DISTRICT HEALTH PLAN
2007 - 2008
CAPE TOWN METROPOLITAN DISTRICT
WESTERN CAPE PROVINCE
District Health Plan 2007 - 2008
1
Table of Contents
CONTENTS
PAGE NUMBER
Abbreviations
3
Foreword
4
Acknowledgement
5
Map of the District
6
Executive Summary
7
Introduction
10
List of Tables
12
Mission, Vision and Policies
14
A. 1. Health Service Delivery
15
 Health Priorities & PHC Priority Conditions
15
 Priority Health Programmes
17
 District Hospital Services
27
 Quality Assurance
28
 Supervision
30
 PHC Service Management
31
 Community Based Services
33
 Municipal Health Services
35
 DHS Management and Governance Structures
36
A. 2. Support Services
37
A. 3. Human Resources
39
A. 4. Finance
44
A. 5. Infrastructure
45
Annexures
Annexure 1: Finance
46
District Health Plan 2007 - 2008
2
Abbreviations
AIDS
ALOS
APP
BOR
CHC
CHWs
CPN
DHAC
DHC
DHER
DHIS
DHP
DHS
DIO
DoH
DOTS
EHS
ENAs
ENs
FTE
GIS
HBC
HIV
HR
IDP
INP
LG
MC
MCWH
MDGs
MDR
MOU
MTEF
NDOH
NGO
NHA
NPO
OPD
PDE
PDOH
PFMA
PHC
PMS
PMTC
PN
PNs
PPP
Pt
PTB
QOC
SLA
SPS
STI
STP
TB
TOP
VCT
WHO
Acquired Immune Deficiency Syndrome
Average length of stay
Annual Performance Plan
Bed Occupancy Rate
Community Health Centre
Community Health Workers
Chief professional nurse
District Health Advisory Council
District Health Council
District Health Expenditure Review
District Health Information System
District Health Plan
District Health System
District Information Officer
Department of Health
Directly Observed Treatment Short-course
Environmental Health Services
Enrolled Nursing Auxiliaries
Enrolled Nurses
Full-time equivalent
Geographic Information System
Home based care
Human Immuno-deficiency Virus
Human Resources
Integrated Development plan
Integrated Nutrition Programme
Local Government
Mobile clinic
Maternal, child and women's health
Millennium Development Goals
Multi-drug resistant
Mid-wives Obstetrics Unit
Medium-term expenditure Framework
National Department of Health
Non-governmental Organisation
National Health Act of 2003
Non-profit Organisation
Out patient department
Patient day equivalent
Provincial Department of Health
Public Finance Management Act
Primary Health Care
Performance Management System
Prevention of mother-to-child Transmission
Professional nurse
Professional Nurses
Public/Private Partnership
Patient
Pulmonary tuberculosis
Quality of care
Service Level Agreement
Strategic position statement
Sexually transmitted infection
Service Transformation Plan
Tuberculosis
Termination of pregnancy
Voluntary Counselling and Testing
World Health Organisation
District Health Plan 2007 - 2008
3
Foreword
This Cape Town Metro District Health Plan for 2007 – 2008 is a joint plan developed by
the management team of the Provincial Metro District Health Services (MDHS) and City
Health supported by the health information section.
Developing the plan has resulted in a far better integration of the City’s Integrated
Development Plan, the Provincial Health strategic plan and HealthCare 2010. Linked to
these are the broader Millennium development goals, the National Department of
Health five year priorities as well as the Provincial iKapa elihlumayo strategy which has
a particular focus on social capital formation. This years plan is the second year of the
active implementation of HealthCare 2010 and of the preparations for implementing the
decision of the National Health Council to provincialise the metro personal primary
health care services over a 3 – 5 year period. Unfortunately the detail of this has not
been worked out yet and therefore this plan does not as yet include detail on this
process for 2007/8.
Highlights of this plan are the focus on joint management and planning together
between the two service authorities so that key priorities and indicators will be
monitored jointly. These include improving the TB cure rate, cervical smear coverage,
an exciting diarrhoea season intervention across all levels of care and ongoing
improvement to trauma services and management of chronic diseases of lifestyle.
The District Health Plan (DHP) will be implemented through detailed business plans
developed for MDHS and City Health which will have targets and indicators. There will
also be a number of joint priority programme indicators that will be monitored mutually
at the joint senior management meeting held monthly.
There is a political commitment to working together which will be further developed
once the district health council is established. This district health council will also
monitor the indicators and outcomes of the DHP. Fortunately there is already a
functioning process to monitor the business plans for City Health and MDHS. All that
will need to be added is an effective joint monitoring system which was planned for this
year, but has not been fully developed.
CLLR M FIENIES
MAYORAL COMMITTEE MEMBER: CITY HEALTH
CITY OF CAPE TOWN
DR LS BITALO
DIRECTOR: METRO DISTRICT HEALTH SERVICES
DR IP TOMS
EXECUTIVE DIRECTOR: CITY HEALTH
District Health Plan 2007 - 2008
4
Acknowledgement
We wish to acknowledge and thank the:
District Health Planning Team






