8: Progress with implementation for a selection of key PHC package indicators Indicator Eastern Cape Free State Gauteng Mpumalanga Northern Cape Provision of PHC CHC- 99% CHC- 90% CHC- CHC- 100% CHC-100% CHC-70% 8-hour 8-hour 8-hour 8 hour 8 hour services on the (80% of Based on 8-hour (provincial 100 60% same day package) referral clinics-76% clinics) system Initiation of CHC- 50% CHC- 95% CHCs- CHC- 100% CHC & CHC-60% 8-hour 8-hour 100% 8-hour hour clinic: 8 hour antiretroviral 8-hour 38% 40% therapy for AIDS designated clinics: CHCs A functioning clinic CHC- 50% CHC- 85% CHCs: CHC- 88% CHC & CHC-40% 8-hour 8-hour recently 8-hour clinic: 8 hour committee formed 85% Clinics- A nurse with mental Not readily There is a CHCs- nurses have CHC & CHC-30% ‘All available in trained PN in 100% mental health clinic: 8 hour health training CHCs and every CHC 8-hour training’ 50% clinics and 8 hour clinics Fast queue for Not readily Not sure theory 100%’ CHC & CHC-50% ‘In available in dedicated clinic: 8 elderly people CHCs and days for 100% clinics elderly in CHCs and clinics Organisational CHC- 100% CHC- 100% CHC- CHC- 100% Not sure CHC-50% 8-hour 8-hour 90% 8-hour 8 hour structure 8-hour (organogram) Own budget CHC- 100% CHC-100% CHC-100%; CHC- 100% CHC & CHC-90% 8-hour 8-hour 8-hour 8-hour clinic: 8 hour as budget at clinic-50% (‘but 100% at sub-district sub-district budget level level plundered by hospitals’
8: Progress with implementation for a selection of key PHC package indicators Indicator Eastern Cape Free State Gauteng Mpumalanga Northern Cape Provision of PHC services on the same day CHC- 99% 8-hour (80% of package) CHC- 90% 8-hour on referral system CHC- 8-hour clinics-76% CHC- 100% 8-hour (provincial clinics) CHC-100% 8 hour CHC-70% 8 hour Initiation of antiretroviral therapy for AIDS CHC- 50% 8-hour CHC- 95% 8-hour designated CHCs CHCs- 100% 8-hour clinics: CHC- 100% 8-hour CHC & clinic: 38% CHC-60% 8 hour A functioning clinic committee CHC- 50% 8-hour CHC- 85% 8-hour CHCs: recently formed Clinics- CHC- 88% 8-hour CHC & clinic: 85% CHC-40% 8 hour A nurse with mental health training Not readily available in CHCs and clinics There is a trained PN in every CHC and 8 hour clinics CHCs- 100% 8-hour ‘All nurses have mental health training’ CHC & clinic: 50% CHC-30% 8 hour 40% Fast queue for elderly people Not readily available in CHCs and clinics days for elderly in CHCs and clinics Not sure ‘In theory 100%’ CHC & clinic: 100% CHC-50% 8 hour Organisational structure (organogram) CHC- 100% 8-hour CHC- 100% 8-hour CHC- 8-hour CHC- 100% 8-hour Not sure CHC-50% 8 hour Own budget CHC- 100% 8-hour as budget at sub-district level CHC-100% 8-hour at sub-district level CHC-100%; 8-hour clinic-50% CHC- 100% 8-hour (‘but budget plundered by hospitals’ CHC & clinic: 100% CHC-90% 8 hour Based 100 90% dedicated 60%