4 68.2 2004/05 Usable bed utilisation rate - all patients Usable 64.6 52.9 64.0 67.8 55.9 62.3 62.5 70.5 56.1 65.8 59.9 58.8 43.4 80.4 94.8 73.1 56.4 63.6 47.6 73.5 55.2 53.0 70.5 62.6 63.5 58.2 64.1 62.8 60.6 56.3 66.5 2003/04 District / Province Bohlabela Capricorn Greater Sekhukhune Mopani Vhembe Waterberg Limpopo Ehlanzeni Gert Sibande Nkangala Mpumalanga Baard Frances Kgalagadi Namakwa ka Seme Pixley Siyanda Northern Cape Bojanala Bophirima Central Southern NorthWest Town City of Cape Winelands Cape Karoo Central Eden Overberg Coast West Cape Western South Africa ISRDP average Metro average Type ISRDP ISRDP Province Province ISRDP Province Province Metro ISRDP Province ISRDP Metro New Code New DC35 DC47 DC33 DC34 DC36 LP DC32 DC30 DC31 MP DC9 DC45 DC6 DC7 DC8 NC DC37 DC39 DC38 DC40 NW CPT DC2 DC5 DC4 DC3 DC1 WC ZA Code CBDC4 DC35 CBDC3 DC33 DC34 DC36 LP DC32 DC30 DC31 MP DC9 CBDC1 (nc) DC6 DC7 DC8 NC DC37 DC39 DC38 DC40 NW CPT DC2 DC5 DC4 DC3 DC1 WC ZA Province LP LP LP LP LP LP LP MP MP MP MP NC NC NC NC NC NC NW NW NW NW NW WC WC WC WC WC WC WC SA SA SA

205 Appendices

80 998 586 543 751 867 298 817 795 4 058 1 451 1 129 2 927 3 027 2 117 4 359 2 817 5 163 1 086 4 637 1 605 1 426 9 039 1 361 4 875 1 132 1 171 1 037 2 122 1 849 2005 14 177 15 606 25 621 sector Usable Usable beds public beds public 1 3 1 3 2 2 2 2 2 2 1 2 1 6 3 3 2 8 14 Hospital Specialised 1 1 2 2 0 4 1 1 Central National Hospital 1 1 0 0 0 1 1 2 Tertiary Tertiary Hospital Provincial Provincial 2 1 4 3 1 1 2 2 6 5 3 1 2 1 2 5 1 1 1 1 3 10 12 14 Hospital Regional 4 1 8 4 5 3 8 1 1 1 2 3 2 9 1 2 3 4 3 2 5 4 2 5 5 14 14 10 11 62 21 36 District Hospital 6 7 2 7 9 40 28 25 13 15 13 24 26 20 20 20 15 10 10 10 54 23 11 11 14 12 14 18 15 13 140 110 147 Mobile Service Public health facilities - number of facilities, 2005 of facilities, health facilities - number Public 2 7 3 3 7 8 1 9 1 4 1 1 7 8 5 7 0 6 2 2 3 1 31 16 27 14 CHCs 6 50 52 43 43 32 45 68 68 17 71 33 47 38 19 27 22 47 50 50 40 37 48 56 209 127 148 672 230 102 297 104 500 Clinic District / Province Alfred Nzo Amathole Chris Hani Cacadu Nelson Mandela Bay Tambo O.R. Ukhahlamba Eastern Cape Dabi Fezile Lejweleputswa Motheo Thabo Mofutsanyane Xhariep State Free Ekurhuleni City of Johannesburg Metsweding Sedibeng Tshwane City of Rand West Gauteng Amajuba eThekwini iLembe Sisonke Ugu UMgungundlovu Umkhanyakude Umzinyathi Uthukela Uthungulu Zululand KwaZulu-Natal Type ISRDP ISRDP Metro ISRDP ISRDP Province ISRDP Province Metro Metro Metro Province Metro ISRDP ISRDP ISRDP ISRDP Province New Code New DC44 DC12 DC13 DC10 NMA DC15 DC14 EC DC20 DC18 DC17 DC19 DC16 FS EKU JHB DC46 DC42 TSH DC48 GP DC25 ETH DC29 DC43 DC21 DC22 DC27 DC24 DC23 DC28 DC26 KZN Code DC44 DC12 DC13 DC10 NMA DC15 DC14 EC DC20 DC18 DC17 DC19 DC16 FS EKU JHB CBDC2 DC42 TSH CBDC8 GP DC25 ETH DC29 DC43 DC21 DC22 DC27 DC24 DC23 DC28 DC26 KZN Province EC EC EC EC EC EC EC EC FS FS FS FS FS FS GP GP GP GP GP GP GP KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN KZN

206 Appendices

872 889 921 731 278 150 234 315 614 196 709 193 404 2 605 1 386 1 450 1 948 9 149 1 828 1 425 4 173 1 708 1 259 1 295 2 373 5 540 7 264 1 051 9 817 2005 90 150 15 172 31 847 sector Usable Usable beds public beds public 1 0 1 1 3 1 1 2 0 1 3 1 2 3 9 2 1 1 1 9 14 54 18 Hospital Specialised 0 0 0 0 0 0 0 3 3 9 0 8 Central National Hospital 2 0 2 1 1 0 0 0 0 6 0 1 Tertiary Tertiary Hospital Provincial Provincial 1 1 1 1 2 6 2 1 1 4 1 0 1 2 1 1 2 4 5 2 1 8 9 66 24 Hospital Regional 3 8 6 7 7 6 6 7 5 4 2 6 8 4 5 6 5 2 3 4 4 6 4 7 37 18 24 18 28 77 11 253 District Hospital 8 4 6 5 7 8 31 21 21 20 29 21 27 22 70 16 17 48 24 26 28 17 95 25 24 14 24 75 130 102 896 175 Mobile Service Public health facilities - number of facilities, 2005 of facilities, health facilities - number Public 2 3 6 7 8 2 9 9 2 1 8 2 6 8 3 8 1 2 28 16 34 19 15 12 15 50 53 67 24 88 286 CHCs 43 86 75 77 50 74 59 65 27 32 16 27 14 44 81 36 53 12 40 31 24 112 443 198 116 112 273 107 267 791 474 2 996 Clinic District / Province Bohlabela Capricorn Greater Sekhukhune Mopani Vhembe Waterberg Limpopo Ehlanzeni Gert Sibande Nkangala Mpumalanga Baard Frances Kgalagadi Namakwa ka Seme Pixley Siyanda Northern Cape Bojanala Bophirima Central Southern NorthWest Town City of Cape Winelands Cape Karoo Central Eden Overberg Coast West Cape Western South Africa ISRDP average Metro average Type ISRDP ISRDP Province Province ISRDP Province Province Metro ISRDP Province ISRDP Metro New Code New DC35 DC47 DC33 DC34 DC36 LP DC32 DC30 DC31 MP DC9 DC45 DC6 DC7 DC8 NC DC37 DC39 DC38 DC40 NW CPT DC2 DC5 DC4 DC3 DC1 WC ZA Code CBDC4 DC35 CBDC3 DC33 DC34 DC36 LP DC32 DC30 DC31 MP DC9 CBDC1 (nc) DC6 DC7 DC8 NC DC37 DC39 DC38 DC40 NW CPT DC2 DC5 DC4 DC3 DC1 WC ZA Province LP LP LP LP LP LP LP MP MP MP MP NC NC NC NC NC NC NW NW NW NW NW WC WC WC WC WC WC WC SA SA SA

207 Appendices

Correlation Graphs

The following graphs were drawn to illustrate the absence or presence of correlation between some of the indicators presented in this report.