Ivan Bromfield
Bryan Chute
Johann Daniels
Judy Hair
Cynthia Le Grange
Cheryl Hendricks
District Health Plan 2007 - 2008
5
Map of the District
District Health Plan 2007 - 2008
6
Executive Summary
The Cape Town Metro District boundaries are those of the Metropolitan municipality of
the City of Cape Town with a population of 3,117,361 (based on DHIS 2006 data). It
includes the two urban renewal nodes of Khayelitsha and Mitchells Plain which are the
focus for the social capital intervention in 2006/7. The District Health Plan focuses on
the health priorities and PHC priority conditions as listed in Table 1 and this executive
summary will summarise these plans using the provincial priorities (which cover most of
City Health priorities) plus City Health priority of a healthy environment (municipal
health services). All of this is within the broader envelope of the HealthCare 2010 plan
of which 2007/8 will be the second year of implementation.
1. Development of District Health Service
Changes to the Sub-district boundaries in the Metro have been approved. These
changes are as a result of the impractical size of Northern Panorama and will also
resolve drainage areas to level 1 hospitals.
Population in the Subdistricts in the Metro/City of Cape Town (based on DHIS 2006 data)
Subdistrict
Western
Eastern
Khayelitsha
Klipfontein
Mitchells Plain
Northern
Southern
Tygerberg
TOTAL
350,349
364,153
352,038
373,414
429,122
289,570
462,785
495,930
3,117,361
As part of HealthCare 2010, the provincial Metro District Health Services (MDHS) will
be able to implement Sub-district management structures in 2007/8, which will allow
coordinated Sub-district action with City Health Sub-district management. The impact of
the National health Council to provincialise City Health PPHC services over 3-5 years is
unknown at this stage.
At the following shared facilities agreement has been reached as follows:
Ocean View and Ikwezi Facilities will be run by solely City Health
Vanguard, Gustro, Kleinvlei, Hout Bay Harbour, Site B (excluding TB) and
Delft (to enable City Health to staff Delft South Clinic) will be run by solely by
PGWC.
A Memorandum of Understanding has been signed between the two authorities.
2. Implementation of full package of care at District Hospitals
As HealthCare 2010 is implemented there will be an increased number of Level 1 beds
available in the district. Already there are additional 90 level 1 beds in Tygerberg (core
of the new Khayelitsha District Hospital which will begin construction in 2007/8) and 70
level 1 beds in Lentegeur Hospital, Mitchells Plain. The package of care will grow
surgery and obstetrics at the district hospitals.
3. Community home based care (Table 76; 78; 79; 80)
This programme has developed well with the European Union funding and will be
expanded in 2007/8.
4. Chronic non-communicable disease
Key to improving this service is the further development and rollout of the chronic
dispensing unit opened in December 2005 as the bulk of the scripts being filled at PHC
facilities are for repeat chronic medication. This rollout will allow for a more efficient and
effective delivery system for chronic medication repeats directly to old age homes and
clinics to take the pressure off the PHC facility pharmacies. The target is that 35% of
chronic patient visits will receive medication from this alternative system.
District Health Plan 2007 - 2008
7
Improved clinical protocols and clinical audits will be used to improve quality of care.
This will be within a holistic model of care with therapeutic groups and community
based support.
5. HIV and AIDS (Table 34; 35; 40)
Here the plan involves strengthening the prevention, treatment and care components.
There is already a strong emphasis on condom distribution (highest in SA) and other
prevention interventions will be driven by a multi sectoral approach within City Health
and MDHS. Already strong referral links to community home based care will grow and
the number of clients on anti retoviral treatment will increase. The proposal for future
expansion of ART Services will be nurse driven. The intension is to role this out to
Bloekombos, Wallacedene, Ikwezi, Matthew Goniwe, Kuyasa, Mzamomhle, Albow
Gardens and Nyanga Clinics. City Health is specifically aiming to reduce sexually
transmitted infections (STI) incidence through early syndromic treatment and
prevention interventions. Target for VCT uptake in those 15 years or older is set for
8.0%.
6. Tuberculosis (Table 47)
The two key objectives are to jointly increase case finding (particularly at provincial
facilities) and to improve the new smear positive cure rate from 68% to 72%. Systems
are to be implemented at the NHLS to monitor the ratio of positive to negative sputum
smears to set realistic increased targets. Interventions with Zamstar and PALSA Plus
are ongoing.
7. Women’s Health (Table 31; 32)
Gender issues are strong in the IDP of the City and reproductive health services are
being strengthened as well as TOP. The key indicator is to increase the cervical smear
coverage in the province to 65% but as the base line for 2005/6 was 41% the 2006/7
target is 50%.
8. Child & Adolescent Health (Table 6; 8; 9; 12; 15)
The district has seen a gradual improvement in the infant mortality rate (IMR) to 23.8 in
2004. The target is to continue the downward trend to reach below 22.8/1,000 for
2006/7. Diarrhoea and gastro enteritis deaths in under 5’s remain a serious problem
and a multi sectoral programme will be run targeting the high season for gastro enteritis
(February to May). Due to the poor DHIS data on diarrhea cases we will be aiming to
reduce the number of deaths versus the previous year. Immunisation coverage data
has not been good (particularly Khayelitsha). This has improved and we aim to
maintain out present coverage.
Adolescent health focuses on reduction of teenage pregnancies through school health
initiatives as well as clinic based outreach (particularly at the 2 youth clinics in
Khayelitsha).
9. Trauma & emergencies
Work has been done on ensuring that all emergency units are fully equipped. In the
year ahead the Cape Triage system will be rolled out to all facilities and supervision
and linking will be strengthened to the level 1 hospital is the Sub-district.
10. Quality of Care (Table 58; 59; 60; 66)
Quality of care is closely linked to improved monitoring and evaluation. Complaints and
compliments are being monitored and this information results in local action plans to
improve identified problem areas.
District Health Plan 2007 - 2008
8
A detailed waiting time survey occurred at all facilities on 31 August 2005. This facility
based information will inform local action plans that will focus on specific bottlenecks in
that facility. A follow up survey will be conducted at PGWC facilities only in 2006/7. City
Health will do a follow up in 2007/8. All 24 hour CHCs have now got help desk staff and
throughout all facilities further training and workshops on batho pele and the patient
charter will be held. City Health will be delivering on strengthening leadership and
teams as well as efforts to have a dynamic workforce.
11. Social Capital (Table 90)
The social capital intervention has been targeted at the urban renewal nodes of
Khayelitsha and Mitchells Plain and covers the following:
 The integrated management of childhood illnesses (IMCI) with specific emphasis
on the management of diarrhoeal disease through community field workers
 Strengthening the immunization campaign
 The management of chronic disease to ensure continuity of care
 In the whole district on community involvement and partnerships through health
committees, Sub-district health forums, Cape Metro Health Forum and the 8
Sub-district multi sectoral action teams (MSATs) focusing on a local response to
HIV and AIDS.
12. Healthy Environment (Table 84; 85)
City Health is strengthening its environmental health component (municipal health
services) through routine monitoring as well as healthy cities projects that specifically
target hot spot areas.
A key objective is the continuing implementation of the Air Quality Management Plan
for the City. This was developed though a participatory process and will set specific
local air quality standards and targets for Cape Town. The improvement of air quality in
the informal settlements is being driven through the Khayelitsha Air Pollution strategy.
Ongoing testing of diesel vehicles will continue with a target of testing 7,500 vehicles in
the year.
On going food monitoring will continue and a target of 80% of informal sector food
handling enterprises to have a certificate of acceptance (COA) has been set for 2007/8.
% food samples complying with relevant standards is set a target of >85%. Vector
control (rats) is becoming more important and a target of 16,132 block baiting stations
has been set.
Environmental health interventions are key to the diarrhea strategy with a target of 300
health and hygiene projects in informal settlements in Cape Town. Greater focus on
noise pollution is planned with the increase of the residential component in the CBD.
Implementation Plan and Monitoring
As discussed in the foreword the DHP will be translated into operational business plans
for MDHS and City Health with specific measurable indicators and targets for the
district and each of the 8 Sub-districts. These are monitored monthly and quarterly, with
joints objectives and targets monitored quarterly at MDEMC. It is hoped in City Health
to have a new open source computer Patient Record Health Management Information
System (PREHMIS) roll out which will greatly improve the quality of information. There
is a joint working group between Province and the City to ensure coordination of PHC
Information Systems between the two authorities.
District Health Plan 2007 - 2008
9
Introduction
The District Health Plan (DHP) is an integrated plan for improving Primary Health Care
within a District Health System (DHS). In line with the National Department of Health
(NDOH) planning guidelines, the DHP integrates the needs and priorities of the various
role-players in a particular district. The DHP is informed by the objectives of Health
Care 2010 (provincial health departments’ strategic plan till the year 2010) as well as
the Integrated Development Plan (IDP) of the City of Cape Town (COCT). The DHP
takes into account that a full DHS is still to be established.
The District Health Planning Process
Purpose
The purpose of the District Health Plan (DHP) is to improve the delivery of quality PHC
services through improved co-ordination and management. The DHP is therefore a tool
that allows managers and staff to better plan, implement, monitor and evaluate PHC
services. On a practical level, it allows the district and the region to work to the same
plan, to integrate activities more closely and to clarify responsibilities. It also allows
management to access resources for these improvements through increasing efficiency
and aligning planning and budget cycles.
Method
In the Metro, there are two health authorities delivering PHC services. These are the
provincial authority, called the Metro District Health Services (MDHS) and the local
government authority, called the City Health. A series of joint workshops were held to
develop the DHP.
Sources of information
This DHP draws on the following sources of information.
National District Health Plan Guidelines.
Health Care 2010, 10-year Strategic vision for health. Provincial Government,
Western Cape.
Metro District Health Service MTEF report.
Statistic on Mortality from the Burden of Diseases Unit.
Metro template for joint sub-district planning.
IDP of City of Cape Town.
Cape Town Metro District Health Plan 2005-2006.
Mini-DEHR 2005-2006
The population is based on DHIS 2006 data, unless otherwise specified.
Demography & Socio-economic status
The population, based on DHIS 2006 data, is 3,117,361.
The population in the Metro is growing because of rapid urbanisation. The
population growth is mainly in informal settlements and therefore uneven across
Sub-districts.
The socio-economic conditions are vastly uneven and disparity is widening
across Sub-districts in the Metro. Khayelitsha, Klipfontein and Mitchell’s Plain
are the Sub-districts with the highest level of need.
District Health Plan 2007 - 2008
10
Health Status & Burden of Disease
TB, HIV/AIDS, childhood infectious diseases, chronic diseases of lifestyle and
trauma/violence are the major contributors to burden of disease in the Metro.
This present a triple burden of disease of transitional causes (trauma), poverty
related causes (infectious disease) and diseases of the developed world
(chronic heart disease).
These conditions cause an uneven burden across the sub-districts because of
its inter-relationship with lower socio-economic conditions and poverty. It places
an increased demand on already over-burdened health services and poses
challenges of more complex management of clients.
The top five causes of death in the district for 2004 are:
1
2
3
4
5
Total all deaths
1
2
3
4
5
ALL AGES
Cerebrovascular disease
HIV/AIDS
Ill defined and unknown causes
Ischaemic heart disease
Pulmonary tuberculosis
Pneumonia
UNDER 5
Short gestation and low birth weight
Ill defined and unknown causes
HIV/AIDS
Diarrhoea and gastro-enteritis
Pneumonia
District Health Plan 2007 - 2008
1,451
1,397
1,355
1,331
950
856
21,553
232
217
215
159
100
11
List of Tables
Table 1: Health Priorities and PHC Priority Conditions: Province and District
Table 3: District Primary Health Care and Hospital Services Per Population
Table 4: Number of sub-districts implementing the 5 priority health promotion campaigns
Table 6: Immunisation Coverage under 1 year old
Table 8: Measles coverage under 1 year old
Table 9: Polio 3 Coverage
Table 12: Incidence of Diarrhoea Cases in under five year old children
Table 13: Low birth weight rate in Facilities
Table 14: Weighing rate under 5 years
Table 15: Not Gaining weight rate under 5 years
Table 16: Severe Malnutrition under 5 years incidence
Table 19: % Facilities Providing IMCI Services
Table 20: Number of Sub-districts Implementing the Household and Community Component of IMCI
Table 22: ANC visits before 20 weeks rate
Table 24: Delivery Rate in Facility
Table 25: % of PHC Facilities Providing Appropriate Maternity Care
Table 26: Availability of Referral Routes and Criteria Per Sub-District
Table 27: Confidential Inquiry into Maternal Deaths
Table 29: Still Birth Rate in Facility
Table 30: Delivery Rate in Facility to women < 18 years
Table 31: Cervical Cancer Screening Coverage
Table 32: Women Year Protection Rate
Table 34: STI Partner Notification Rate
Table 35: Partner Treatment Rate
Table 40: Male condom distribution rate
Table 47: New TB Smear Positive Cure Rate
Table 51: Number of usable or functional or active beds per sub-district
Table 54: Number of Outpatient Days
Table 55: Patient Day Equivalent (PDE)
Table 56: Bed Utilisation Rate
Table 57: Average Length of Stay (ALOS)
Table 58: % Clinics with Complaints and Compliments System
Table 59: % Clinics with Patient -Satisfaction Surveys
Table 60: % of Clinics with Patient Rights and Batho Pele posters
Table 61: % District Hospitals with Complaints & Compliments System
Table 62: % District Hospitals with Patient-Satisfaction Surveys
Table 63: Proportion of District hospitals with Patient Rights & Batho Pele Posters
Table 64: % of MOU’s & District Hospitals having Monthly Mortality & Morbidity Meetings
Table 66: % of Clinics visited by a Supervisor once a month
Table 68: Total PHC head-count
Table 69: Utilisation Rates - Utilisation rate under 5 years
Table 70: Utilisation rate – Total PHC
Table 74: % of Clinics providing VCT Services
Table 75: % of Clinics providing PMTCT
Table 76: Number of Community Based Caregivers
Table 78: Number of Community Caregivers Trained
Table 79: Number of Patients Served by Community-based Caregivers
Table 80: Number of Home visits conducted by home-based Caregivers
Table 81: Number of Referrals by Caregivers to Health Facilities
Table 84: % of Schools without Effective and Adequate Sanitary Facilities
Table 85: % of Health Facilities without Sanitation and Water Services
Table 86: Number of District level PDOH Service Level Agreements Signed with Category A & C
Municipalities
Table 87: District Management Appointments
Table 88: Is there a District Health Council in the District and Year of Establishment
Table 89: % of District Hospitals with Functional Hospital Boards
Table 90: % of Clinics with Functional Clinic Committees
Table 92: % of PHC Facilities with copy of PHC EDL Available
Table 93: Number of Laboratories in Sub-District – District
Table 96: % of Clinics with all Essential PHC Equipment
Table 102: % of District and Sub-district Management Posts Vacant
Table 103: Sub-District Personnel Post Establishment and Vacancy Rates
12
District Health Plan 2007 - 2008
Table 104: District Personnel Post Establishment and Vacancy Rates
Table 105: Environmental Health Practitioners: Total EHPs and Vacancy Rates
Table 118: Public Health Sector Facility (PDOH & LG) Infrastructure Overview
Table 119: District Capital Expenditure on Infrastructure
District Health Plan 2007 - 2008
13
Mission, Vision and Policies
Vision
The Health Care 2010 vision:
“Equal Access to Quality Care”
Joint vision with the City of Cape Town:
“Together We Can Deliver Better Health Care For Cape Town!”
Mission
To improve the health of all people in the Metropole and beyond by ensuring the
provision of a balanced health care system (Healthcare 2010) in partnership with all
stakeholders, within the context of optimal socio-economic development.
Joint Values with City of Cape Town
Commitment to the Primary Health Care approach (including equity principal).
Function within legislative and policy frameworks.
Commitment to joint framework of co-operation with City of Cape Town.
Building trust through honesty, integrity and transparency.
Promote teamwork.
Caring for the carers.
Accountability and responsibility.
Co-operative Interim Structures
To enable co-operation and co-ordination between City Health and the MDHS the
following arrangements are in place:
A monthly Metropolitan District Executive Management Committee (MDEMC)
meeting involving the two Directors plus two senior managers from MDHS and
two senior managers from City Health respectively.
A bi monthly Interim District Management Team (IDMT) meeting involving the
above members plus the eight MDHS and the eight City Sub-district
leaders/managers.
Integrated Sub-district Management Team (ISDMT) meetings are held on a monthly
basis per sub-district involving the relevant sub-district staff from MDHS and City
Health.
Key ingredients for successful implementation
Good leadership and management
Motivated management
Communication and co-ordination
Appropriate established structure and culture
Adequate feedback systems
Sufficient resources
District Health Plan 2007 - 2008
14
A. 1 Health Service Delivery
District Health Priorities and PHC Priority Conditions
Table 1: Health Priorities and PHC Priority Conditions: Province and District
PROVINCIAL, DISTRICT AND SUB-DISTRICT
PHC PRIORITIES
Province
District
1. Development of District Health service.
1. TB reduction / containment.
2. Implementation of full package of care at District Hospitals.
2. HIV reduction.
3. Community home based care.
3. Reduce sexually transmitted infection (STI) incidence.
4. Chronic non-communicable disease.
4. Women and Child Health
5. HIV/AIDS.
5. Healthy environment.
6. TB.
7. Women’s Health.
District Health Plan 2007 - 2008
15
Province
District
8. Child & adolescent health.
9. Trauma & emergencies.
10. Quality of care.
11. Social capital.
Data Source: Provincial Annual Performance Plan, Provincial and District Annual Report
District Health Plan 2007 - 2008
16
Table 3: District Primary Health Care and Hospital Services Per Population
Sub-district
Total Population1
Eastern
364,153
Khayelitsha
352,038
Klipfontein
373,414
Mitchell’s Plain
429.122
Northern
289,570
Southern
462,785
Tygerberg
495,930
Western
350,349
DISTRICT TOTAL
3,117,361
Source of Data: DHIS, Prov and District Annual Report.
Narrative: The population based on DHIS 2006 data. Estimated Population per Facility Type
and District Hospital Bed difficult to estimate in a large metropolitan area.
Priority Health Programmes
Promoting Healthy Lifestyles
Table 4: Number of sub-districts implementing the 5 priority health promotion
campaigns (nutrition, substance abuse, tobacco, use healthy environments,
and risks)
Sub-district
District
&
Number of sub-districts implementing the 5 priority health promotion campaigns
(nutrition, substance abuse, tobacco, use healthy environments, and risks) (insert yes
or no, and explain if no)
2005/06
2006/07 Target
2006/07 1st
2007/08 Target
Quarter Actual
Eastern
Yes
Khayelitsha
Yes
Klipfontein
Yes
Mitchell’s Plain
Yes
Northern
No
Southern
No
Tygerberg
No
Western
No
District Summary
50%
Strategies and Activities to Achieve Target:

Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
100%
Yes
Yes
Yes
Yes
No
No
No
No
50%
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
100%
Most Sub-districts implement in a lesser to greater degree. Need to pick up
components that are lacking.
Additional Narrative:
1
Population should be those of the resident people within the sub-district and district. Cross reference to
the DHIS is crucial and deviations to the data captured on the provincial database will need to be clearly
explained. Any major cross boundary flow of patients should be explained in text.
17
District Health Plan 2007 - 2008

Nil.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
Child Health and Nutrition
Table 6: Immunisation Coverage under 1 year old2
Sub-district
District
&
% Immunisation Coverage under 1 year
2005/06
2006/07 Target
Eastern
95
Khayelitsha
84
Klipfontein
108
Mitchell’s Plain
89
Northern
86
Southern
84
Tygerberg
95
Western
89
District Average
91
Strategies and Activities to Achieve Target:
2006/07 1st
Quarter Actual
99
88
112
93
90
88
99
93
95
99
81
110
97
103
98
103
94
95
2007/08 Target
99
88
112
93
90
88
99
93
95
 To identify individual clinics and draw up an action plan. Doing well.
Additional Narrative:
 Nil.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
Table 8: Measles coverage under 1 year old
Sub-district
District
&
Measles coverage under 1 year old
2005/06
2006/07 Target
Eastern
95
Khayelitsha
84
Klipfontein
108
Mitchell’s Plain
89
Northern
86
Southern
84
Tygerberg
95
Western
89
District Average
91
Strategies and Activities to Achieve Target:
2006/07 1st
Quarter Actual
99
88
112
93
90
88
99
93
95
99
81
110
97
103
98
103
94
95
2007/08 Target
99
88
112
93
90
88
99
93
95
 To identify individual clinics and draw up an action plan. Doing well.
Additional Narrative:
 Nil.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
Table 9: Polio 3 Coverage
Sub-district
District
Eastern
Khayelitsha
Klipfontein
&
Polio 3 Coverage
2005/06
95
84
108
2006/07 Target
2006/07 1st
Quarter Actual
99
88
112
99
81
110
2007/08 Target
99
88
112
2
Note that the total for immunization needs to be lower that individual components (viz BCG, measles
etc)
District Health Plan 2007 - 2008
18
Mitchell’s Plain
89
Northern
86
Southern
84
Tygerberg
95
Western
89
District Average
91
Strategies and Activities to Achieve Target:
93
90
88
99
93
95
97
103
98
103
94
95
93
90
88
99
93
95
 To identify individual clinics and draw up an action plan. Doing well.
Additional Narrative:
 Had a recent Polio campaign.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
Table 12: Incidence of Diarrhoea Cases in under five year old children
Sub-district
District
&
Incidence of Diarrhoea Cases in under five year old children
2005/06
2006/07 Target
2006/07 1st
Quarter Actual
Eastern
51
Khayelitsha
203
Klipfontein
137
Mitchell’s Plain
77
Northern
163
Southern
80
Tygerberg
96
Western
95
District Average
110
Strategies and Activities to Achieve Target:
Reduce by 10%
Reduce by 10%
Reduce by 10%
Reduce by 10%
Reduce by 10%
Reduce by 10%
Reduce by 10%
Reduce by 10%
Reduce by 10%
2007/08 Target
Reduce by 5%
Reduce by 5%
Reduce by 5%
Reduce by 5%
Reduce by 5%
Reduce by 5%
Reduce by 5%
Reduce by 5%
Reduce by 5%
 Social Capital Strategy. Extended hours in Khayelitsha, Klipfontein, Northern and
Tygerberg. Diarrhoea Project. ORT Corners. Promotion of hand washing.
Additional Narrative:
 Nil.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
Table 13: Low birth weight rate in Facilities
Sub-district
District
&
Low birth weight rate in Facilities
2005/06
2006/07 Target
Eastern
15
Khayelitsha
13
Klipfontein
14
Mitchell’s Plain
14
Northern
12
Southern
13
Tygerberg
15
Western
11
District Average
14
Strategies and Activities to Achieve Target:
2006/07 1st
Quarter Actual
Reduce by 5%
Reduce by 5%
Reduce by 5%
Reduce by 5%
Reduce by 5%
Reduce by 5%
Reduce by 5%
Reduce by 5%
Reduce by 5%
2007/08 Target
Reduce by 5%
Reduce by 5%
Reduce by 5%
Reduce by 5%
Reduce by 5%
Reduce by 5%
Reduce by 5%
Reduce by 5%
Reduce by 5%
 Introduction of antenatal strategies regarding booking, smoking and drinking. Extend
antenatal services in the city by 1 facility per Sub-district.
Additional Narrative:
 Nil.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
District Health Plan 2007 - 2008
19
Table 14: Weighing rate under 5 years
Sub-district
District
&
Weighing rate under 5 years (Target %)
2005/06
2006/07 Target
Eastern
77
Khayelitsha
56
Klipfontein
62
Mitchell’s Plain
64
Northern
71
Southern
59
Tygerberg
60
Western
89
District Average
65
Strategies and Activities to Achieve Target:

2006/07 1st
Quarter Actual
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
2007/08 Target
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
IMCI field Workers from 2006. Outreach to crèches. Quality improvement around the
weighing process. RTH Cards must be available at all facilities. (issued and reissued).
Additional Narrative:
 Nil.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
Table 15: Not Gaining weight rate under 5 years
Sub-district
District
&
Not Gaining weight rate under 5 years
2005/06
2006/07 Target
Eastern
0.45
Khayelitsha
0.42
Klipfontein
0.20
Mitchell’s Plain
0.50
Northern
0.64
Southern
0.59
Tygerberg
0.44
Western
0.46
District Average
0.45
Strategies and Activities to Achieve Target:
2006/07 1st
Quarter Actual
Maintain
Maintain
Maintain
Maintain
Maintain
Maintain
Maintain
Maintain
Maintain
2007/08 Target
Maintain
Maintain
Maintain
Maintain
Maintain
Maintain
Maintain
Maintain
Maintain
 Problem Klipfontein. Possibly under reporting. Plans need to be implemented
regarding under reporting. Better coordination of Nutritional Advisors.
Additional Narrative:
 Difficult to set target. Coordinator: Nutrition appointed at City Health.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
Table 16: Severe Malnutrition under 5 years incidence
Sub-district
District
Eastern
Khayelitsha
Klipfontein
Mitchell’s Plain
Northern
Southern
Tygerberg
Western
District Average
&
Severe Malnutrition under 5 years incidence
2005/06
2006/07 Target
2006/07 1st
Quarter Actual
2
1
1
1
3
1
4
1
2
Maintain
Maintain
Maintain
Maintain
Maintain
Maintain
Maintain
Maintain
Maintain
District Health Plan 2007 - 2008
2007/08 Target
Maintain
Maintain
Maintain
Maintain
Maintain
Maintain
Maintain
Maintain
Maintain
20
Strategies and Activities to Achieve Target:
 Improve processes in data collection.
Additional Narrative:
 Very low. Doing well in the city. Not a major issue. Possibly under reporting.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
Table 19: % Facilities Providing IMCI Services
Sub-district
District
&
% Facilities Providing IMCI Services
2005/06
2006/07 Target
Eastern
100%
Khayelitsha
100%
Klipfontein
100%
Mitchell’s Plain
100%
Northern
100%
Southern
100%
Tygerberg
100%
Western
100%
District Average
100%
Strategies and Activities to Achieve Target:
 Nil.
Additional Narrative:
2006/07 1st
Quarter Actual
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
2007/08 Target
100%
100%
100%
100%
100%
100%
100%
100%
100%
 100% in clinics (Nurse driven Monday to Friday). 100% in CHC’s (Doctor driven
Monday to Friday + extended hours).
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
Table 20: Number of Sub-districts Implementing the Household and Community
Component of IMCI
Sub-district
District
&
Number of Sub-districts implementing the household and community component of
IMCI (insert yes or no, and explain if no)
2005/06
2006/07 Target
2006/07 1st
2007/08 Target
Quarter Actual
Eastern
Yes
Yes
Yes
Khayelitsha
Yes
Yes
Yes
Klipfontein
Yes
Yes
Yes
Mitchell’s Plain
Yes
Yes
Yes
Northern
Yes
Yes
Yes
Southern
No
No
No
Tygerberg
Yes
Yes
Yes
Western
No
No
No
District Average
75%
75%
75%
Strategies and Activities to Achieve Target:
 Nil.
Additional Narrative:
 Targeting areas with limited resources.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
District Health Plan 2007 - 2008
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
100%
21
Maternal and Women’s Health
Reproductive Health
Table 22: ANC visits before 20 weeks rate
Sub-district
District
&
ANC visits before 20 weeks rate (Target %)
2005/06
2006/07 Target
2006/07 1st
Quarter Actual
Eastern
39
Khayelitsha
19
Klipfontein
31
Mitchell’s Plain
40
Northern
21
Southern
51
Tygerberg
40
Western
30
District Average
33
Strategies and Activities to Achieve Target:
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
2007/08 Target
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
 Khayelitsha and Northern to develop outreach programmes. Extend antenatal
services in the city by 1 facility per Sub-district.
Additional Narrative:

Southern best.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
Table 24: Delivery Rate in Facility
Sub-district
District
&
Delivery Rate in Facility (Target %)
2005/06
2006/07 Target
Eastern
29
Khayelitsha
55
Klipfontein
69
Mitchell’s Plain
32
Northern
35
Southern
32
Tygerberg
74
Western
13
District Average
42
Strategies and Activities to Achieve Target:
 Nil.
Additional Narrative:
 Data does not include does
2006/07 1st
Quarter Actual
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
2007/08 Target
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
not include Mowbray Maternity and Groote Schuur
Hospitals.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
Table 25: % of PHC Facilities Providing Appropriate Maternity Care (as per NDOH
Guidelines on screening for and appropriate management of communicable
and non-communicable diseases)
Sub-district
District
Eastern
Khayelitsha
&
% of PHC Facilities Providing Appropriate Maternity Care (as per NDOH
Guidelines on screening for and appropriate management of communicable and
non-communicable diseases)
2005/06
2006/07 Target
2006/07 1st
2007/08 Target
Quarter Actual
7
2
8
3
District Health Plan 2007 - 2008
7
2
8
3
22
Klipfontein
2
4
2
Mitchell’s Plain
2
3
2
Northern
2
3
2
Southern
3
4
3
Tygerberg
4
5
4
Western
2
3
2
Strategies and Activities to Achieve Target:
 Extend antenatal services in the city by 1 facility per Sub-district.
Additional Narrative:
 Nil.
4
3
3
4
5
3
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
Table 26: Availability of Referral Routes and Criteria Per Sub-District
Sub-district
District
&
Availability of Referral Routes and Criteria Per Sub-District (Indicate yes or no, if
no provide details)
2005/06
2006/07 Target
2006/07 1st
2007/08 Target
Quarter Actual
Eastern
Yes
Khayelitsha
Yes
Klipfontein
Yes
Mitchell’s Plain
Yes
Northern
Yes
Southern
Yes
Tygerberg
Yes
Western
Yes
District Average
Yes
Strategies and Activities to Achieve Target:
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
 2010 Comprehensive Service Package Plan.
Additional Narrative:
 This will be consolidated at District Hospitals. Flying Squad in place.

Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
Table 27: Confidential Inquiry into Maternal Deaths
Sub-district
District
&
Have specific Confidential Inquiry into Maternal Deaths been recorded and
conducted? If yes, provide details of the number/s and causes of death?
2005/06
2006/07 Target
2006/07 1st
2007/08 Target
Quarter Actual
District Summary
Yes
Yes
Yes
Strategies and Activities to Achieve Target:
 Nil.
Additional Narrative:
 Nil.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
Yes
Table 29: Still Birth Rate in Facility
Sub-district
District
Eastern
Khayelitsha
Klipfontein
&
Still Birth Rate in Facility (%)
2005/06
2006/07 Target
2
2
2
2006/07 1st
Quarter Actual
Maintain
Maintain
Maintain
District Health Plan 2007 - 2008
2007/08 Target
Maintain
Maintain
Maintain
23
Mitchell’s Plain
1
Maintain
Northern
1
Maintain
Southern
1
Maintain
Tygerberg
2
Maintain
Western
1
Maintain
District Average
2
Maintain
Strategies and Activities to Achieve Target:
 Nil.
Additional Narrative:
 Nil.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
Maintain
Maintain
Maintain
Maintain
Maintain
Maintain
Table 30: Delivery Rate in Facility to women < 18 years
Sub-district
District
&
Delivery Rate in Facility to women < 18 years (Target < %)
2005/06
2006/07 Target
2006/07 1st
Quarter Actual
2007/08 Target
Eastern
6
Maintain
Khayelitsha
6
Maintain
Klipfontein
6
Maintain
Mitchell’s Plain
5
Maintain
Northern
5
Maintain
Southern
3
Maintain
Tygerberg
7
Maintain
Western
3
Maintain
District Average
5
Maintain
Strategies and Activities to Achieve Target:
 Nil.
Additional Narrative:
 Doing well.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
Maintain
Maintain
Maintain
Maintain
Maintain
Maintain
Maintain
Maintain
Maintain
Women’s Health
Table 31: Cervical Cancer Screening Coverage
Sub-district
District
&
Cervical Cancer Screening Coverage (Target %)
2005/06
2006/07 Target
2006/07 1st
Quarter Actual
Eastern
52
54
Khayelitsha
53
55
Klipfontein
48
50
Mitchell’s Plain
47
49
Northern
25
27
Southern
35
37
Tygerberg
68
70
Western
56
58
District Average
48
50
Strategies and Activities to Achieve Target:
 It’s a priority programme. CHC’s to target older women
2007/08 Target
31
35
47
41
31
27
62
56
42
56
57
52
51
29
39
72
60
52
while city younger age group.
Plan in place to improve. PGWC Target 65%; City 50%.
Additional Narrative:

Confusion in the data (City Health, PGWC, Lab). Lab best data we have.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
District Health Plan 2007 - 2008
24
Table 32: Women Year Protection Rate
Sub-district
District
&
Women Year Protection Rate
2005/06
2006/07 Target
2006/07 1st
Quarter Actual
Eastern
57
63
46
Khayelitsha
122
124
132
Klipfontein
96
98
127
Mitchell’s Plain
71
77
88
Northern
67
73
40
Southern
64
70
58
Tygerberg
97
99
59
Western
69
75
153
District Average
80
84
86
Strategies and Activities to Achieve Target:
 To target Eastern, Southern. Tygerberg and parts of Northern).
Additional Narrative:
 Khayelitsha excellent coverage.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
2007/08 Target
65
126
100
79
75
72
101
77
86
Sexually Transmitted Infections
Table 34: STI Partner Notification Rate
Sub-district
District
&
STI Partner notification rate
2005/06
2006/07 Target
Eastern
0.99
Khayelitsha
1.13
Klipfontein
1.29
Mitchell’s Plain
1.36
Northern
1.24
Southern
1.14
Tygerberg
1.07
Western
1.14
District Average
1.18
Strategies and Activities to Achieve Target:
2006/07 1st
Quarter Actual
1.30
1.30
1.30
1.30
1.30
1.30
1.30
1.30
1.30
1.30
1.06
2.11
1.82
2.17
1.10
2.10
1.67
1.47
2007/08 Target
1.50
1.50
1.50
1.50
1.50
1.50
1.50
1.50
1.50
 Target in city 130% (1.3 slips per new STI). Plans in place.
Additional Narrative:

Klipfontein, Northern and Tygerberg doing very well.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
Table 35: Partner Treatment Rate
Sub-district
District
&
Partner treatment rate (Target %)
2005/06
2006/07 Target
Eastern
29
Khayelitsha
17
Klipfontein
24
Mitchell’s Plain
19
Northern
22
Southern
17
Tygerberg
18
Western
12
District Average
18
Strategies and Activities to Achieve Target:
2006/07 1st
Quarter Actual
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
2007/08 Target
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
 Outreach and interaction with STI Clients.
District Health Plan 2007 - 2008
25
Additional Narrative:
 Khayelitsha give slips but little return.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
Comprehensive HIV&AIDS Care, Management and Treatment
Prevention
Table 40: Male condom distribution rate
Sub-district
District
&
Male condom distribution rate (Target …)
2005/06
2006/07 Target
2006/07 1st
Quarter Actual
Eastern
33
36
28
Khayelitsha
69
105
64
Klipfontein
40
44
35
Mitchell’s Plain
43
58
38
Northern
34
33
29
Southern
29
28
24
Tygerberg
31
31
26
Western
26
72
21
District Average
37
50
32
Strategies and Activities to Achieve Target:
 Nil.
Additional Narrative:
 Khayelitsha excellent coverage.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
2007/08 Target
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Tuberculosis
Table 47: New TB Smear Positive Cure Rate
Sub-district
District
&
New TB Smear Positive Cure Rate
2004
2005 Target
Eastern
67%
Khayelitsha
62%
Klipfontein
71%
Mitchell’s Plain
67%
Northern
63%
Southern
80%
Tygerberg
79%
Western
73%
District Average
68%
Strategies and Activities to Achieve Target:
2006 1st Quarter
Actual
73%
55%
73%
77%
69%
69%
70%
79%
70%
75%
63%
73%
75%
55%
70%
74%
77%
71%
2006 Target
75%
57%
75%
79%
71%
71%
72%
81%
72%
 Priority programme. Individual facilities to be targeted.
Additional Narrative:
 Nil.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
source: Provincial Annual Performance Plan
District Health Plan 2007 - 2008
26
District Hospital Services
Table 51: Number of usable or functional or active beds per sub-district
Sub-district
District
&
Number of usable or functional or active beds per sub-district
2005/06
2006/07 Target
2006/07 1st
Quarter Actual
2007/08 Target
Eastern
112
Khayelitsha
90
Klipfontein
30
Southern
75
Western
30
District Total
217
Strategies and Activities to Achieve Target:
 2010 Comprehensive Service Package Plan to increase to 12,000 beds.
Additional Narrative:
 Karl Bremmer Hospital not included.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
Table 54: Number of Outpatient Days
Sub-district
District
&
Number of Outpatient Days
2005/06
2006/07 Target
2006/07 1st
Quarter Actual
2007/08 Target
Eastern
1,381
Southern
3,674
Western
7,662
District Total
12,717
Strategies and Activities to Achieve Target:
 Only 3 Sub-district have District Hospitals. 2010 Comprehensive Service Package
Plan.
Additional Narrative:

Other Sub-districts covered by the 2010 Comprehensive Service Package Plan.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
Table 55: Patient Day Equivalent (PDE)
Sub-district
District
&
Patient Day Equivalent (PDE)
2005/06
2006/07 Target
2006/07 1st
Quarter Actual
2007/08 Target
Eastern
8,115
Southern
8,581
Western
12,180
District Total
28,876
Strategies and Activities to Achieve Target:
 Only 3 Sub-district have District Hospitals. 2010 Comprehensive Service Package
Plan.
Additional Narrative:
 Other Sub-districts covered by the 2010 Comprehensive Service Package Plan.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
District Health Plan 2007 - 2008
27
Table 56: Bed Utilisation Rate
Sub-district
District
&
Bed Utilisation Rate (Target %)
2005/06
2006/07 Target
2006/07 1st
Quarter Actual
2007/08 Target
Eastern
62
Southern
56
Western
91
District Average
64
Strategies and Activities to Achieve Target:
 Only 3 Sub-district have District Hospitals. 2010 Comprehensive Service Package
Plan.
Additional Narrative:
 Other Sub-districts covered by the 2010 Comprehensive Service Package Plan.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
Table 57: Average Length of Stay (ALOS)
Sub-district
District
&
Average length of stay (ALOS) (Target in days)
2005/06
2006/07 Target
2006/07 1st
Quarter Actual
2007/08 Target
Eastern
2.56
Southern
2.98
Western
1.97
District Average
2.52
Strategies and Activities to Achieve Target:
 Only 3 Sub-district have District Hospitals.
Additional Narrative:
 Western: Nature of the service. Mainly maternity.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
Quality Assurance
Improvement of Clinic and CHC Staff –Patient – Community Relationships
Table 58: % Clinics with Complaints and Compliments System
Sub-district
District
&
% Clinics with Complaints and Compliments System
2005/06
2006/07 Target
2006/07 1st
Quarter Actual
Eastern
100%
Khayelitsha
100%
Klipfontein
100%
Mitchell’s Plain
100%
Northern
100%
Southern
100%
Tygerberg
100%
Western
100%
District Average
100%
Strategies and Activities to Achieve Target:
 Nil.
Additional Narrative:

100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
2007/08 Target
100%
100%
100%
100%
100%
100%
100%
100%
100%
Doing well.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
District Health Plan 2007 - 2008
28
Table 59: % Clinics with Patient -Satisfaction Surveys
Sub-district
District
&
% Clinics with patient -satisfaction surveys
2005/06
2006/07 Target
2006/07 1st
Quarter Actual
2007/08 Target
Strategies and Activities to Achieve Target:

Intending to be done 2006/2007.
Additional Narrative:
 Nil.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
Table 60: % of Clinics with Patient Rights and Batho Pele posters
Sub-district
District
&
% of clinics with patient rights and Batho Pele posters
2005/06
2006/07 Target
2006/07 1st
Quarter Actual
Eastern
100%
100%
100%
Khayelitsha
100%
100%
100%
Klipfontein
100%
100%
100%
Mitchell’s Plain
100%
100%
100%
Northern
100%
100%
100%
Southern
100%
100%
100%
Tygerberg
100%
100%
100%
Western
100%
100%
100%
District Average
100%
100%
100%
Strategies and Activities to Achieve Target:
 Nil.
Additional Narrative:
 Doing well.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
2007/08 Target
100%
100%
100%
100%
100%
100%
100%
100%
100%
Improvement of District Hospitals Staff – Patient – Community Relationships
Table 61: % District Hospitals with Complaints & Compliments System
Sub-district
District
&
% District Hospitals with complaints & compliments system
2005/06
2006/07 Target
2006/07 1st
Quarter Actual
Eastern
100%
100%
100%
Southern
100%
100%
100%
Western
100%
100%
100%
District Average
100%
100%
100%
Strategies and Activities to Achieve Target:
 Only 3 Sub-district have District Hospitals.
Additional Narrative:
 Doing well.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
2007/08 Target
100%
100%
100%
100%
Table 62: % District Hospitals with Patient-Satisfaction Surveys
Sub-district
District
&
District % Hospitals with Patient-Satisfaction surveys
2005/06
2006/07 Target
2006/07 1st
Quarter Actual
2007/08 Target
Strategies and Activities to Achieve Target:
 Intending to be done.
Additional Narrative:
 Nil.
District Health Plan 2007 - 2008
29
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
Table 63: Proportion of District hospitals with Patient Rights & Batho Pele Posters
Sub-district
District
&
Proportion of District hospitals with Patient Rights & Batho Pele posters
2005/06
2006/07 Target
2006/07 1st
2007/08 Target
Quarter Actual
Eastern
100%
100%
100%
Southern
100%
100%
100%
Western
100%
100%
100%
District Average
100%
100%
100%
Strategies and Activities to Achieve Target:
 Only 3 Sub-district have District Hospitals.
Additional Narrative:
 Doing well.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
100%
100%
100%
100%
Improved quality of clinical care
Table 64: % of MOU’s & District Hospitals having Monthly Mortality & Morbidity Meetings
Sub-district
District
&
% of MOU’s & district hospitals having monthly mortality & morbidity meetings
2005/06
2006/07 Target
2006/07 1st
2007/08 Target
Quarter Actual
Eastern
100%
100%
100%
Khayelitsha
100%
100%
100%
Klipfontein
100%
100%
100%
Mitchell’s Plain
100%
100%
100%
Northern
100%
100%
100%
Southern
100%
100%
100%
Tygerberg
100%
100%
100%
Western
100%
100%
100%
District Average
100%
100%
100%
Strategies and Activities to Achieve Target:
 Nil.
Additional Narrative:
 Doing well.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
100%
100%
100%
100%
100%
100%
100%
100%
100%
Supervision
Table 66: % of Clinics visited by a Supervisor once a month
Sub-district
District
&
% of Clinics visited by a Supervisor once a month
2005/06
2006/07 Target
2006/07 1st
Quarter Actual
Eastern
100%
100%
Khayelitsha
100%
100%
Klipfontein
100%
100%
Mitchell’s Plain
100%
100%
Northern
100%
100%
Southern
100%
100%
Tygerberg
100%
100%
Western
100%
100%
District Average
100%
100%
Strategies and Activities to Achieve Target:
 2010 Comprehensive Service Package Plan.
District Health Plan 2007 - 2008
100%
100%
100%
100%
100%
100%
100%
100%
100%
2007/08 Target
100%
100%
100%
100%
100%
100%
100%
100%
100%
30
Additional Narrative:
 Doing well.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
PHC Services Management
PHC Services Work load, Referral Rate and Utilisation
Table 68: Total PHC head-count
Sub-district
District
&
Total PHC head-count
2005/06
2006/07 Target
2006/07 1st
Quarter Actual
Eastern
714,429
Increase by 5%
Khayelitsha
1,292,094
Increase by 5%
Klipfontein
1,382,356
Increase by 5%
Mitchell’s Plain
984,473
Increase by 5%
Northern
755,197
Increase by 5%
Southern
923,320
Increase by 5%
Tygerberg
1,629,584
Increase by 5%
Western
787,912
Increase by 5%
District Total
8,469,365
Increase by 5%
Strategies and Activities to Achieve Target:
 Nil.
Additional Narrative:
 Nil.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
2007/08 Target
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Increase by 5%
Table 69: Utilisation Rates - Utilisation rate under 5 years
Sub-district
District
&
Utilisation Rates - Utilisation rate under 5 years
2005/06
2006/07 Target
2006/07 1st
Quarter Actual
Eastern
3.38
Khayelitsha
5.88
Klipfontein
5.35
Mitchell’s Plain
3.80
Northern
4.78
Southern
3.95
Tygerberg
5.50
Western
2.47
District Average
4.36
Strategies and Activities to Achieve Target:
 Nil.
Additional Narrative:
Reduce by 5%
Reduce by 5%
Reduce by 5%
Reduce by 5%
Reduce by 5%
Reduce by 5%
Reduce by 5%
Reduce by 5%
Reduce by 5%
2007/08 Target
Reduce by 5%
Reduce by 5%
Reduce by 5%
Reduce by 5%
Reduce by 5%
Reduce by 5%
Reduce by 5%
Reduce by 5%
Reduce by 5%
 Doing well. Eastern and Western influenced by Private Sector.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
Table 70: Utilisation rate – Total PHC
Sub-district
District
Eastern
Khayelitsha
Klipfontein
Mitchell’s Plain
&
Utilisation rate – Total PHC (Target visits)
2005/06
2006/07 Target
2006/07 1st
Quarter Actual
1.99
3.67
3.70
2.29
Reduce by 5%
Reduce by 5%
Reduce by 5%
Reduce by 5%
District Health Plan 2007 - 2008
2007/08 Target
Reduce by 5%
Reduce by 5%
Reduce by 5%
Reduce by 5%
31
Northern
2.57
Reduce by 5%
Southern
2.00
Reduce by 5%
Tygerberg
3.97
Reduce by 5%
Western
1.81
Reduce by 5%
District Average
2.72
Reduce by 5%
Strategies and Activities to Achieve Target:
 Nil.
Additional Narrative:
 Doing well. Eastern and Western influenced by Private Sector.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
Reduce by 5%
Reduce by 5%
Reduce by 5%
Reduce by 5%
Reduce by 5%
PHC Service Availability
Table 74: % of Clinics providing VCT Services
Sub-district
District
&
% of Clinics providing VCT Services
2005/06
2006/07 Target
2006/07 1st
Quarter Actual
Eastern
100%
100%
100%
Khayelitsha
100%
100%
100%
Klipfontein
100%
100%
100%
Mitchell’s Plain
100%
100%
100%
Northern
100%
100%
100%
Southern
100%
100%
100%
Tygerberg
100%
100%
100%
Western
100%
100%
100%
District Average
100%
100%
100%
Strategies and Activities to Achieve Target:
 Nil.
Additional Narrative:
 Nil.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
2007/08 Target
100%
100%
100%
100%
100%
100%
100%
100%
100%
Table 75: % of Clinics providing PMTCT
Sub-district
District
&
% of clinics providing PMTCT
2005/06
2006/07 Target
2006/07 1st
Quarter Actual
Eastern
100%
100%
100%
Khayelitsha
100%
100%
100%
Klipfontein
100%
100%
100%
Mitchell’s Plain
100%
100%
100%
Northern
100%
100%
100%
Southern
100%
100%
100%
Tygerberg
100%
100%
100%
Western
100%
100%
100%
District Average
100%
100%
100%
Strategies and Activities to Achieve Target:
 Nil.
Additional Narrative:
 100% for all at appropriate facility.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
District Health Plan 2007 - 2008
2007/08 Target
100%
100%
100%
100%
100%
100%
100%
100%
100%
32
Community Based Services
Table 76: Number of Community Based Caregivers3
Sub-district
District
&
Number of Community Based Caregivers (Home based Carers) Per Sub-District /
District
2005/06
2006/07 Target
2006/07 1st
2007/08 Target
Quarter Actual
Central
35
Maintain
Maintain
Eastern
124
Maintain
Maintain
Khayelitsha
54
Maintain
Maintain
Klipfontein
81
Maintain
Maintain
Mitchell’s Plain
57
Maintain
Maintain
Northern Panorama
25
Maintain
Maintain
Southern
41
Maintain
Maintain
Tygerberg
84
Maintain
Maintain
District Total
501
Maintain
Maintain
Strategies and Activities to Achieve Target:
 Nil.
Additional Narrative:
 Note: In old Sub-districts.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report, Partnerships for Health –
European Union Programme
Target source: Provincial Annual Performance Plan
Table 78: Number of Community Caregivers Trained
Sub-district
District
&
Number of Community based Caregivers Trained
2005/06
2006/07 Target
2006/07 1st
Quarter Actual
2007/08 Target
Central
5
Maintain
Maintain
Eastern
30
Maintain
Maintain
Khayelitsha
0
Maintain
Maintain
Klipfontein
24
Maintain
Maintain
Mitchell’s Plain
36
Maintain
Maintain
Northern Panorama
0
Maintain
Maintain
Southern
2
Maintain
Maintain
Tygerberg
15
Maintain
Maintain
District Average
14
Maintain
Maintain
Strategies and Activities to Achieve Target:
 Need to investigate the Khayelitsha and Northern Panorama statistics.
Additional Narrative:
 Note: In old Sub-districts.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report, Partnerships for Health –
European Union Programme
Target source: Provincial Annual Performance Plan
Table 79: Number of Patients Served by Community-based Caregivers4
Sub-district
District
Central
Eastern
Khayelitsha
Klipfontein
3
&
Number of Patients Served by Community--based Caregivers / Community
Health Workers / Home-based Carers
2005/06
2006/07 Target
2006/07 1st
2007/08 Target
Quarter Actual
135
1,148
377
1,250
Maintain
Maintain
Maintain
Maintain
Maintain
Maintain
Maintain
Maintain
While reference to Community Based Caregivers is used it is seen as equivalent to Home based Carers and / or
Community health Workers
4
Patients (regardless of diagnosis) receiving services of home based carers)
33
District Health Plan 2007 - 2008
Mitchell’s Plain
338
Maintain
Maintain
Northern Panorama
265
Maintain
Maintain
Southern
473
Maintain
Maintain
Tygerberg
653
Maintain
Maintain
District Total
4,639
Maintain
Maintain
Strategies and Activities to Achieve Target:
 Nil.
Additional Narrative:
 Note: In old Sub-districts.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report, Partnerships for Health –
European Union Programme
Target source: Provincial Annual Performance Plan
Table 80: Number of Home visits conducted by home-based Caregivers5
Sub-district
District
&
Number of Home visits conducted by home-based carers
2005/06
2006/07 Target
2006/07 1st
Quarter Actual
2007/08 Target
Central
15,651
Increase by 5%
Increase by 5%
Eastern
73,118
Increase by 5%
Increase by 5%
Khayelitsha
38,410
Increase by 5%
Increase by 5%
Klipfontein
53,152
Increase by 5%
Increase by 5%
Mitchell’s Plain
35,953
Increase by 5%
Increase by 5%
Northern Panorama
32,810
Increase by 5%
Increase by 5%
Southern
31,439
Increase by 5%
Increase by 5%
Tygerberg
70,021
Increase by 5%
Increase by 5%
District Total
350,554
Increase by 5%
Increase by 5%
Strategies and Activities to Achieve Target:
 Nil.
Additional Narrative:
 Note: In old Sub-districts.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report, Partnerships for Health –
European Union Programme
Target source: Provincial Annual Performance Plan
Table 81: Number of Referrals by Caregivers to Health Facilities
Sub-district
District
&
Number of Referrals by Caregivers to Health Facilities
2005/06
2006/07 Target
2006/07 1st
Quarter Actual
2007/08 Target
Eastern
267
Increase by 5%
Increase by 5%
Khayelitsha
606
Increase by 5%
Increase by 5%
Klipfontein
568
Increase by 5%
Increase by 5%
Mitchell’s Plain
195
Increase by 5%
Increase by 5%
Northern
122
Increase by 5%
Increase by 5%
Southern
196
Increase by 5%
Increase by 5%
Tygerberg
359
Increase by 5%
Increase by 5%
Western
75
Increase by 5%
Increase by 5%
District total
2,388
Increase by 5%
Increase by 5%
Strategies and Activities to Achieve Target:
 Nil.
Additional Narrative:
 Note: In old Sub-districts.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report, Partnerships for Health –
European Union Programme
Target source: Provincial Annual Performance Plan
5
Home visits is defined as home-based care services provided by home-based carers.
District Health Plan 2007 - 2008
34
Municipal Health Services6
Table 84: % of Schools without Effective and Adequate Sanitary Facilities7
Sub-district
District
&
% of Schools without effective and Adequate Sanitary Facilities
2005/06
2006/07 Target
2006/07 1st
2007/08 Target
Quarter Actual
Strategies and Activities to Achieve Target:
 Audit required. Process of review at schools to determine percentage. Linked to
deworming and hand washing project.
Additional Narrative:

