manguzi health subdistrict 11 04 2005 vision
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MANGUZI HEALTH SUBDISTRICT 11/04/2005 VISION To achieve optimal - PDF document

MANGUZI HEALTH SUBDISTRICT 11/04/2005 VISION To achieve optimal Health status for all people of Manguzi Hospital catchment area (Tembe Tribal Authority) that form part of KZ 271. MISSION Under God, working together with the


  1. MANGUZI HEALTH SUBDISTRICT 11/04/2005

  2. VISION • To achieve optimal Health status for all people of Manguzi Hospital catchment area (Tembe Tribal Authority) that form part of KZ 271.

  3. MISSION • Under God, working together with the community to provide efficient, comprehensive health care for a better life.

  4. GEOGRAPHY • BOUNDARIES - North : Mozambique - East : Indian Ocean - West : Pongola River - South : Line from Zamazama in West to Indian Ocean in East SIZE - 2500 Km2 RAINFALL - 700mm/yr in West - 1200mm/yr in East

  5. GEOGRAPHY CONTINUED CLIMATE - Subtropical with hot humid summers and mild winters • ROADS - Sand 97% - Gravel 1% - Tar 2% TERRAIN - East : Coastal Forest - Central : Muzi swamp and palm belt - West : Sand Forest

  6. CATCHMENT POPULATION • 120 000 - ± 100 000 – RSA - ± 20 000 – MOZAMBIQUE • Gender – Female : male ratio 54:46 • Race - African 99% - Other 1% • Age <15 years ±35%

  7. SOCIO ECOMIC FACTORS • UNEMPLOYMENT RATE : ±70% • HOUSING : ± 40% brick and mortar : ± 60% traditional reed and thatch

  8. SOCIO ECONOMIC (2) • WATER : 08% Piped water : 60% wells/boreholes : 32% natural • ELECTRICITY : 1% • SANITATION : 13% Toilets

  9. HEALTH FACILITIES 1. MANGUZI HOSPITAL : 251 Beds 2. FIXED CLINICS : 09 3. MOBILE CLINICS : 03 Teams

  10. HEALTH FACILITIES (2) 4. AMBULATORY TEAMS : Rehab, Social Work, Mental, School Health, AIDS,TB, Home Based Care, Dental, Medical 5. CBHP : 114 CHW – extra 30 :Different contracts problematic

  11. SERVICES PROVIDED • HOSPITAL – LEVEL 1 CARE DISTRICT HOSPITAL PACKAGE – 98% TOP REFERRED LIMITED GENETIC COUNSELLING • PHC: PHC PACKAGE – 98% LIMITED GENETIC COUNSELLING

  12. SERVICES (2) • EMRS : 2 AMBULANCES – DELAYED RESPONSE : PPT • TRAINING : STAFF NURSES : MIDWIFERY

  13. HOSPITAL ADMISSIONS SURG PAED 04/05 MED OBS 40% 35% 30% 25% 20% 15% 10% 5% 0%

  14. MORBIDITY ADULTS G/E MEDICAL LRTI TB AIDS 30% 25% 20% 15% 10% 5% 0%

  15. CANCER MORTALITY ADULTS LRTI TB AIDS 0.35 0.25 0.15 0.05 0.4 0.3 0.2 0.1 0

  16. MORBIDITY CHILDREN SKIN.INF. TB ADM. G/E LRTI 35% 30% 25% 20% 15% 10% 5% 0%

  17. MORTALITY CHILDREN TB LRTI MALN. G/E 60% 50% 40% 30% 20% 10% 0%

  18. STATISTICS INDICATOR 2002/03 2003/04 2004/05 Bed Occ. Rate 68.5 66.5 70.7 ALOS 10.6 10.8 11.8 OPD H/counts 38 942 47 592 64 917 (36% � ) PHC H/counts 190 918 211 892 197 613 (7% � ) PNM rate/1000 23 38 34 MMR/100 000 256 206 94

  19. STATISTICS 2 INDICATOR 2002/03 2003/04 2004/05 TB cure rate 64% TB cases 829 1073 1018 Malaria 1021 1034 760 New HIV + 986 2431 2556 No. on ART 0 0 389

  20. HUMAN RESOURCES 508 EMPLOYEES : 57%Clinical • • EMPLOYMENT EQUITY : 98% African : 70% Female • SCARCE SKILLS : 74% Vacancy rate Medical Officers : 61% Vacancy rate Professional : 83% Vacancy rate Artisans • ± 20% Of staff Infected with HIV. Absenteeism • PHC COMPONENT HOSPITAL BASED (Creation outstanding)

  21. FINANCE – EXP/PDE 2004/005 HOSPITAL 2003/2004 2002/2003 R 600 R 500 R 400 R 300 R 200 R 100 R 0

  22. PHC – COST PER PATIENT 2004/2005 2003/2004 2002/2003 R 60 R 50 R 40 R 30 R 20 R 10 R 0

  23. FINANCE AND SYSTEMS CHALLENGES • Finance: 1. Estimated 10% underfunding – mainly affects HR 2. Cost centres • Procurement: 1. Lack of contracts

  24. ADMINISTRATION PATIENT • OPD OVERCROWDED

  25. MAINTENANCE AND PHYSICAL FACILITIES • Delayed construction and renovation of hospital facilities : Wards : Offices : Mortuary : Accommodation • Poor security fence • Delayed renovation of PHC facilities • Lack of gate clinic (Maputa) • Delayed construction of PHC clinics e.g. Mpophomeni, Mfihlweni, Maputa

  26. GOVERNANCE • COMMUNITY : PHC BOARD : CLINIC COMMITTEES : COMMUNITY HEALTH COMMITTEES : HOSPITAL BOARD TO BE RE-ESTABLISHED

  27. NGO’S AND CBO’S • HST - Clinic vegetable gardens - Male sexuality • Tholulwazi - HIV/AIDS Drop in Centre • Traditional Healers - HIV/AIDS - Mental Health

  28. NGIYABONGA THANK YOU DANKIE

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