Deprivation index (2001) vs TB cure rate (2004)

5 DI_2001 90 TBCure_2004 80 4 70 60 3 50 40 2 30 1 20 10 0 0

Per capita expenditure vs Utilisation rate, 2005/06

500 5 percap_2005 400 Util_0506 4

300 3

200 2

100 1

0 0

208 Appendices

Average length of stay vs Bed utilisation rate, 2005/06

10 90 9 80 8 70 7 60 6 50 5 ALOS_05 40 4 BUR_05 3 30 2 20 1 10 0 0

Deprivation index (2001) vs Per capita expenditure (2005/06)

5 500 DI_2001 4 percap_2005 400

3 300

2 200

1 100

0 0

209 Appendices

Deprivation Indices

The deprivation indices as set out in the paper: (McIntyre and Okorafor 2003) were recalculated to sub-district and district level for use in this District Health Barometer. The deprivation index is a measure of relative deprivation across districts within South Africa. Just as any index, the deprivation index is a composite measure derived from a set of variables. The deprivation index used in this report was generated using principal components analysis (PCA). PCA identifies the underlying process that has the most influence in determining the outcome of each variable included in the analysis. Each variable is weighted based on its linear association with the underlying process. The weighted variables are then used to construct the deprivation index. The deprivation index can therefore be viewed as a standardised measure of this underlying process that influences the outcomes of each variable (included) in each district. Variables included in the analysis are variables considered to be indicators of material and social deprivation. The major underlying process that influences the outcomes of these variables is social and material deprivation – hence a deprivation index. Details regarding the interpretation of the deprivation index can be found in the sections below.

Technical information on the deprivation indices used in this report

Variables included for calculating the deprivation index were: 1. The proportion of the area’s population that are children below the age of 5 2. The proportion of the area’s population that are black Africans 3. The proportion of the area’s population that are from a household that is headed by a female 4. The proportion of the area’s population whose household heads have no schooling 5. The proportion of area’s adults between 25 and 59 classified as both not working and looking for work or not working and not looking 6. The proportion of the area’s population that live in traditional dwelling, informal shack or tent 7. The proportion of the area’s population that have no piped water in their house or on site 8. The proportion of the area’s population that have a pit or bucket toilet or no form of toilet 9. The proportion of the area’s population that do not have access to electricity or solar power for lighting, heating or cooking

Geographic considerations: ◆ District Management Areas (DMAs) such as national parks, game reserves and wilderness areas were not included in the calculation of the indices. ◆ For all health districts, a single index is generated, even though they may be cross-border districts and fall into two provinces. For example, Greater Sekhukhune DM appears to be evenly split between Limpopo and Mpumalanga. A single deprivation index is generated for Greater Sekhukune DM, and is listed under Limpopo Province. ◆ Bohlabela DM and its local municipalities (Bushbuckridge LM and Maruleng LM) are listed under Limpopo. ◆ Frances Baard DM is listed under Northern Cape, and so are all the local municipalities that are within it. ◆ Merafong City LM is listed under West Rand DM, under Gauteng. ◆ Kgalagadi DM and the local municipalities that are under it are all listed under Northern Cape. ◆ Moshaweng LM is coded under North West in the census data. Although it falls under Kgalagadi DM, it is listed under North West.

3 From the technical report prepared for HST: Okorafor, OA. Deprivation Indices by Health Districts and Health Sub-Districts in South Africa, Technical Report. Health Economics Unit, University of Cape Town, Cape Town, 2006. McIntyre, D. and O. Okorafor (2003). Deprivation in South Africa and its potential relevance to resource allocation issues, Health Economics Unit, University of Cape Town. Report prepared for National Treasury, South Africa. For a more detailed discussion on the process for selecting the variables, see McIntyre and Okorafor (2003).

210 Appendices

Normalising the deprivation index

The deprivation index scores produced usually ranges from negative values to positive values. Higher values represent higher levels of deprivation, and lower values represent lower levels of deprivation. For example if the deprivation index scores range from -3.564 to +3.687, then the district with -3.564 is the least deprived district. By the same token, the district with +3.687 is the most deprived. Interpreting negative and positive values can be quite involving, so the deprivation index was normalised. This means that the indices were moved to the positive number scale. Consequently, the district with a deprivation index score of 1 is the least deprived. Districts with higher values are relatively more deprived than districts with lower values (the same applies to sub-districts). For example, Umzimkhulu LM in Alfred Nzo DM has a deprivation index value of 4.028, while Umzimvubu LM has a value of 3.974. This means that Umzimkhulu is more deprived than Umzinvubu. The values of the deprivation index for any area is generated relative to all other areas (whether category A, B or C municipalities). Therefore one can rank local municipalities and district municipalities according to their deprivation index scores.

Quintiles for the normalised deprivation indices

Separate spreadsheets were generated for health districts (category B municipalities including metropolitan areas) and category C municipalities (sub-districts). For each of the data sets, the municipalities were ranked according levels of deprivation, and were categorised into quintiles. With reference to the spreadsheet for category B municipalities (health districts), the districts that fall under quintile 1 (lowest quintile) are the most deprived. Those that fall under quintile 5 are the least deprived (best-off). Each quintile contains 20% of all districts. The same applies to the spreadsheet for sub-districts (category C municipalities).

Normalised Deprivation Indices for Health Districts

Variable Description

Province The province

District The district (category B and A municipalities)

Normalised deprivation index for district municipalities Normalised deprivation index (categories A and B) Numbers depicting the quintile in which the district Quintile (district level) municipality falls within

Normalised Province District Quintile Dep. Index EASTERN CAPE Nelson Mandela Metropolitan Municipality 2.374 5 EASTERN CAPE Cacadu DM 2.508 4 EASTERN CAPE Amathole DM 3.371 2 EASTERN CAPE Chris Hani DM 3.533 2 EASTERN CAPE Ukhahlamba DM 3.548 2 EASTERN CAPE Alfred Nzo DM 3.991 1 EASTERN CAPE O.R. Tambo DM 4.076 1

FREE STATE Northern Free State 2.625 4 FREE STATE Xhariep DM 2.581 4 FREE STATE Lejweleputswa DM 2.827 3 FREE STATE Motheo DM 2.704 3 FREE STATE Thabo Mofutsanyana 3.182 3

GAUTENG City of Johannesburg 2.371 5 GAUTENG Sedibeng DM 2.398 5 GAUTENG City of Tshwane Metropolitan Municipality 2.444 4

Higher values reflect higher levels of deprivation because of the way the variables have been measured. For any sub-place, if the proportion of the population with no access to “good” toilet facilities is high, it is an indication of higher levels of deprivation. The same can be applied to all variables included in the PCA.