Nil.
Source of data: DHIS, Department of Education and Municipalities, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
Table 85: % of Health Facilities without Sanitation and Water Services
Sub-district
District
&
% of Health Facilities without Sanitation and Water Services
2005/06
2006/07 Target
2006/07 1st
Quarter Actual
Eastern
0%
Khayelitsha
0%
Klipfontein
0%
Mitchell’s Plain
0%
Northern
0%
Southern
0%
Tygerberg
0%
Western
0%
District Average
0%
Strategies and Activities to Achieve Target:
 Nil.
Additional Narrative:
 Nil.
0%
0%
0%
0%
0%
0%
0%
0%
0%
2007/08 Target
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
Table 86: Number of District level PDOH Service Level Agreements Signed with
Category A & C Municipalities
Sub-district
District
&
Number of District level PDOH Service Level Agreements Signed with Category A
& C Municipalities
2005/06
2006/07 Target
2006/07 1st
2007/08 Target
Quarter Actual
District Average
0
1
0
Strategies and Activities to Achieve Target:
 Nil.
Additional Narrative:
 Nil.
Source of data: DHIS, DHP 2006/07, Municipalities, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
1
Narrative: Explain what is the purpose of the SLA (PHC or EHS)
6
7
MHS incorporates Environmental Health Services
Numerator (Number of schools without effective & adequate sanitary facilities) divided by Total number of
Premises
District Health Plan 2007 - 2008
35
DHS Management and Governance Structures
Table 87: District Management Appointments
District
Is there a District Manager Appointed (yes
or no, if no then explain)
Are there Sub-district Managers
Appointed (yes or no, if no then explain)
Response
No: Separate Managers in charge of MDHS and
City Health.
No: City Health: 8 Sub-district Managers
appointed. PGWC plan to have 4 SubStructure Directors.
Strategies and Activities to Achieve Target:
 PGWC: Plan to have 4 Sub-Structure Directors.
Additional Narrative:

