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 04/05

0% 5% 10% 15% 20% 25% 30% 35% 40% OBS MED PAED SURG

MORBIDITY ADULTS MEDICAL

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

MORTALITY ADULTS

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

MORBIDITY CHILDREN ADM.

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

MORTALITY CHILDREN

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

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

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 HOSPITAL

R 0 R 100 R 200 R 300 R 400 R 500 R 600 2002/2003 2003/2004 2004/005

PHC – COST PER PATIENT

R 0 R 10 R 20 R 30 R 40 R 50 R 60 2002/2003 2003/2004 2004/2005

FINANCE AND SYSTEMS

CHALLENGES

• Finance:

1. Estimated 10% underfunding – mainly affects HR 2. Cost centres

• Procurement:

1. Lack of contracts

PATIENT ADMINISTRATION

• 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

THANK YOU DANKIE NGIYABONGA