211 Appendices

Normalised Province District Quintile Dep. Index GAUTENG Ekurhuleni Metropolitan Municipality 2.448 4 GAUTENG Metsweding DM 2.538 4 GAUTENG West Rand DM 2.468 4

KWAZULU-NATAL eThekwini Municipality (Durban) 2.582 4 KWAZULU-NATAL Amajuba DM 3.079 3 KWAZULU-NATAL uMgungundlovu DM 2.985 3 KWAZULU-NATAL Ilembe DM 3.543 2 KWAZULU-NATAL uThungulu DM 3.561 2 KWAZULU-NATAL Sisonke DM 3.645 1 KWAZULU-NATAL Ugu DM 3.575 1 KWAZULU-NATAL Zululand DM 3.803 1 KWAZULU-NATAL uMkhanyakude DM 3.969 1 KWAZULU-NATAL uMzinyathi DM 3.970 1 KWAZULU-NATAL uThukela DM 3.569 1

LIMPOPO Waterberg DM 3.102 3 LIMPOPO Bohlabela DM 3.537 2 LIMPOPO Capricorn DM 3.404 2 LIMPOPO Mopani DM 3.474 2 LIMPOPO Greater Sekhukhune DM 3.723 1 LIMPOPO Vhembe DM 3.572 1

MPUMALANGA Ehlanzeni DM 3.202 3 MPUMALANGA Gert Sibande DM 3.158 3 MPUMALANGA Nkangala DM 2.962 3

NORTH CAPE Namakwa DM 2.042 5 NORTH CAPE Siyanda DM 2.253 5 NORTH CAPE Frances Baard DM 2.434 4 NORTH CAPE Karoo DM 2.417 4 NORTH CAPE Kgalagadi DM 3.425 2 NORTH WEST Southern DM 2.597 4 NORTH WEST Bojanala Platinum DM 2.999 3 NORTH WEST Bophirima DM 3.347 2 NORTH WEST Central DM 3.205 2

WESTERN CAPE Cape Winelands DM 1.926 5 WESTERN CAPE Central Karoo DM 2.029 5 WESTERN CAPE City of Cape Town 2.059 5 WESTERN CAPE Eden DM 2.024 5 WESTERN CAPE Overberg DM 1.903 5 WESTERN CAPE West Coast DM 1.834 5

212 Appendices

Normalised Deprivation Indices for Sub-districts

Variable Description Province The province District The district (category B municipalities) Local Municipality Category C municipalities (including category A municipalities) Municipality Code Category C municipality codes, and category A codes Normalised deprivation Index Normalised deprivation index for local municipalities (categories A and C) Quintiles (sub-district level) Numbers depicting the quintile in which the local municipality falls within Norm. district index The normalised deprivation index of the district from which the local municipality falls within

Normalised Municipality Province District Local Municipality Deprivation Quintiles Code Index Eastern Cape EC Alfred Nzo DM Umzimkhulu Local Municipality EC05b1 4.028 1 EC Alfred Nzo DM Umzimvubu Local Municipality EC05b2 3.974 1 EC Amathole DM Amahlathi Municipality EC124 3.478 2 EC Amathole DM Buffalo City Municipality EC125 2.874 3 EC Amathole DM Great Kei Municipality EC123 3.435 2 EC Amathole DM Mbhashe Municipality EC121 4.174 1 EC Amathole DM Mnquma Local Municipality EC122 3.805 1 EC Amathole DM Ngqushwa Municipality EC126 3.657 2 EC Amathole DM Nkonkobe Municipality EC127 3.319 2 EC Amathole DM Nxuba Municipality EC128 2.792 3 EC Cacadu DM Baviaans Municipality EC107 2.219 5 EC Cacadu DM Blue Crane Route Municipality EC102 2.535 4 EC Cacadu DM Camdeboo Municipality EC101 2.148 5 EC Cacadu DM Ikwezi Municipality EC103 2.487 4 EC Cacadu DM Kouga Municipality EC108 2.275 5 EC Cacadu DM Koukamma Municipality EC109 2.115 5 EC Cacadu DM Makana Municipality EC104 2.732 4 EC Cacadu DM Ndlambe Municipality EC105 2.849 3 Sundays River Valley EC Cacadu DM EC106 2.848 3 Municipality EC Chris Hani DM Emalahleni Municipality EC136 3.735 1 EC Chris Hani DM Engcobo Local Municipality EC137 4.104 1 EC Chris Hani DM Inkwanca Local Municipality EC133 2.875 3 EC Chris Hani DM Intsika Yethu Municipality EC135 3.973 1 EC Chris Hani DM Inxuba Yethemba Municipality EC131 2.352 5 EC Chris Hani DM Lukhanji Municipality EC134 3.008 3 EC Chris Hani DM Sakhisizwe Municipality EC138 3.460 2 EC Chris Hani DM Tsolwana Local Municipality EC132 3.273 2 King Sabata Dalindyebo EC O.R. Tambo DM EC157 3.790 1 Municipality EC O.R. Tambo DM Mbizana Local Municipality EC151 4.187 1 EC O.R. Tambo DM Mhlontlo Municipality EC156 4.047 1 EC O.R. Tambo DM Ntabankulu Local Municipality EC152 4.257 1 EC O.R. Tambo DM Nyandeni Local Municipality EC155 4.138 1 EC O.R. Tambo DM Port St Johns Municipality EC154 4.258 1 EC O.R. Tambo DM Qaukeni Local Municipality EC153 4.187 1 EC Ukhahlamba DM Elundini Municipality EC141 3.933 1 EC Ukhahlamba DM Gariep Municipality EC144 2.822 3 EC Ukhahlamba DM Maletswai Municipality EC143 2.990 3 EC Ukhahlamba DM Senqu Municipality EC142 3.478 2 Free State FS Lejweleputswa DM Masilonyana Municipality FS181 2.899 3 FS Lejweleputswa DM Matjhabeng Municipality FS184 2.738 4

