Page 32 - Provincial Treasury Estimates.pdf

Overview of the Provincial Revenue and Expenditure (OPRE) Financial Year 2023/24
Table 1.7 Indicators of Universal Health Coverage, 2020

Nat. Provinces
UHC UHC Index Indicator SA EC FS GP KZ LP MP NC NW WC
Category
RMNCH UHC1 Couple year protection rate (index) 54.5 55.2 78.9 43.7 56.5 55.3 48.2 56.6 62.4 64.5
UHC2 Antenatal 1st visit coverage before 20 weeks 57.9 42.9 52.8 60 55.9 62.6 71.7 65 55.1 65.5
(index)
UHC3 Immunisation under 1 year coverage (index) 83.5 76 77.4 86.9 91.4 73.6 96.6 89 63 84.9
UHC4 Pneumonia case survival under 5 years rate 97.7 96.7 97.8 97.4 97.9 96.3 97.7 98.1 98.4 99.7
Infectious UHC5 Tuberculosis effective treatment coverage 60.2 59.5 59.4 62.3 60.8 60.7 61.6 58.1 58.9 58.6
UHC6 Antiretroviral effective coverage 42.5 37.2 45.4 40.4 47.8 52.2 48.4 26.2 37.1 24
UHC8 Percentage of households with access to 76.7 79 83.5 90.2 66.7 52.8 61.6 80.2 66.9 93.9
improved water sanitation(index)
NCDs UHC9 Age-standardised prevalence of non-raised 81.3 79.6 78.6 82.7 79.8 84.2 86 76.1 82.4 77.9
blood pressure (index)
UHC10 Diabetes treatment coverage(index) 37.9 31.7 36.5 45.6 31.9 36.4 48.4 35.1 39.8 31.6
UHC11 Cervical cancer screening coverage (index) 46.8 50 46 42.2 55.9 33.3 57.9 32 55.9 41.8
UHC12 Tobacco non-smoking prevalence (index) 81.5 81.8 79.6 79.8 87.8 88.8 84.4 69.5 80.7 70
Capacity UHC13 Hospital beds per 10 000 target population 96.3 100 100 85.8 100 78.3 65.4 91.7 72.7 100
UHC14 Health worker density 15.2 18 13.4 14.1 15.5 14.4 12.4 18.5 12.5 16.5
UHC15 Proportion of health facilities with essential 66 77.9 40.7 81.7 72.8 33.4 56.7 70 55.5 93.6
medicines
UHC16 Environmental health services compliance 62.3 66.9 59.4 68.8 56.4 64.2 58 75.2 40.5 68.3
rate
Index UHC17_1 UHC: RMNCH coverage index 71.2 64.6 74.9 68.6 72.9 70.4 75.6 75.3 67.9 77.3
UHC17_2 UHC: Infectious coverage index 55.8 53.7 58.4 58.6 55.6 52.9 54.6 47.7 50.6 49
UHC_17_3 UHC: NCDs coverage index 58.6 56.7 56.9 59.7 59.4 54.9 67.1 49.4 62 51.8
UHC17_4 UHC: Capacity coverage index 49.5 55.4 42.4 51.1 50.2 39.4 40.4 54.7 37.8 57
UHC17 Universal health coverage: service coverage 58.3 57.5 57 59.2 59 53.3 57.8 55.8 53.3 57.8
index

Source: Derived from Health Systems Trust, 2021

Social Security

The provision of social security is aimed at meeting the basic needs of the most vulnerable people in a society such
as minor children, fostered, disabled and/or old aged persons. In 2021, 63.3% of households in the EC benefited from
receiving social grants in the Province. It is also interesting to note that when comparing the total sources of income
for households, 42.0% of households reported that grants are the main source of income for households. Indicating
that almost half of the number of households in the EC rely on governments social security for making ends meet.

The COVID-19 pandemic from its onset in 2020 left many destitute, unemployed and without means of taking care of
themselves and their households. As such 8.6 % of individuals (an increase from 7.0% of responders) or respondents
to the GHS received relief through the R350 Special COVID-19 Social Relief of Distress Grant.

Human Settlements

Provincial government has prioritized ensuring that an increased number of households received quality state-
subsidized housing. In 2021, 72.4 % of households lived in formal state subsidized housing in the EC. It is also
impressive to note that a smaller percentage of households lived in informal dwellings i.e. 5.4 % in 2021. This is an
indication that the provincial government is making available decent housing for all of the people in the Province.

GENDER BASED VIOLENCE

SA continues to be a country plagued with high crime rates largely directed against the most vulnerable members of
society including women, children and disabled persons. According to the Crime Statistics for the third quarter of

2022/23 (i.e. October 2022 to December 2022) released by the South African Police Service (SAPS), crime has
increased in the EC Province in a majority of categories such as Total Contact Crimes, Sexual Offences and Sub-
categories of Aggravated Robbery.

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