District Hospital Performance Assessment Eastern Cape 2008-2010

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District Hospital Performance Assessment Eastern Cape 2008-2010 [Part 1: Cacadu (DC10), Amatole (DC12) and Chris Hani (DC13) Districts] Sizulu Moyo, Thokozani Mbatha, Catherine Ogunmefun, Peter Bock, Rene English

District Hospital Performance Assessment Eastern Cape 2008-2010 [Part 1: Cacadu (DC10), Amatole (DC12) and Chris Hani (DC13) Districts] Sizulu Moyo, Thokozani Mbatha, Catherine Ogunmefun, Peter Bock, Rene English Published by Health Systems Trust 34 Essex Terrace Westville 3630 South Africa Tel: 27 (0)31 266 9090 Fax: 27 (0)31 266 9199 Email: hst@hst.org.za http://www.hst.org.za Published: November 2011 Suggested citation: Moyo S, Mbatha T, Ogunmefun C, Bock P, English R. District Hospital Performance Assessment: Eastern Cape Province 2008-1010 Part 1. Health Systems Trust; Durban, 2012

The information contained in this publication may be freely distributed and reproduced, as long as the source is acknowledged, and it is used for non-commercial purposes.

Acknowledgements We would like to thank the National Department of Health for providing the data for the report. We are also grateful to Candy Day for assistance with the data. We thank Dr Peter Barron for input and guidance in writing the final report. District Hospital Performance Assessment: Eastern Cape Province 2008-2010 [Part 1] i

Contents INTRODUCTION . 1 BACKGROUND . 3 A CACADU DISTRICT – DC10 . 6 1. Aberdeen Hospital. 6 i: Description . 6 ii: Input and process indicators . 6 iii: Outcomes indicators. 8 iv: Impact Indicators . 8 v: Conclusions . 10 2. Andries Vosloo Hospital . 11 i: Description . 11 ii: Input and process indicators . 11 iii: Outcomes indicators. 12 iv: Impact Indicators . 13 v: Conclusions . 14 3. Midland Hospital. 15 i: Description . 15 ii: Input and process indicators . 15 iii: Outcomes indicators. 16 iv: Impact Indicators . 17 v: Conclusions . 18 4. Willowmore Hospital . 19 i: Description . 19 ii: Input and process indicators . 19 iii: Outcomes indicators. 20 iv: Impact Indicators . 21 v: Conclusions . 22 5. SAWAS Memorial (Jansenville) Hospital . 23 i: Description . 23 ii: Input and process indicators . 23 iii: Outcomes indicators. 24 iv: Impact Indicators . 25 v: Conclusions . 26 6. BJ Vorster (Kareedouw) Hospital . 27 i: Description . 27 ii: Input and process indicators . 27 iii: Outcomes indicators. 28 iv: Impact Indicators . 29 v: Conclusions . 30 7. Humansdorp Hospital . 31 i: Description . 31 ii: Input and process indicators . 31 iii: Outcomes indicators. 32 iv: Impact Indicators . 33 District Hospital Performance Assessment: Eastern Cape Province 2008-2010 [Part 1] ii

v: Conclusions . 34 8. Sundays Valley (Kirkwood) Hospital . 35 i: Description . 35 ii: Input and process indicators . 35 iii: Outcomes indicators. 36 iv: Impact Indicators . 37 v: Conclusions . 38 9. Port Alfred Hospital . 39 i: Description . 39 ii: Input and process indicators . 39 iii: Outcomes indicators. 40 iv: Impact Indicators . 41 v: Conclusions . 42 10. Settlers Hospital . 43 i: Description . 43 ii: Input and process indicators . 43 iii: Outcomes indicators. 44 iv: Impact Indicators . 45 v: Conclusions . 46 B AMATHOLE DISTRICT – DC 12 . 47 1. Adelaide Hospital . 47 i: Description . 47 ii: Input and process indicators . 47 iii: Outcomes indicators. 49 iv: Impact Indicators . 49 v: Conclusions . 51 2. Bedford Hospital. 52 i: Description . 52 ii: Input and process indicators . 52 iii: Outcomes indicators. 53 iv: Impact Indicators . 54 v: Conclusions . 55 3. Victoria Hospital . 56 i: Description . 56 ii: Input and process indicators . 56 iii: Outcomes indicators. 57 iv: Impact Indicators . 58 v: Conclusions . 59 4. Fort Beaufort Hospital . 60 i: Description . 60 ii: Input and process indicators . 60 iii: Outcomes indicators. 61 iv: Impact Indicators . 62 v: Conclusions . 63 5. Bhisho Hospital . 64 i: A: Description . 64 ii: Input and process indicators . 64 District Hospital Performance Assessment: Eastern Cape Province 2008-2010 [Part 1] iii