213 Appendices

Normalised Municipality Province District Local Municipality Deprivation Quintiles Code Index FS Lejweleputswa DM Nala Local Municipality FS185 2.968 3 FS Lejweleputswa DM Tokologo Municipality FS182 2.890 3 FS Lejweleputswa DM Tswelopele Municipality FS183 3.116 3 FS Motheo DM Mangaung Local Municipality FS172 2.687 4 FS Motheo DM Mantsopa Municipality FS173 2.897 3 FS Motheo DM Naledi Local Municipality FS171 2.716 4 FS Northern Free State Mafube Local Municipality FS205 2.907 3 FS Northern Free State Metsimaholo Local Municipality FS204 2.484 4 FS Northern Free State Moqhaka Local Municipality FS201 2.534 4 FS Northern Free State Ngwathe Municipality FS203 2.755 3 FS Thabo Mofutsanyana Dihlabeng Local Municipality FS192 2.875 3 FS Thabo Mofutsanyana Maluti-a-Phofung Municipality FS194 3.329 2 FS Thabo Mofutsanyana Nketoana Local Municipality FS193 3.095 3 FS Thabo Mofutsanyana Phumelela Local Municipality FS195 3.055 3 FS Thabo Mofutsanyana Setsoto Local Municipality FS191 3.169 2 FS Xhariep DM Kopanong Local Municipality FS162 2.514 4 FS Xhariep DM Letsemeng Council FS161 2.555 4 FS Xhariep DM Mohokare Municipality FS163 2.715 4 Gauteng GT Metsweding DM Kungwini Local Municipality CBLC2 2.605 4 Nokeng Tsa Taemane Local GT Metsweding DM GT02b1 2.402 4 Municipality GT Sedibeng DM Emfuleni Local Municipality GT421 2.396 4 GT Sedibeng DM Lesedi Local Municipality GT423 2.512 4 GT Sedibeng DM Midvaal Local Municipality GT422 2.293 5 GT West Rand DM Merafong City Local Municipality CBLC8 2.466 4 GT West Rand DM Mogale City Local Municipality GT411 2.378 4 GT West Rand DM Randfontein Local Municipality GT412 2.367 5 GT West Rand DM Westonaria Local Municipality GT414 2.827 3 KwaZulu-Natal KZN Amajuba DM Dannhauser Municipality KZ254 3.672 2 KZN Amajuba DM Newcastle Municipality KZ252 2.876 3 KZN Amajuba DM Utrecht Local Municipality KZ253 3.290 2 KZN Ilembe DM KwaDukuza Municipality KZ292 2.828 3 KZN Ilembe DM Maphumulo Municipality KZ294 4.252 1 KZN Ilembe DM Ndwedwe Local Municipality KZ293 3.897 1 KZN Ilembe DM éNdondakusuka Municipality KZ291 3.342 2 KZN Sisonke DM Greater Kokstad Municipality KZ5a4 2.807 3 KZN Sisonke DM Ingwe Municipality KZ5a1 4.008 1 KZN Sisonke DM Kwa Sani Municipality KZ5a2 3.456 2 KZN Sisonke DM Matatiele Municipality KZ5a3 2.659 4 KZN Sisonke DM Ubuhlebezwe Municipality KZ5a5 3.912 1 KZN Ugu DM Ezinqoleni Municipality KZ215 3.888 1 KZN Ugu DM Hibiscus Coast Municipality KZ216 3.113 3 KZN Ugu DM Umdoni Municipality KZ212 2.908 3 KZN Ugu DM Umuziwabantu Local Municipality KZ214 3.928 1 KZN Ugu DM Umzumbe Municipality KZ213 3.913 1 KZN Ugu DM Vulamehlo Municipality KZ211 3.901 1 KZN Zululand DM AbaQulusi Municipality KZ263 3.480 2 KZN Zululand DM Nongoma Municipality KZ265 4.072 1 KZN Zululand DM Ulundi Local Municipality KZ266 3.980 1 KZN Zululand DM uPhongolo Local Municipality KZ262 3.618 2 KZN Zululand DM éDumbe Municipality KZ261 3.711 1 KZN uMgungundlovu DM Impendle Municipality KZ224 3.701 1 KZN uMgungundlovu DM Mkhambathini Municipality KZ226 3.571 2 KZN uMgungundlovu DM Mpofana Municipality KZ223 2.998 3 KZN uMgungundlovu DM Msunduzi Municipality KZ225 2.776 3 KZN uMgungundlovu DM Richmond Municipality KZ227 3.520 2 KZN uMgungundlovu DM uMngeni Municipality KZ222 2.546 4 KZN uMgungundlovu DM uMshwathi Local Municipality KZ221 3.492 2 KZN uMkhanyakude DM Big 5 False Bay Municipality, The KZ273 3.977 1 KZN uMkhanyakude DM Hlabisa Municipality KZ274 3.976 1 KZN uMkhanyakude DM Jozini Municipality KZ272 4.044 1

