Question NW3406 to the Minister of Health
14 October 2022 - NW3406
Clarke, Ms M to ask the Minister of Health
(1)(a) What indicators are used to determine the (i) best and (ii) worst performing health districts and (b) when last was the specified assessment conducted; (2) what are the relevant details of the complete list of the ranking of health districts, including the (a) name and (b) province in which they are situated?
Reply:
1. (a) District Health Services currently use the Ideal Clinic Framework’s indicators to assess district performance. The reason for using this framework is because it covers aspects of services that districts should provide to persons in the community setting, in PHC facilities to the level of referral to higher level care if needed. The Framework is a comprehensive evaluation measure and it’s elements cover administrative processes, aspects of clinical care, medicines supplies, access to laboratory tests, human resources, finance, security, cleanliness, referral, transport, EMS, infrastructure, health information management, internal communication, external communication, governance and intersectoral collaboration.
(b) The specified assessments were conducted in the 4th quarter (January – March 2022) of the previous (2021/2022) financial year. Peer reviews and therefor the collation of data is done only once a year in the fourth quarter and the next review will be January to March 2023.
2. Details of complete list according to the 2022 review is in the table below:
- (a) Best performing district are from numbers 1 to 20; and
- (b) Worst performing districts are from numbers 35 to 52
Ranking No for 2021/22 financial year |
Province |
District |
% of Facilities with IC status 2021/22 |
1 |
FS |
Xhariep District Municipality |
100% |
2 |
GP |
City of Ekurhuleni Metropolitan Municipality |
100% |
3 |
KZN |
Amajuba District Municipality |
100% |
4 |
KZN |
Zululand District Municipality |
100% |
5 |
KZN |
Umzinyathi District Municipality |
98% |
6 |
GP |
City of Johannesburg Metropolitan Municipality |
96% |
7 |
LP |
Capricorn District Municipality |
95% |
8 |
WC |
Garden Route District Municipality |
95% |
9 |
KZN |
Uthukela District Municipality |
95% |
10 |
KZN |
iLembe District Municipality |
92% |
11 |
KZN |
uMgungundlovu District Municipality |
90% |
12 |
GP |
City of Tshwane Metropolitan Municipality |
89% |
13 |
KZN |
Harry Gwala District Municipality |
85% |
14 |
WC |
City of Cape Town Metropolitan Municipality |
85% |
15 |
KZN |
King Cetshwayo District Municipality |
84% |
16 |
GP |
West Rand District Municipality |
84% |
17 |
FS |
Thabo Mofutsanyana District Municipality |
83% |
18 |
GP |
Sedibeng District Municipality |
82% |
19 |
MP |
Gert Sibande District Municipality |
81% |
20 |
NW |
Dr Kenneth Kaunda District Municipality |
80% |
21 |
EC |
Nelson Mandela Bay Municipality |
77% |
22 |
FS |
Mangaung Metropolitan Municipality |
76% |
23 |
KZN |
eThekwini Metropolitan Municipality |
74% |
24 |
WC |
Overberg District Municipality |
74% |
25 |
WC |
Cape Winelands District Municipality |
70% |
26 |
KZN |
Umkhanyakude District Municipality |
69% |
27 |
MP |
Nkangala District Municipality |
67% |
28 |
NW |
Dr Ruth Segomotsi Mompati District Municipality |
63% |
29 |
KZN |
Ugu District Municipality |
58% |
30 |
NC |
Pixley ka Seme District Municipality |
58% |
31 |
NW |
Bojanala Platinum District Municipality |
55% |
32 |
FS |
Fezile Dabi District Municipality |
51% |
33 |
NW |
Ngaka Modiri Molema District Municipality |
49% |
34 |
MP |
Ehlanzeni District Municipality |
40% |
35 |
EC |
Sarah Baartman District Municipality |
39% |
36 |
WC |
Central Karoo District Municipality |
33% |
37 |
WC |
West Coast District Municipality |
33% |
38 |
LP |
Waterberg District Municipality |
30% |
39 |
EC |
Amathole District Municipality |
28% |
40 |
FS |
Lejweleputswa District Municipality |
26% |
41 |
LP |
Vhembe District Municipality |
20% |
42 |
EC |
Buffalo City Metropolitan Municipality |
20% |
43 |
EC |
Chris Hani District Municipality |
20% |
44 |
NC |
Frances Baard District Municipality |
20% |
45 |
EC |
Joe Gqabi District Municipality |
19% |
46 |
LP |
Mopani District Municipality |
17% |
47 |
NC |
Namakwa District Municipality |
16% |
48 |
LP |
Sekhukhune District Municipality |
10% |
49 |
NC |
Zwelentlanga Fatman Mgcawu District Municipality |
10% |
50 |
EC |
Alfred Nzo District Municipality |
9% |
51 |
EC |
Oliver Tambo District Municipality |
7% |
52 |
NC |
John Taolo Gaetsewe District Municipality |
2% |
END.