Question NW3406 to the Minister of Health

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14 October 2022 - NW3406

Profile picture: Clarke, Ms M

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.

Source file