UGU HEALTH DISTRICT
P/Bag X735, Port Shepstone, 4240
41 Bissett Street, Port Shepstone. Main entrance is on Nelson Mandela Drive
Tel: +27 (0) 39 688 3000
Fax: +27 (0) 39 682 6296
Email khulekani.msomi@kznhealth.gov.za
 

Additional information about Ugu health district

Socio-economic & demographic profile
Total population : 704 023
Males : 46%
Females: 54 %
Urban: 16%
Rural: 76%
Informal: 8%
Ave. income per capital R2953.00		 Health Facilities Profile
District hospitals : 3
Regional hospitals : 1
Prov. fixed clinics: 36
Prov. Gateway clinics: 1
L/Govt. fixed clinics: 10
Mobile clinics: 14
Private hospitals: 2
NGO hospice: 1
Stepdown (NGO): 1
Prov TB stepdown: 1
Average Pop/clinic: 11541
16 new clinics built and 3 clinics upgraded since 1994
 		 Health Status profile
Top 10 PHC morbidity
Worms
STI (new case)
Diabetes
Scabies
Diarrhoea <5yrs (no dehya)
Bilharzia
Hypertension (new)
Chicken Pox
Diarrhoea > 5yrs (+ dehya)
Asthma visits <18 yrs		 Equity, Efficiency, Effectiveness
PHC budget: 24% of district budget
VCT coverage: 100% of facilities + 2 non-medical sites
PMTCT coverage: 90% of facilities
TB Cure rate: improved from 26% (2001) to 38% (2005)
EPI coverage: 96% (June 05)
Direct supply of medicines: 90% of clinics

The main determinants of health lie outside the health sector - The PHC approach
Critical success factors
  • Mulit-disciplinary planning and implementation team
  • Inter-sectoral collaboration in health and development
  • Community involvement
  • Mutual support and integration of sub-systems in the delivery of service
  • Strategic alliances with NGO's, CSO's and municipalities
 Poverty Alleviation
  • District is an active partner in the Food Emergency Programme
  • Effective collaboration with Agriculture and Social Welfare in community based projects
  • 27/47 clinics have demo gardens
  • Food supplements available at 100% of health facilities for vulnerable clients

Integrated development planning of local government

Ideal developmental framework to promote the PCH approach

 Improved access to PHC clinic
  • 5/47 clinics providing full 24hr service
  • 11/47 clinics providing on-call (24hrs) service
  • 9/47 clinics providing 5 days /week service
  • 27/47 clinics supported by weekly medical officer visits
  • 94% of clinics providing 80% of PHC package
 Comprehensive response to HIV/AIDS/TB/STI
  • Integrated TB/HIV/AIDS/Nutrition programme in place
  • 100% facilities offering integrated service
  • 100% facilities offering syndromic management of STI
  • ART rolled out to 4/4 hospitals
  • 4 NIP sites established and functional
  • In collaboration with LG established 1st truck stop and clinic
Public / NGO partnerships
  • Thembalisiwe Health Centre - first multi-purpose and multi-sectoral initiative (health service, skills, pension pay point)
 Health Promoting Schools
  • 5 health promoting schools established
  • 12 health promoting homes established
  • 4 hospitals and 1 clinic achieved baby friendly status
 Chronic Disease Management
  • Community mobilisation on awareness, lifestyle management and adherence to treatment
  • Support groups established to  promote group support and self-care
  • 100% integration of mental health into PHC
 Health Advocacy
  • Improved water and sanitation for high risk communities
  • Improved infrastructure (rural network of roads, telephones, electricity, cemeteries, refuse disposal)
  • Health sector plans incorporated in the IDP

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