Witzenberg

Population Profile Total population: Area: 17044ha

Health status Healthy life expectancy –41,3% (WC) Life expectancy –46.5 years (SA) Infant mortality rate –30/1000 (65.3 SA)

Health Units

Health services rendered PHC –Maternity –Immunisation –Mental health –Tuberculoses –Curative –Rep health Hospital –Medicine –Paediatrics –Surgery –Maternity

Health services case load

PHC Headcount per facility Utilisation rate of PHC - WC: 2.4 SA: 1.8

Socio Economic Status Tap 90% Toilet 79%

Human Resource distribution Doctors ap. 1/10000 Nurses ap. 1/1000 Pharmacist ap. 1/25000

Mortality rate Witzenberg 5/1000 Western Cape 9.8/1000 South Africa 11.7/1000

Immunisation coverage

Immunisation quality Imm dropout DPT1-3 5,94% Imm dropout DPT3-measl 5,17% Imm dropout measl 1-2 6,52%

Immunisation

TB Incident rate sm+ = 663,9/100K SA= 526.3/100K

Family Planning services Contraception Indicators of poor family planning services –Termination of pregnancy (0,1%) –Emergency contraception (0,52%) –Teenage motherhood (10,8%) Witzenberg39,66% Bolan28,72% Western cape29,09% Women on contraceptives

Disability Total = 4.1%

Priority Problem The sub-district health information system Goal: To improve the Witzenberg health information system for enhanced planning, implementation, monitoring and evaluation of health services.

Priority Problem SMART objectives To revise the existing essential data set to include relevant data for the coverage and quality of health services and population health status by December The training of 75% of all health personnel in Witzenberg on data collection, collation, reporting and use of relevant information by 2007.

Priority Problem SMART objectives cont To establish a feedback system between the Sub-district and the health facilities by To improve the HIS infracture through the procurement of necessary equipment (eg – computers, filing cabinets, etc) by 2006.

Priority Problem Monitoring indicators The development of specific tasks for each objective. The setting of a realistic timeline with necessary milestones. The delegation of responsibilities to appropriate personnel.

Priority Problem evaluation indicators Increase in consistent reporting between facilities and the sub-district management. Use of local information by managers to aid in the decision-making process. Improved consistency, completeness and accuracy of aggregate data. Improved general health status indicators.

Information flow OLD

Information flow NEW

The three most important management indicators

Resource indicators Human resource Doctors, nurses, pharmacists Infrastructure number of health facilities or social services Availability of services Material supplies drugs, vaccines (26M)

Health status indicators Hospital Attendance Social economic status (35% very poor, 48% poor) Low birth weight (21,2%) Morbidity and mortality rates

Quality indicators ANC coverage rates Drop out rates Hospital death rates