Page 56 - Treasury Second Adjusment Book.pdf

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HIV/AIDS, as a result over achieved the target for testing HIV patients in the first nine months of the financial
year by testing 1 348 433 HIV clients. The facilities expanded the scope by investigating key population groups

such as HIV positive patients, ex –TB patients, pregnant women and clients who have been in contact with HIV
and TB patients. This positively yield the departments’ over performance of 97 per cent on TB investigation
done 5 years and older rate.

In Provincial Hospitals, reduction in the number of admissions resulted to iQ patient bed utilisation rate
not being met by the department at 68.8 per cent in the third quarter. On average the length of stay in
Regional Hospitals was 6.1 days and the indicator was achieved within methodological consideration of
5 per cent margin error. The department under achieved at 26.2 per cent on inpatient bed utilisation rate in
Specialised Hospitals due to refusal of admission from diagnosed patients and effectiveness of treatment
which warrants patients to be discharged earlier. To mitigate this indicator, the department is in a process of
repurposing TB Hospitals and will continue to establish more decentralised MDR-TB sites so that

stable patients with confirmed MDR-TB can be managed closer to their homes. Lastly, the department
achieved the set target on maternal mortality in facility ratio and in the third quarter at 125.3/100 000.

In Central Hospitals, the average length of stay was achieved by 8.5 days within methodological consideration

of 5 per cent margin error whilst the average length of stay in Tertiary Hospitals achieved by an average of 6.6
days. There was a partial closure of surgical ward at Nelson Mandela Academic Hospital due to renovations,
as a result, the inpatient bed utilisation rate in the Central Hospital was not achieved at 73.1 per cent. The child
under 5 years diarrhoea case fatality was achieved at a massive 3.8 per cent diarrhoea case facilities and child
under 5 years pneumonia case fatality was achieved at 1.4 per cent.

Under Health Facilities Management, the percentage of health facilities with completed capital infrastructure
projects was under achieved at 50 per cent due to delays in construction at St Barnabas Hospital and Sipethu
Hospital. The department managed to complete the refurbishment or renovation of 4 facilities as a result the
target was not achieved due to incomplete minor infrastructure improvements at Veeplaas Clinic and Max

Madlangozi Clinic. The target for number of planned health facilities with initiation reports was over achieved
with 99 initiation reports due to the need for infrastructure improvements additional reports completed in quarter
1 and quarter 2.

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