214 Appendices

Normalised Municipality Province District Local Municipality Deprivation Quintiles Code Index KZN uMkhanyakude DM Mtubatuba Municipality KZ275 2.979 3 KZN uMkhanyakude DM uMhlabuyalingana Municipality KZ271 4.109 1 KZN uMzinyathi DM Endumeni Municipality KZ241 2.666 4 KZN uMzinyathi DM Msinga Municipality KZ244 4.449 1 KZN uMzinyathi DM Nquthu Local Municipality KZ242 4.069 1 KZN uMzinyathi DM Umvoti Municipality KZ245 3.664 2 Emnambithi/Ladysmith Local KZN uThukela DM KZ232 3.163 3 Council KZN uThukela DM Imbabazane Local Municipality KZ236 3.873 1 KZN uThukela DM Indaka Local Municipality KZ233 3.893 1 KZN uThukela DM Okhahlamba Local Municipality KZ235 3.874 1 KZN uThukela DM Umtshezi Municipality KZ234 3.169 3 KZN uThungulu DM City of uMhlathuze KZ282 2.821 3 KZN uThungulu DM Mbonambi Municipality KZ281 3.714 1 KZN uThungulu DM Mthonjaneni Local Municipality KZ285 3.811 1 KZN uThungulu DM Nkandla Municipality KZ286 4.247 1 KZN uThungulu DM Ntambanana Municipality KZ283 3.896 1 KZN uThungulu DM uMlalazi Municipality KZ284 3.855 1 Limpopo LP Bohlabela DM Bushbuckridge Municipality CBLC6 3.541 2 LP Bohlabela DM Maruleng Municipality NP04A1 3.515 2 LP Capricorn DM Aganang Municipality NP352 3.621 2 LP Capricorn DM Blouberg Municipality NP351 3.764 1 Lepelle-Nkumpi Local LP Capricorn DM NP355 3.563 2 Municipality LP Capricorn DM Molemole Municipality NP353 3.389 2 LP Capricorn DM Polokwane Municipality NP354 3.159 3 LP Greater Sekhukhune DM Fetakgomo Local Municipality NP03A3 3.839 1 LP Greater Sekhukhune DM Greater Groblersdal Municipality CBLC4 3.602 2 LP Greater Sekhukhune DM Greater Marble Hall Municipality CBLC3 3.469 2 LP Greater Sekhukhune DM Greater Tubatse Municipality CBLC5 3.766 1 Makhuduthamaga Local LP Greater Sekhukhune DM NP03A2 3.858 1 Municipality LP Mopani DM Ba-Phalaborwa Municipality NP334 2.994 3 LP Mopani DM Greater Giyani Municipality NP331 3.699 2 LP Mopani DM Greater Letaba Municipality NP332 3.589 2 LP Mopani DM Greater Tzaneen Municipality NP333 3.433 2 LP Vhembe DM Makhado Municipality NP344 3.530 2 LP Vhembe DM Musina Local Municipality NP341 2.948 3 LP Vhembe DM Mutale Local Municipality NP342 3.871 1 LP Vhembe DM Thulamela Local Municipality NP343 3.610 2 LP Waterberg DM Bela-Bela Local Municipality NP366 2.616 4 LP Waterberg DM Lephalale Municipality NP362 3.079 3 LP Waterberg DM Modimolle Local Municipality NP365 2.936 3 LP Waterberg DM Mogalakwena Municipality NP367 3.362 2 LP Waterberg DM Mookgophong Municipality NP364 2.719 4 LP Waterberg DM Thabazimbi Municipality NP61 2.687 4 Mpumalanga MP Ehlanzeni DM Mbombela Local Municipality MP322 3.069 3 MP Ehlanzeni DM Nkomazi Municipality MP324 3.590 2 MP Ehlanzeni DM Thaba Chweu Municipality MP321 2.704 4 MP Ehlanzeni DM Umjindi Municipality MP323 2.716 4 MP Gert Sibande DM Albert Luthuli Municipality MP301 3.584 2 MP Gert Sibande DM Dipaleseng Municipality MP306 2.922 3 MP Gert Sibande DM Govan Mbeki Municipality MP307 2.681 4 MP Gert Sibande DM Local Municipality of Lekwa MP305 2.904 3 MP Gert Sibande DM Mkhondo Local Municipality MP303 3.654 2 MP Gert Sibande DM Msukaligwa Municipality MP302 2.980 3 Pixley Ka Seme Local MP Gert Sibande DM MP304 3.313 2 Municipality MP Nkangala DM Delmas Municipal Council MP311 2.861 3 MP Nkangala DM Dr J.S. Moroka Municipality MP316 3.346 2 MP Nkangala DM Emalahleni Local Municipality MP312 2.599 4 MP Nkangala DM Highlands Municipality MP314 2.752 4

215 Appendices

Normalised Municipality Province District Local Municipality Deprivation Quintiles Code Index MP Nkangala DM Steve Tshwete Local Municipality MP313 2.519 4 MP Nkangala DM Thembisile Local Municipality MP315 3.290 2 Northern Cape NC Frances Baard DM Dikgatlong Municipality NC092 2.723 4 NC Frances Baard DM Magareng Municipality NC093 2.579 4 NC Frances Baard DM Phokwane Municipality CBLC7 2.722 4 NC Frances Baard DM Sol Plaatje Municipality NC091 2.280 5 NC Karoo DM Emthanjeni Municipality NC073 2.329 5 NC Karoo DM Kareeberg Municipality NC074 2.371 5 NC Karoo DM Renosterberg Municipality NC075 2.486 4 NC Karoo DM SiyaThemba Municipality NC077 2.191 5 NC Karoo DM Siyancuma Municipality NC078 2.463 4 NC Karoo DM Thembelihle Municipality NC076 2.337 5 NC Karoo DM Ubuntu Municipality NC071 2.399 4 NC Karoo DM Umsobomvu Municipality NC072 2.702 4 NC Kgalagadi DM Ga-Segonyana Municipality CBLC1 3.242 2 NC Kgalagadi DM Gamagara Municipality NC01B1 2.072 5 NC Namakwa DM Hantam Municipality NC065 2.062 5 NC Namakwa DM Kamiesberg Municipality NC064 2.262 5 NC Namakwa DM Karoo Hoogland Municipality NC066 2.239 5 NC Namakwa DM Khâi-Ma Municipality NC067 2.050 5 NC Namakwa DM Nama Khoi Municipality NC062 1.957 5 NC Namakwa DM Richtersveld Municipality NC061 1.929 5 NC Siyanda DM !Kheis Municipality NC084 2.375 4 NC Siyanda DM //Khara Hais Municipality NC083 2.205 5 NC Siyanda DM Kai !Garib Municipality NC082 2.177 5 NC Siyanda DM Kgatelopele Municipality NC086 2.226 5 NC Siyanda DM Mier Municipality NC081 2.343 5 NC Siyanda DM Tsantsabane Municipality NC085 2.440 4 North West NW Bojanala Platinum DM Kgetlengrivier Local Municipality NW374 2.693 4 NW Bojanala Platinum DM Madibeng Local Municipality NW372 2.953 3 NW Bojanala Platinum DM Moretele Local Municipality NW371 3.372 2 NW Bojanala Platinum DM Moses Kotane Local Municipality NW375 3.204 2 NW Bojanala Platinum DM Rustenburg Local Municipality NW373 2.776 3 NW Bophirima DM Greater Taung Municipality NW394 3.603 2 NW Bophirima DM Kagisano Local Municipality NW391 3.605 2 Lekwa-Teemane Local NW Bophirima DM NW396 2.796 3 Municipality NW Bophirima DM Mamusa Local Municipality NW393 3.254 2 NW Bophirima DM Molopo Local Municipality NW395 3.088 3 NW Bophirima DM Naledi Local Municipality NW392 2.653 4 NW Central DM Ditsobotla Local Municipality NW384 2.915 3 NW Central DM Mafikeng Local Municipality NW383 3.139 3 NW Central DM Ratlou Municipality NW381 3.614 2 NW Central DM Tswaing Municipality NW382 3.176 2 NW Central DM Zeerust Local Municipality NW385 3.354 2 NW Kgalagadi DM Moshaweng Local Municipality NW1a1 3.838 1 NW Southern DM City Council of Klerksdorp NW403 2.546 4 NW Southern DM Maquassi Hills Local Municipality NW404 2.934 3 NW Southern DM Potchefstroom City Council NW402 2.455 4 NW Southern DM Ventersdorp Local Municipality NW401 2.898 3 Western Cape Breede River / Winelands WC Cape Winelands DM WC026 1.882 5 Municipality

