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 community to provide efficient, comprehensive health care for a better life.

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

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

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%

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

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

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

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

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

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

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

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

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

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

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

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

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

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)

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

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

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

ADMINISTRATION PATIENT • OPD OVERCROWDED

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

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

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

NGIYABONGA THANK YOU DANKIE