iii: Outcomes indicators. 65 iv: Impact Indicators . 66 v: Conclusions . 67 6. Nompumelelo Hospital . 68 i: Description . 68 ii: Input and process indicators . 68 iii: Outcomes indicators. 69 iv: Impact Indicators . 70 v: Conclusions . 71 7. Komga Hospital . 72 i: A: Description . 72 ii: Input and process indicators . 72 iii: Outcomes indicators. 73 iv: Impact Indicators . 74 v: Conclusions . 75 8. Butterworth Hospital . 76 i: Description . 76 ii: Input and process indicators . 76 iii: Outcomes indicators. 77 iv: Impact Indicators . 78 v: Conclusions . 79 9. Tafalofefe Hospital . 80 i: Description . 80 ii: Input and process indicators . 80 iii: Outcomes indicators. 81 iv: Impact Indicators . 82 v: Conclusions . 83 10. Cathcart Hospital. 84 i: A: Description . 84 ii: Input and process indicators . 84 iii: Outcomes indicators. 85 iv: Impact Indicators . 86 v: Conclusions . 87 11. SS Gida Hospital . 88 i: A: Description . 88 ii: Input and process indicators . 88 iii: Outcomes indicators. 89 iv: Impact Indicators . 90 v: Conclusions . 91 12. Stutterheim Hospital . 92 i: A: Description . 92 ii: Input and process indicators . 92 iii: Outcomes indicators. 93 iv: Impact Indicators . 94 v: Conclusions . 95 13. Madwaleni Hospital . 96 i: Description . 96 ii: Input and process indicators . 96 District Hospital Performance Assessment: Eastern Cape Province 2008-2010 [Part 1] iv

iii: iv: v: 14. i: ii: iii: iv: v: Outcomes indicators. 97 Impact Indicators . 98 Conclusions . 99 Newhaven Hospital . 100 A: Description . 100 Input and process indicators . 100 Outcomes indicators. 101 Impact Indicators . 102 Conclusions . 103 C CHRIS HANI DISTRICT - DC13 . 104 1. All Saints Hospital . 104 i: Description . 104 ii: Input and process indicators . 104 iii: Outcomes indicators. 106 iv: Impact Indicators . 106 v: Conclusions . 107 2. Mjanyana Hospital . 108 i: Description . 108 ii: Input and process indicators . 108 iii: Outcomes indicators. 109 iv: Impact Indicators . 110 v: Conclusions . 111 3. Cala Hospital . 112 i: Description . 112 ii: Input and process indicators . 112 iii: Outcomes indicators. 113 iv: Impact Indicators . 114 v: Conclusions . 115 4. Elliot Hospital . 116 i: Description . 116 ii: Input and process indicators . 116 iii: Outcomes indicators. 117 iv: Impact Indicators . 118 v: Conclusions . 119 5. Cofimvaba Hospital . 120 i: Description . 120 ii: Input and process indicators . 120 iii: Outcomes indicators. 121 iv: Impact Indicators . 122 v: Conclusions . 123 6. Cradock Hospital . 124 i: Description . 124 ii: Input and process indicators . 124 iii: Outcomes indicators. 125 iv: Impact Indicators . 126 v: Conclusions . 127 7. Dordrecht Hospital . 128 District Hospital Performance Assessment: Eastern Cape Province 2008-2010 [Part 1] v

i: Description . 128 ii: Input and process indicators . 128 iii: Outcomes indicators. 129 iv: Impact Indicators . 130 v: Conclusions . 131 8. Glen Grey Hospital . 132 i: Description . 132 ii: Input and process indicators . 132 iii: Outcomes indicators. 133 iv: Impact Indicators . 134 v: Conclusions . 135 9. Indwe Hospital. 136 i: Description . 136 ii: Input and process indicators . 136 iii: Outcomes indicators . 137 iv: Impact Indicators . 138 v: Conclusions . 139 10. Hewu Hospital . 140 i: Description . 140 ii: Input and process indicators . 140 iii: Outcomes indicators . 141 iv: Impact Indicators . 142 v: Conclusions . 143 11. Molteno Hospital . 144 i: Description . 144 ii: Input and process indicators . 144 iii: Outcomes indicators . 145 iv: Impact Indicators . 146 v: Conclusions . 147 12. Sterkstroom Hospital . 148 i: Description . 148 ii: Input and process indicators . 148 iii: Outcomes indicators . 149 iv: Impact Indicators . 150 v: Conclusions . 151 13. Martje Venter Hospital . 152 i: Description . 152 ii: Input and process i

The Eastern Cape Province is divided into seven District Municipalities (including a Metro District), demarcated as shown in Figure 1. In 2010, the province had 65 District Hospitals serving an estimated population of 6, 654,844 people. Table 2 gives a list of District Hospitals in the province by District and sub-district location. .

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