216 Appendices

Normalised Municipality Province District Local Municipality Deprivation Quintiles Code Index WC Cape Winelands DM Breede Valley Municipality WC025 1.937 5 WC Cape Winelands DM Drakenstein Municipality WC023 1.954 5 WC Cape Winelands DM Stellenbosch Municipality WC024 1.908 5 WC Cape Winelands DM Witzenberg Municipality WC022 1.906 5 WC Central Karoo DM Beaufort West Municipality WC053 2.046 5 WC Central Karoo DM Laingsburg Municipality WC051 1.960 5 WC Central Karoo DM Prince Albert Local Municipality WC052 2.013 5 WC Eden DM Bitou Municipality WC047 2.129 5 WC Eden DM George Municipality WC044 2.065 5 WC Eden DM Kannaland Municipality WC041 1.970 5 WC Eden DM Knysna Municipality WC048 2.280 5 WC Eden DM Langeberg Municipality WC042 1.782 5 WC Eden DM Mossel Bay Municipality WC043 1.882 5 WC Eden DM Oudtshoorn Municipality WC045 2.028 5 WC Overberg DM Cape Agulhas Municipality WC033 1.738 5 WC Overberg DM Overstrand Municipality WC032 1.918 5 WC Overberg DM Swellendam Municipality WC034 1.831 5 WC Overberg DM Theewaterskloof Municipality WC031 1.961 5 WC West Coast DM Bergrivier Local Municipality WC013 1.773 5 WC West Coast DM Cederberg Local Municipality WC012 1.843 5 WC West Coast DM Matzikama Municipality WC011 1.894 5 WC West Coast DM Saldanha Bay Municipality WC014 1.844 5 WC West Coast DM Swartland Municipality WC015 1.816 5

References Filmer D. and Pritchett L (1999). "The Effect of Household Wealth on Educational Attainment: Evidence from 35 Countries." Population and Development Review 25(1): 85-120.

McIntyre D and Okorafor O (2003). Deprivation in South Africa and its potential relevance to resource allocation issues, Health Economics Unit, University of Cape Town. Report prepared for National Treasury, South Africa.

Tabachnick B G and Fidell L S (2001). Using Multivariate Statistics, Allyn and Bacon.The District Health Information System

217 Appendices

The District Health Information System

The District Health System (DHIS) is a key element in the overall national health information system in the public health sector. The DHIS uses software which allows clinics and hospitals to enter data relating to their services. The data is then transmitted electronically to province and national departments.

��

�� Notes: Feedback is encompassed and considered as important as data submission to higher levels; numbers in parentheses refer to the timeframe (days from the end of the reporting period) within which the data are required at the next level.

The diagram above illustrates the flow of data from facility to national level. The system uses a transient database from which users can generate reports. Reports can be tailored to include certain indicators. Health indicator sets can also be interfaced with the free Arc Explorer software that allows data to be presented as thematic maps or analysed further in Geographical Information System software. The generation of pivot tables is another tool that allows data to be presented in various ways. The DHIS software supports not only routine monthly data, but also the capture and analysis of semi- permanent data (e.g. population estimates, equipment, infrastructure, number of personnel) and survey data. This stems from the premise that not all information needs to be collected on a routine basis. Some data can be collected annually through regular surveys, and some semi-permanent data can be updated whenever changes are occurring. Tuberculosis Surveillance and data collection in South Africa

For further information and details on the DHIS software see http://www.hisp.org Health Metrics Network. Review of health information systems (HIS) in selected countries. vii South Africa. Geneva: World Health Organisation. URL http://www.who.int/healthmetrics/en/ (Not available online)

218 Appendices

Tuberculosis Surveillance and data collection in South Africa

Background

The South African government launched the revised National TB Control Programme (NTCP) in 1996. In establishing the NTCP, the government signaled its adoption of the WHO DOTS Strategy (Directly Observed Therapy, Short-course) to fight TB and set about the task of standardising procedures related to TB case diagnosis, treatment, and reporting. An essential element of the NTCP is an efficient Recording and Reporting System. This serves as a tool for programme managers at district, province and national levels to evaluate progress made in achieving targets, supervision and deployment of staff and for monitoring and surveillance.

The Tuberculosis Reporting and Recording System

The original recording and reporting system was developed by the MRC Tuberculosis Research Programmes in 1994, in close collaboration with the Directorate Health Systems Research, Research Co- ordination and Epidemiology and the Directorate: Communicable Disease Control of the Department of Health, and implemented during 1995 and 1996. This system was called the TBSYS system and was based on the manual registration of patients in facilities and then quarterly aggregation of reports at facility level, summarised at district level and entered into an electronic database at provincial level. The shortcomings in the system included that it was an aggregated facility-based system and did not allow for cohort analysis. There was also no link between case findings and treatment outcomes. In addition, records of ‘Patients Transferred Out’ were excluded from the denominator in the outcome report. The implementation of the new national strategy on district health systems provided the opportunity to revise the recording and reporting system. The new TB strategy coincided with the Department of Health’s adoption of the district health system and a commitment was made by the Director-General to implement a district-based TB reporting system to replace the previous facility-based system. In addition, the system was adapted to conform to the standard WHO/IUATLD recording and reporting system and to incorporate the standard international definitions. During August 1999, the BOTUSA project gave a demonstration on an electronic TB Register (called the BOTUSA system) that had been successfully developed and implemented in Botswana. This lead to the BOTUSA system software being piloted in Mpumalanga and North West provinces during 2000. This electronic TB Register forms part of the paper-based tools in TB. Key elements of the ‘new’ Recording and Reporting System, include: a. Collection of individual, patient-based data b. District-based cohort analysis on a quarterly basis, using standardised formats and definitions c. Interim reports (smear conversion) and treatment outcome reports based on quarter of diagnosis d. Calculation and analysis of key performance indicators e. Use of data at facility and district-levels for performance assessment and improvement. The rollout process to the electronic TB Register was done on a province by province basis as from 2000 and culminated in all provinces being on the ETR.Net system as from early 2005: North West and Mpumalanga – Piloting (2000) and then implemented (2001) KZN and Gauteng – July 2001 Western Cape – July 2002 Free State – October 2002 Eastern Cape – October 2003 (EPI-Info – Windows edition) Northern Cape and Limpopo – January 2004 (ETR.Net)

World Health Organisation. Tuberculosis Handbook, 1998. WHO/TB/98.253, 79 – 104.

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With the introduction of the electronic TB register, the number of patients that do not have a registered outcome, can be identified. These patients show up as ‘Not Evaluated’ in the outcome report. As not all provinces changed over to the new system simultaneously, outcome reports up to the end of 2003 excluded the ‘Not Evaluated’ patient count from the denominator. This changed in 2004 once all nine provinces were on the same system and has caused some provinces’ data to show a ‘deterioration’ in cure rates due to the inclusion of a high proportion of patients without recorded outcomes in the denominator.

