Page 191 - Demo

Department: HealthQuality of Health care A key achievement has been the progress towards Ideal Hospital Realisation and Maintenance, with an impressive 98.4 per cent compliance rate across 64 district hospitals wherein 6 hospitals received excellent or good compliance ratings. The overall performance score for district hospitals stood at 83.3 per cent, with four districts such as Alfred Nzo, Nelson Mandela, Sarah Baartman, and BCM, exceeding the 90 per cent threshold. Notably, peer reviews conducted by the National Department of Health across provinces provided valuable benchmarking insights that highlighted areas for improvement, such as operational challenges and missed opportunities for efficiency. In clinics, the department achieved 100 per cent on Severity Assessment Code (SAC) incidents reported with 24 hours rate from a target of 86 per cent. The overachievement is due to improved awareness on early reporting and capturing of incidents on the web system. In Community Health Centres (CHCs), six (6) CHCs underwent OHSC inspections, with four (4) securing compliance certifications, while two (2) received compliance notices, necessitating targeted interventions. In HIV prevention, the programme facilitated extensive HIV Testing Services (HTS) refresher training for lay counsellors across multiple districts, contributing to the first 95 target of the HIV treatment cascade. The Clinton Health Access Initiative (CHAI) conducted a 3rd Point of Care Ultrasound Training in Gqeberha, reaching twenty-four (24) nurses from Nelson Mandela Bay Metro, Amathole, Sarah Baartman, and Alfred Nzo districts. Pharmaceutical services At the end of the third quarter, the Central Chronic Medicines Dispensing and Distribution (CCMDD) program experienced growth, with 474 890 active patients collecting their medicine parcels against a target of 422 000. This growth is attributed to improvements in prescription renewal processes and intensive engagement with service providers. The programme successfully onboarded Frere Hospital and Komani Hospital to the CCMDD system, expanding access to chronic medication. The department has introduced a new fleet replacement initiative, with the addition of 57 new vehicles, including 36 ambulances, 16 planned patient transport vehicles, and 5 response vehicles. This has bolstered service delivery and aims to address operational inefficiencies across various districts. Most notably, 22 Mercedes-Benz vehicles were incorporated into the fleet, marking a milestone in improving vehicle reliability and performance. Emergency Medical Services (EMS) The target for EMS P1 urban response under 30 minutes was surpassed, with a 67.2 per cent achievement compared to the planned target of 56 per cent. This was largely attributed to the decentralisation of urban stations, which helped reduce response times. HIV, AIDS, STI and TB (HAST) The department managed to conduct 518 555 HIV test from a target of 424 386. Target overachieved due to continuous capacity-building sessions for Lay Counsellors and Community Health Workers to enhance community-level testing. Additionally, the programme distributed over 282 000 male condoms, 4 300 female condoms, and 6 000 lubricants during the festive season condom blitz in Nelson Mandela District, targeting high-risk areas such as taxi ranks and taverns. TB tests 5 years and older using Nucleic Acid Amplification Test targeted 87 860 patients and achieved 93 980. The over achievement is due to monthly reviews that are conducted with the districts, including partners supporting TB. Maternal Child and Women%u2019s Health and Nutrition (MCWH&N) The maternal mortality ratio improved to 39.0 per 100 000 live births, far surpassing the target of 63.4 per 100 000. The antenatal ART initiation rate exceeded expectations, reaching 96.2 per cent, well above the 95 per cent target. Furthermore, the rate of deliveries among 10%u201314-year-olds in facilities was significantly lower than anticipated, with 74 deliveries recorded against a target of 335, 170