Page 170 - Provincial Treasury Estimates.pdf

Department: +HDOWK
community-based outreach services, clinics, community health centers and hospitals. During the reporting

period PHC supervision visit rate achieved increased to 65.8 per cent, 510 facilities, the performance
marked 25 per cent increase from the previous year.

The improved performance is attributed to the districts COVID-19 recovery efforts to catch-up with routine

services due to reduction in COVID-19 infection rate. Fixed PHC facility supervisor coverage is at
70 per cent provincially with the most affected district at 27 per cent Alfred Nzo followed by Chris Hani
district at 56.6 per cent.

There are 775 PHC facilities across the province, which are made up of 734 Clinics and 41 Community

Health Centers (CHCs) complemented by 152 non fixed facilities and 66 district hospitals. PHC facilities
are the entry points to the health systems and provide PHC package relevant for each level; and are

referral points for the community-based services. In 2022/23, in improving community engagement Clinics
and CHC committees for all public health facilities were established and trained.

National Health Insurance (NHI)

The implementation phase of the NHI has been extended by three years to 2026. There is a steady

improvement towards NHI readiness.

The province has established ward-based community outreach teams consisting of 3 823 community
healthcare workers appointed during 2022/23. These Community Health Workers (CHW) have contributed
to primary healthcare by tracing 1 994 HIV non-adherence clients, traced 9 535 TB patients and conducted

counselling on treatment adherence of about 1 675.

The 184 Professional Nurses appointed to the Integrated School Health Programme (ISHP) teams expand
the service by giving health education to learners on sexual reproductive health, disadvantages of teenage

pregnancy, family planning, non-communicable diseases and dangers of drug abuse. During 2022/23 to
date, 1 505 Grade 1 and 1 246 Grade 8 learners were screened. Leaners with problems like

developmental delays, hearing and visual impairment that were detected during these assessments have
been referred to the relevant caregivers. The ISHP teams achieved 100 per cent of administering the
second dose of Human Papilloma Virus (HPV) and yet another cohort of young girls are now protected

against developing cervical cancer, one of the commonest cancers amongst women in the province.

By the end of 2022, the province had contracted 39 private General Practitioners (GP) to supplement the

medical workforce and provided services to 77 primary healthcare services, increasing access to doctors
in those communities.

Non-Communicable Diseases
District Golden Games took place in Nelson Mandela Bay in October 2022 to enhance active aging among

older persons. The department rendered a comprehensive package of health services on the day of the
event such as screening for non-communicable diseases, health education, physiotherapy services.
There were 500 older persons benefited.

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