220 Appendices Reference of Definition Reference SAHR 2003/4 Chapter 20 and 2005/6 Chapter 22 data, Census municipal Key StatsSA: 2001 Comments provides capita health expenditure Per of a tool to assess equity in distribution service resources for delivery across Expenditure on district the districts. health services includes expenditure district areas: in the following health clinic management, community services, health services, community based services,community other services,community HIV and AIDS, The 2005 nutrition and district hospitals. based on per capita calculation was sector dependent the uninsured (public population) using the GHS 2005 value (in the medical aid coverage of 14% for estimates of absence of district-level The figures have medical aid coverage). of the effect been adjusted to take NOT inflation into account.

Piped water inside yard Piped water stand: on community Piped water less than 200m from dwelling stand: on community Piped water than 200m from dwelling greater Indicator Definition amount spent on non-hospital Total PHC health services per person without medical aid coverage. of total district health Percentage services spent on district management. of total district health Percentage services spent on district hospitals. of The percentage of the total number households of a district that has access Piped which includes: to piped water inside dwelling water Description Denominator sector dependent Public (uninsured) population on expenditure Total district health services. on expenditure Total district health services. of number Total households in a district

Description Numerator amount spent on Total non-hospital PHC health services district health Total services on expenditure management. district health Total services on expenditure district hospitals. households with Total Piped water access to: inside dwelling inside yard Piped water on Piped water less stand: community than 200m from dwelling on Piped water greater stand: community than 200m from dwelling Indicator capita health Per (Public expenditure sector) Proportion of programme on district expenditure management Proportion of programme on district expenditure hospitals. Access to piped water Indicator Type Indicator Input Input Input Socio-economic health indicator Indicator Definitions

221 Appendices Reference of Definition Reference indices by Deprivation O. Okorafor, health districts and health sub-districts Health Economics Unit, in South Africa. Unpublished. Town, of Cape University Okorafor, D. McIntyre, September 2006. in South Africa Deprivation and O. to resource relevance its Potential An analysis of 2001 allocation issues: Health Economics Unit, Census data. October 2003. Town; of Cape University Validations DHIS ZA National Indicator and National Indicator Dataset for South Africa 2005 Validations DHIS ZA National Indicator and National Indicator Dataset for South Africa 2005 Validations DHIS ZA National Indicator and National Indicator Dataset for South Africa 2005 Validations DHIS ZA National Indicator and National Indicator Dataset for South Africa 2005 Validations DHIS ZA National Indicator and National Indicator Dataset for South Africa 2005 Comments is a composite index The deprivation using StatsSA of deprivation index Census 2001 data, recalculated to a that the shows The index district level. that have variables sociodemographic influence of deprivation the greatest of access Lack are: in the SA context living in a shack race, to piped water, of access lack dwelling, or traditional living in a to electricity or solar power, headed household, being a child female living in a household under 5 years, whose head has no schooling and being unemployed. The socio-economic quintiles are It is index. from the deprivation derived of districtsa simple stratification based index deprivation on their respective Quintile 1 comprises of districts scores. and those that are the most deprived under quintile 5 are the least that fall deprived. Nurse work load GUIDE FOR USE: analysing utilisation for is relevant more/less needs for patterns, efficiency, staff. A Caesarean Section delivery in facility placenta of the foetus, is the removal means of a surgical by and membranes only done in procedure - obviously This can doctors. by health facilities be further divided into i) Caesarean section in labour and ii) Caesarean as an section, no labour also known Caesarean section. elective of male assess distribution To Use: condoms in the country. Indicator Definition to the material and refers Deprivation social conditions that are experienced individuals and households where by these conditions are inadequate or to what is usually available relative As detailed in in society. experienced districts with indices this publication and those closer to 5 are most deprived closer to 1 are in districts with an index least deprived. The socio-economic quintiles are of districtsrankings within South Africa index based on the deprivation labelled There are 5 quintiles; (above). Districts closer to 5 are those 1 to 5. populations with higher comprised by The lowest socio-economic status. to most quintile (quintile 1) refers districts. deprived a Number of patients seen by in PHC clinics per nurse professional clinical work day. nurse Measure of the occupancy beds use for available in a of patient stay duration Average health facility of Caesarean section The number as a percentage of expressed deliveries all deliveries. of male condoms, The number or (to patients at the facility distributed through other channels) per male 15 and older. years Description Denominator - nurse Professional clinical work days in beds x days Useable period. Discharges + Deaths out + Day Transfers + patients in facility Deliveries Male population 15 years and older Description Numerator - PHC total headcount + 1/2 Day (Inpatient days patients) x 100 + 1/2 Day Inpatient days patients Caesarean sections in facility at Condoms distributed PHC facilities Indicator Index Deprivation Socioeconomic Quintile Nurse clinical work load (PHC) Bed utilisation rate length of stay Average Caesarean section rate Male condom distribution sector from public rate health facilities Indicator Type Indicator Socio-economic health indicator Socio-economic health indicator Process Process Process Output Output

222 Appendices Reference of Definition Reference Validations DHIS ZA National Indicator and National Indicator Dataset for South Africa 2005 Validations DHIS ZA National Indicator and National Indicator Dataset for South Africa 2005 Validations DHIS ZA National Indicator and National Indicator Dataset for South Africa 2005 Validations DHIS ZA National Indicator and National Indicator Dataset for South Africa 2005 Validations DHIS ZA National Indicator and National Indicator Dataset for South Africa 2005 Validations DHIS ZA National Indicator and National Indicator Dataset for South Africa 2005 Validations DHIS ZA National Indicator and National Indicator Dataset for South Africa 2005 Validations DHIS ZA National Indicator and National Indicator Dataset for South Africa 2005