City Health: 8 Sub-district Managers appointed.
Source of data: DHP 2006/07, Municipalities, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
Table 88: Is there a District Health Council in the District and Year of Establishment
District
Response
No
Is there a District Health Council and
what was (or is) the Year of Establishment
(yes or no and if yes when was it
established?)
No
Has Provincial legislation been passed or
amended to incorporate the provisions of
the National Health Act, 2003.
Strategies and Activities to Achieve Target:
 Nil.
Additional Narrative:
 Nil.
Source of data: DHP 2006/07, Municipalities, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
Table 89: % of District Hospitals with Functional Hospital Boards
Sub-district
District
&
% of District Hospitals with Functional Hospital Boards
2005/06
2006/07 Target
Eastern
No
Southern
Yes
Western
No
Strategies and Activities to Achieve Target:
 Only 3 Sub-district have District
2006/07 1st
Quarter Actual
Yes
Yes
Yes
No
Yes
No
2007/08 Target
Yes
Yes
Yes
Hospitals. Term of office ended. Presently
appointing.
Additional Narrative:
 Nil.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
District Health Plan 2007 - 2008
36
Table 90: % of Clinics with Functional Clinic Committees
Sub-district
District
&
% on of clinics with Functional Clinic Committees
2005/06
2006/07 Target
2006/07 1st
Quarter Actual
District Average
55
70
70
Strategies and Activities to Achieve Target:
 Nil.
Additional Narrative:
 Hope to eventually reach 94.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
2007/08 Target
75
A.2 Support Services
Pharmaceutical Services
Table 92: % of PHC Facilities with copy of PHC EDL Available
Sub-district
District
&
% of PHC Facilities with copy of PHC EDL Available (is it the most recent copy?)
2005/06
2006/07 Target
2006/07 1st
2007/08 Target
Quarter Actual
Eastern
100%
100%
100%
Khayelitsha
100%
100%
100%
Klipfontein
100%
100%
100%
Mitchell’s Plain
100%
100%
100%
Northern
100%
100%
100%
Southern
100%
100%
100%
Tygerberg
100%
100%
100%
Western
100%
100%
100%
District Average
100%
100%
100%
Strategies and Activities to Achieve Target:
 Nil.
Additional Narrative:
 Nil.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
100%
100%
100%
100%
100%
100%
100%
100%
100%
Laboratory Services
Table 93: Number of Laboratories in Sub-District – District
Sub-district
District
&
Number of Laboratories in Sub-District – District
2005/06
2006/07 Target
2006/07 1st
Quarter Actual
District Total
1
1
1
Strategies and Activities to Achieve Target:
 The NHLS delivers an effective srevive to the whole District.
Additional Narrative:
 Nil.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
District Health Plan 2007 - 2008
2007/08 Target
1
37
Equipment and Maintenance
Table 96: % of Clinics with all Essential PHC Equipment
Sub-district
District
&
% of Clinics with all Essential PHC Equipment
2005/06
2006/07 Target
2006/07 1st
Quarter Actual
Eastern
100%
100%
100%
Khayelitsha
100%
100%
100%
Klipfontein
100%
100%
100%
Mitchell’s Plain
100%
100%
100%
Northern
100%
100%
100%
Southern
100%
100%
100%
Tygerberg
100%
100%
100%
Western
100%
100%
100%
District Average
100%
100%
100%
Strategies and Activities to Achieve Target:
 Nil.
Additional Narrative:
 Nil.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
District Health Plan 2007 - 2008
2007/08 Target
100%
100%
100%
100%
100%
100%
100%
100%
100%
38
A.3 Human Resources
District and Sub-district Management Structures
Diagram 2: DHS Management Organogram
Executive Director: City Health
Dr I P Toms
Manager: Heath Operations
Western
Ms M Sifanelo
Manager: Heath Operations
Mitchells Plain
Ms S Elloker
Manager: Heath Operations
Eastern
Dr P Nkurunziza
Manager: Heath Operations
Northern
Mr A Zimba
Manager: Heath Operations
Khayelitsha
Dr V Azevedo
Manager: Heath Operations
Southern
Ms L Bakana
Manager: Heath Operations
Klipfontein
Dr J Claassen
Manager: Heath Operations
Tygerberg
Ms M Alexander
Manager: Specialised Health Services
Dr I K Bromfield
Manager: Finance
Ms A de Klerk
Manager:Support Services
Mr N Adams
Table 102: % of District and Sub-district Management Posts Vacant
Sub-district
District
&
% of District and Sub-district Management Posts Vacant
2005/06
2006/07 Target
2006/07 1st
Quarter Actual
2007/08 Target
Strategies and Activities to Achieve Target:
 2010 Comprehensive Service Package Plan.
Additional Narrative:
 Nil vacant in City Health. City Health: 8 Sub-district Managers appointed. PGWC plan
to have 4 Sub-Structure Directors.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
District Health Plan 2007 - 2008
39
Human Resource Funded Posts and Vacancies
Table 103: Sub-District Personnel Post Establishment and Vacancy Rates (City Health)
Eastern
(i) PHC
facilities
Professional
Nurses
Doctors
54
56
56
4
2007/08
2006/07
5
Vacancy Rate (%)
2005/06
2007/08
2006/07
2005/06
Personnel
category
4
Vacant Posts (Numbers)
2007/08
Sub-district &
District
3
Funded Posts
(Numbers)
2006/07
2
2005/06
1
2
1
Pharmacists
Pharmacy
Assistants
Other:
51
55
55
3
51
53
53
Pharmacists
6
2
7
2
7
2
Pharmacy
Assistants
Other:
72
76
76
4
45
47
47
1
1
4
5
5
1
1
74
78
78
4
2
(ii) District
hospitals
Professional
Nurses
Doctors
Pharmacists
Other :
Khayelitsha
(i) PHC
facilities
Professional
Nurses
Doctors
1
(ii) District
hospitals
Professional
Nurses
Doctors
Pharmacists
Other :
Klipfontein
(i) PHC
facilities
Professional
Nurses
Doctors
Pharmacists
Pharmacy
Assistants
Other:
(ii) District
hospitals
Professional
Nurses
Doctors
Pharmacists
Other :
Mitchell’s Plain
(i) PHC
facilities
District Health Plan 2007 - 2008
40
Professional
Nurses
Doctors
Pharmacists
Pharmacy
Assistants
Other:
50
52
52
3
1
4
4
2007/08
2006/07
5
Vacancy Rate (%)
2005/06
2007/08
2006/07
2005/06
Personnel
category
4
Vacant Posts (Numbers)
2007/08
Sub-district &
District
3
Funded Posts
(Numbers)
2006/07
2
2005/06
1
2
1
75
79
79
3
36
38
38
2
Pharmacists
1
1
2
1
2
1
Pharmacy
Assistants
Other:
35
39
39
3
43
45
45
1
2
2
1
3
2
1
3
2
1
1
67
71
71
11
46
48
48
5
2
(ii) District
hospitals
Professional
Nurses
Doctors
Pharmacists
Other :
Northern
(i) PHC
facilities
Professional
Nurses
Doctors
(ii) District
hospitals
Professional
Nurses
Doctors
Pharmacists
Other :
Southern
(i) PHC
facilities
Professional
Nurses
Doctors
Pharmacists
Pharmacy
Assistants
Other:
1
(ii) District
hospitals
Professional
Nurses
Doctors
Pharmacists
Other :
Tygerberg
(i) PHC
facilities
Professional
Nurses
Doctors
Pharmacists
Pharmacy
Assistants
District Health Plan 2007 - 2008
41
Other:
85
89
89
1
37
39
39
6
1
1
2
2
1
2
2
1
2
1
62
64
64
1
1
2
3
2007/08
2006/07
5
Vacancy Rate (%)
2005/06
2007/08
2006/07
2005/06
Personnel
category
4
Vacant Posts (Numbers)
2007/08
Sub-district &
District
3
Funded Posts
(Numbers)
2006/07
2
2005/06
1
(ii) District
hospitals
Professional
Nurses
Doctors
Pharmacists
Other :
(i) PHC
facilities
Professional
Nurses
Doctors
Western
Pharmacists
Pharmacy
Assistants
Other:
1
(ii) District
hospitals
Professional
Nurses
Doctors
Pharmacists
Other :
Head Office &
Spec. Services
Professional
Nurses
Doctors
Pharmacist
Pharmacy
Assistant
Other
15
3
2
2
101
Table 104: District Personnel Post Establishment and Vacancy Rates (City Health)
DISTRICT
TOTALS
(i) PHC
facilities
Professional
Nurses
Doctors
Pharmacists
Pharmacy
Assistants
Other:
377
379
379
20
9
7
21
9
7
21
9
7
622
626
626
2007/08
2006/07
5
Vacancy Rate (%)
2005/06
2007/08
2006/07
2005/06
Personnel
category
4
Vacant Posts (Numbers)
2007/08
Sub-district &
District
3
Funded Posts
(Numbers)
2006/07
2
2005/06
1
(ii) District
hospitals
District Health Plan 2007 - 2008
42
2007/08
2006/07
5
Vacancy Rate (%)
2005/06
2007/08
2006/07
2005/06
Personnel
category
4
Vacant Posts (Numbers)
2007/08
Sub-district &
District
2006/07
2
2005/06
3
Funded Posts
(Numbers)
1
Professional
Nurses
Doctors
Pharmacists
Other :
Table 104: District Personnel Post Establishment and Vacancy Rates (MDHS)
filled
vacant
total
rate
Eastern
226
32
258
12%
Northern
148
37
185
20%
Southern
181
40
221
18%
Western
260
52
312
17%
Khayelitsha
294
51
345
15%
Klipfontein
319
74
393
19%
Mitchells Plain
195
37
232
16%
Tygerberg
288
52
340
15%
1,911
375
2286
16%
239
47
286
16%
TOTALS
AVERAGE
Environmental Health Practitioners
Table 105: Environmental Health Practitioners: Total EHPs and Vacancy Rates
Sub-district
District
&
Environmental Health Practitioners: Total EHPs and Vacancy Rates
2005/06
2006/07 Target
2006/07 1st
2007/08 Target
Quarter Actual
Eastern
12
Khayelitsha
8
Klipfontein
19
Mitchell’s Plain
9
Northern
20
Southern
24
Tygerberg
17
Western
27
District Average
136
Strategies and Activities to Achieve Target:

13
9
20
14
20
24
17
27
144
12
8
19
9
20
24
17
27
136
Increase by 10%
Increase by 10%
Increase by 10%
Increase by 10%
Increase by 10%
Increase by 10%
Increase by 10%
Increase by 10%
Increase by 10%
Aim to reach 1:15,000 population.
Additional Narrative:

Nil.
Source of data: DHIS, DHP 2006/07, District & Provincial Annual Report
Target source: Provincial Annual Performance Plan
District Health Plan 2007 - 2008
43
A.4 Finance
See Annexure 1
District Health Plan 2007 - 2008
44
A.5 Infrastructure
Table 118: Public Health Sector Facility (PDOH & LG) Infrastructure Overview
2006/07
2007/08
2005/06
2006/07
2007/08
Electricity
(Target 100%)
2005/06
2007/08
2006/07
2007/08
2006/07
Piped water
(Target 100%)
2005/06
PHC
Facilities
PDOH
Clinics –
CHCs
LG
Clinics –
CHCs
District
Hospital
All
% of Clinics, CHCs & District Hospitals with:
Adequate Sanitation
Working Telephones
(Target 100%)
(Target 100%)
2005/06
District
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
Source of data: DHIS (semi-permanent data), Integrated Development Plans (LG)
Target Source:
Provincial Annual Performance Plan
100%
100%
100%
Table 119: District Capital Expenditure on Infrastructure
PLANNING OF CAPITAL PROJECTS – PHC SITES
Capital project
Fisantekraal
Replace containers with permanent clinic
Wallacedene and Bloekombos
Ensure that both meet the need
Upgrade and extension of Bloekombos
Albow Gardens/Goodhope CHC
Extension of clinic to accommodate Goodhope
Services
Tableview/Du Noon CHC
New facility
Joe Slovo Clinic
Sub district
Northern
Funding/Responsibility
City of Cape Town
Northern
City of Cape Town
Western
City of Cape Town
Western
Department of Health
Western
New facility between Melkbos and Atlantis
Western
Maitland clinic/CHC
Office space at clinic and new CHC on old CHC
site
New district 6 CHC
New District Hospital – Atlantis
New CHC in Mitchells Plain (?upgrade
Weltevreden Valley Clinic to CHC)
Western
City of Cape Town
(3 – 5 year plan)
Department of Health (5 to
10 year plan)
Department of Health
Western
Western
Mitchells Plain
Department of Health
Department of Health
Department of Health
District Health Plan 2007 - 2008
45
Mitchells Plain district hospital at Lentegeur
New CHC Khayelitsha to replace Luvuyo and
Mayenzeke clinics – near Baden Powell drive part
of Khayelitsha
District Hospital in CBD
Replacement of Zakele Clinic by CHC
New Town II clinic as CHC
Grassy Park new CHC
New CHC at old yacht club
Upgrade Retreat CHC
Eerste River Hospital casualty and OPD
New Eerste River Clinic to replace Russels Rest
and Hillcrest Clinic
New CHC Strand consolidating CHC and Clinic
New Clinic – area between Sarepta and Bluedowns
New Clinic – Wesbank
New District hospital – Replacing HHH
New clinic – area between Nomzamo and Somerset
West
New Ruyterwacht CHC
Delft Symphony Clinic
Replacement of Hanover Park CHC
Mitchells Plain
Khayelitsha
Department of Health
Department of Health
Khayelitsha
Khayelitsha
Khayelitsha
Southern
Southern
Southern
Eastern
Eastern
Department of Health
Department of Health
City of Cape Town
Department of Health
Department of Health
Department of Health
Department of Health
City of Cape Town
Eastern
Eastern
Eastern
Eastern
Eastern
Department of Health
Department of Health
City of Cape Town
Department of Health
City of Cape Town
Tygerberg
Tygerberg
Klipfontein
Department of Health
City of Cape Town
Department of Health
Annexures to the DHP 2007/08:
Annexure 1: Finance
1.1: MDHS
1.2: City Health
District Health Plan 2007 - 2008
46