13 October 2010

Increasing wellness in Western Cape

A plan to increase the wellness of the people of the Western Cape was launched earlier today by the Minister of Health, Theuns Botha.

A plan to increase the wellness of the people of the Western Cape was launched earlier today by the Minister of Health, Theuns Botha.

There are two parts to the plan

  • A Summit on the Burden of Disease, the purpose of which will be (1) to review the latest available data on the burden of disease, (2) to review the response to the burden of disease by all levels of government and by role-players outside of government in the private sector and civil society and (3) to identify an action agenda for implementation designed to advance the collective effort of all role-players.
  • The roll-out of our mass HIV Counseling and Testing Plan (HCT), which seeks to test 1.2 million people, provide ART to 31 000 new clients, keep 96 000 HIV patients in care, screen 1.1 million people for TB, distribute 122 million male condoms and 1 million female condoms. The campaign is supplemented by on-going effort to encourage safe sex and provide information about TB.
  • The development of a road safety strategy to reduce injuries and fatalities, in partnership with the Department of Transport, the Department of Community Safety, the City of Cape Town and other municipalities.
  • The further development and implementation of a substance abuse strategy, which covers both alcohol and drug abuse, and involves extending drug intervention services to key hospitals, increasing the number and reach of drug treatment programmes, increasing the provision of psycho-social support services at schools, the implementation of the Liquor Act, the increase of aftercare and reintegration services for victims of substance abuse and the introduction of case management and monitoring and evaluation tools for all provincial substance abuse services.
  • The introduction of a Healthy Lifestyles campaign designed to tackle (1) the excessive consumption of salt, unhealthy fats and sugar, (2) a lack of adequate exercise and (3) the long-term use of tobacco products. Before implementing such a campaign we will do extensive research on international best practice and carefully consider the costs and potential benefits of such a campaign.
  • The implementation of a strategy to reduce childhood illness that targets both the environment in which many children live and the healthcare response to the problem. Interventions include the implementation of our human settlements strategy, which seeks to increase the number of serviced sites in informal settlements, the accelerated rollout of the Department of Health’s immunization programme, the accelerated rollout of the Department of Health’s programme to prevent the transmission of HIV from mothers to their children and the on-going implementation of the Department of Health’s strategy to prevent deaths caused by diarrheal dehydration.

  • A focus on patient experience
  • Improving health outcomes through monitoring and evaluation
  • Enhancing Primary Health Care
  • Strengthening District Services
  • Building strategic partnerships.
  Baseline estimates Target 2014 Source
Materal mortality rate (MMR)      
Western Cape 98/ 100 000 live births : 2004 90/ 100000 live births: 2004 Third report on confidential enquiries into maternal deaths in South Africa. Strategic plan: 2010-2014
South Africa 140-160/ 100 000 live births 100 or less/ 100 000 live births Negotiated service delivery agreement
Child Mortality Rate (Under five years of age)      
Western Cape 38.8/ 1000 live births (2007) 30 per 1000 live births Strategic plan 2010-2014
South Africa 69 deaths per 1000 live births 45 or less per 1000 live births Negotiated service delivery agreement
TB cure rate      
Western Cape 79.4% in 2009/10 80% is the target for 2012/13 Annual report: 2009/10 Annual performance plan 2010/11
South Africa 65% 85% Negotiated service delivery agreement
HIV/Aids prevelance      
Western Cape 15% in 2004 8% Strategic plan: 2010-2014

  Male   Female   Source
  2001-2006 2006-2011 2001-2006 2006-2011 Development indicators 2009:
The Presidency, Republic of South Africa
Western Cape 59.3 61.6 66.5 67.9  
South Africa 51.1 52.7 55.7 56.4  


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