Comments is one of the coverage Immunisation mortalitymain predictors of the infant It represents one of the health rate. intervention components which can indicator of the be used as a proxy of PHC service in developing availability countries. “drop out” of using The advantages both the instance that: indicators are for and the denominators are numerators routine health data, the drop outs often that can motivate “quick-wins” represent financial/ current within better do to staff infrastructure. The assumption is that ALL antenatal pre-test counselling as clients receive the part of the antenatal protocol (i.e. PMTCT programme). Estimates the impact, quality and of the PMTCT programme. coverage This will include babies born at home For as those bornas well in a facility. be close to may this reason the rates 100%. over 100% or even Estimates the impact, quality and of the PMTCT programme. coverage Rate at which PHC services are utilised as the average the population, given by of visits per person year. number Indicator Definition of all children in the target Percentage who complete their area under one year primary during course of immunisation A Primary the month (annualised). Course includes BCG, OPV 1,2 & 3, DTP-Hib 1,2 & 3, HepB and 1st measles. The percentage of children who the first and third dropped out between dose of DTP vaccine. The proportion coming for of women their first antenatal visit that are tested HIV for The percentage of antenatal clients and HIV, who accept to be tested for then tested positive. The proportion pregnant of HIV positive dispensed with NVP who were women home and/OR those to whom - to take administered at the facility NVP was during labour. bornThe percentage of new babies - who - bornwomen from HIV positive suspension within Nevirapine received 72 hours after birth. old who has not A child under 5 years compared to the weight gained weight recorded at least one month earlier on chart. ‘Road to Health’ the episode of a symptomatic A new (STI) Infection Transmitted Sexually treated according to the Syndromic old. 15 years Approach in a patient over more than one One patient can have episode at a time. new of visits per person to number Average (public per year. PHC health facilities sector) Description Denominator population under Target 1 year DTP-Hib 1st Dose antenatal clients at Total first booking visit Antenatal clients tested HIV for Antenatal client HIV - new positive birthsNumber of live in with to women facilities HIV Child under 5 years weighed 15 years over Population old catchment Total population Description Numerator Children fully immunised under 1 year 1st Drop outs between and 3rd DTP-Hib Dose Antenatal clients tested HIV for Antenatal clients tested cases - new HIV positive dose to Nevirapine at ANC or labour woman dose to baby Nevirapine born with HIV to woman old Child under 5 years not gaining weight episodes Number of new of STI treated PHC total headcount Indicator coverage Immunisation drop out Immunisation (DTP-Hib 1 – DTP- rate Hib 3) Proportion antenatal HIV clients tested for among HIV prevalence antenatal clients tested rate uptake Nevirapine among pregnant women with HIV rate uptake Nevirapine among babies born to with HIV women under Not gaining weight rate 5 years Incidence of STI treated - new - PHC Utilisation rate Indicator Type Indicator Output Output Output Impact Output Output Outcome Output Outcome

223 Appendices Reference of Definition Reference Department of Health TB guidelines; (TB section) Department of Health TB guidelines; (TB section) Validations DHIS ZA National Indicator and National Indicator Dataset for South Africa 2005 Health Organization). World (WHO - Cataloguing-in-Publication Library WHO Data Neonatal and perinatal mortality : regional and global estimates. country, ISBN 92 Health Organization. World WS 4 156320 6 (NLM classification: World 16) ISBN 978 92 4 156320 8 © Health Organization 2006 Comments health TB constitutes a major public and provided in most areas, problem part is an integral that the programme of health sector policy and financial management, the indicators used for TB control programmes monitoring proxies can also be used as excellent health sector monitoring overall for is an indicator Cure rate performance. It reflects or treatment performance. both regularity of drug supply and Adherence to adherence to treatment. treatment depends to a large extent and quality of on staff responsiveness care. defined as 3 or Diarrhoea is formally in more waterybut stools in 24 hours, the mother complaint by any practice from diarrhoea that the child is suffering Diarrhoea occurs when stools is used. than normal. contain more water whether their Mothers usually know diarrhoea. children have of children under one The number 1.04, due to infant by factorised year, is used as an estimated proxy mortality, deliveries. expected denominator for The perinatal period commences at of (154 days) 22 completed weeks gestation (the time when birth weight is normally 500 g), and ends seven after birth. completed days based indicator This is a facility and in a facility) of deliveries (number (Total not a population based indicator. including home deliveries) deliveries Indicator Definition The proportion PTB of smear positive patients who completed treatment and to be cured (which means proven were smears on negative had two that they occasions at least 30 days separate apart). (SCR) is the rate The smear conversion PTB smear positive percentage of new after two cases that are smear negative months of anti-TB treatment and are no longer infectious. therefore cases of children of new The number with diarrhoea per 1000 children in the catchment population. taking The percentage of deliveries under place in health facilities supervision personnel in a of trained year. of perinatalThe number deaths per 1000 births in facility. of total birthsThe number that are stillbirths (babies born dead) per 1000 births in facility. Description Denominator PTB of new number Total cases smear positive started on treatment during the specified time. of new number Total cases smear positive registered during the specified time. Catchment population under 5 years deliveries All expected in target population a year. of births number in Total facility. of births number in Total facility Description Numerator of initially The number patients smear positive to who converted smears at two negative or three months after starting treatment PTB Number of new +ve cases who were startingbefore treatment smear a -ve show but after 2 months treatment Diarrhoea cases with and without dehydration under 5 years in Number of deliveries in a year facility Stillbirth + in facility Inpatient death (early neonatal) Number of babies born dead (stillbirths) in facility Indicator smear (new TB cure rate positive) rate Smear conversion smear+ cases – all new Incidence of diarrhoea (per 1000) under 5 years in facility Delivery rate mortality Perinatal rate in facility Stillbirth Rate Indicator Type Indicator Outcome Outcome Outcome Output Impact Impact

224 Appendices

References and further reading

Becker B, Pickett J, Levine R. Measuring Commitment to Health. Global health indicators working group report. Washington DC: Center for Global Development; August 2006. URL: http://www.cgdev.org/content/publications/detail/10016

Broemeling A, Watson DE, Black C, Reid R. Measuring the performance of primary health care: Existing capacity and future information needs. University of British Columbia Centre, for Health Services and Policy Research; October 2006. URL: http://mdgblog.puntoinfo.net/index.php?id=17

Gray A, Day C. Health & Related Indicators In: Ijumba P, Padarath A, editors. South African Health Review 2006. Durban: Health Systems Trust; 2006. URL: http://www.hst.org.za/uploads/files/chap22_06.pdf

Health Metrics Network. Framework and standards for the development of country health information systems. Geneva: World Health Organization; September 2006. URL: http://www.who.int/healthmetrics/documents/framework/en/index.html

Millennium Development Goals Report 2006. United Nations Millenium Development Programme. New York: United Nations; 2006. URL: http://mdgs.un.org/unsd/mdg/Resources/Static/Products/Progress2006/MDGReport2006.pdf

Okorafor O. Deprivation in South Africa and its Potential relevance to resource allocation issues: An analysis of 2001 Census data. Cape Town: Health Economics Unit, University of Cape Town; October 2003.

Okorafor OA. Deprivation Indices by Health Districts and Health Sub-Districts in South Africa. Technical Report. Cape Town: Health Economics Unit, University of Cape Town; September 2006. Report prepared for Health Systems Trust, South Africa.

WHO. Neonatal and perinatal mortality: country, regional and global estimates. Geneva: World Health Organization; 2006. URL: http://www.who.int/reproductive-health/docs/neonatal_perinatal_mortality/text.pdf

Wirth M, Delamonica E, Sacks E, Balk D, Storeygard A, Minujin A, Monitoring Health Equity in the MDGs: A practical Guide. CIESIN and UNICEF; January 2006. URL: http://www.ciesin.org/povmap/downloads/analysis/Health_equity_Guidelines.pdf

World Bank, UNICEF, UNAIDS, WHO. Monitoring and Evaluation Toolkit: HIV/AIDS, tuberculosis and malaria. Second edition. Geneva: World Health Organisation; January 2006.

225 Appendices

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