Free State targets primary health care
Health services in this flat, often bleak, central province are better than many of the other provinces despite a lack of expertise and massive health challenges, many of which are the legacy of the mining industry that dominates the province.
One of the keys to the Free State’s ability to provide stable care lies in the fact that it has built its health system from the primary level upwards.
Increased expenditure on PHC has contributed towards improved tuberculosis cure rates, a decline in the number of sexually transmitted infections, a decline in the stillbirth and perinatal mortality rates and a well functioning immunisation programme.
Other indicators such as average length patients’ stay in a hospital and bed utilisation rate point to relatively well-managed district hospitals.
Data indicates that the province’s prevention of mother-to-child transmission of HIV programme is poor with few pregnant women tested and a negligible number accessing nevirapine.
Less than half of pregnant women were tested for HIV, the second lowest rate in South Africa.
Of the women who tested, a quarter was found to be HIV positive. All their babies received nevirapine to prevent mother-to-child transmission of HIV, but only 3 out of 10 mothers took treatment.
‘This is the lowest rate in South Africa and is not the response one would expect from the priority health programme,’ researchers commented.
Fezile Dabi district in the north of the province has a population of just of over half a million people with almost all households accessing piped water. Despite this, the number of new cases of children with diarrhoea has risen to nearly one in four. There is also a relatively high percentage of children under five not gaining weight.
Fezile Dabi also has the highest nurse clinical workload in the Free State with each nurse seeing around 36 patients per day.
Lejweleputsa, with five district hospitals, has doubled the amount spent per capita on non-hospital primary health care since 2001.
The district has achieved high cure rates for tuberculosis and is one of only 10 districts in South Africa with a cure rate of over 70 percent.
But it was ranked fifth lowest of all districts in the proportion of pregnant women tested for HIV. It also has the second lowest nevirapine uptake among pregnant women in the country.
Other Provinces:
Author
Republish this article
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
Unless otherwise noted, you can republish our articles for free under a Creative Commons license. Here’s what you need to know:
You have to credit Health-e News. In the byline, we prefer “Author Name, Publication.” At the top of the text of your story, include a line that reads: “This story was originally published by Health-e News.” You must link the word “Health-e News” to the original URL of the story.
You must include all of the links from our story, including our newsletter sign up link.
If you use canonical metadata, please use the Health-e News URL. For more information about canonical metadata, click here.
You can’t edit our material, except to reflect relative changes in time, location and editorial style. (For example, “yesterday” can be changed to “last week”)
You have no rights to sell, license, syndicate, or otherwise represent yourself as the authorized owner of our material to any third parties. This means that you cannot actively publish or submit our work for syndication to third party platforms or apps like Apple News or Google News. Health-e News understands that publishers cannot fully control when certain third parties automatically summarise or crawl content from publishers’ own sites.
You can’t republish our material wholesale, or automatically; you need to select stories to be republished individually.
If you share republished stories on social media, we’d appreciate being tagged in your posts. You can find us on Twitter @HealthENews, Instagram @healthenews, and Facebook Health-e News Service.
You can grab HTML code for our stories easily. Click on the Creative Commons logo on our stories. You’ll find it with the other share buttons.
If you have any other questions, contact info@health-e.org.za.
Free State targets primary health care
by Anso Thom, Health-e News
February 8, 2007