The Department of Health has published its Annual Performance Plan 2012/13 – 2014/15. The plan notes that: HIV-prevalence in the general population is 17,9% (5,575 million), and that of these, 2.05 million were adult females over the age of 15 years; 73% of TB patients are HIV-positive; interpersonal violence is the eight leading cause of years of lost life; and national HIV-prevalence amongst pregnant women increased from 0.7% in 1990 to 30,2% in 2010, with stark provincial variations.
In KwaZulu–Natal it increased to a high of 39,5% in 2010. The number of districts which recorded antenatal prevalence between 30-40% increased from 14 out of 52 districts to 21 in 2010.
The focus of the health sector between 2011/12 – 13/14 will be:
- Increasing life expectancy from 54 years to 56 for males and from 59 to 61 years for females.
- Reducing maternal and child mortality. Maternal mortality rates must decrease from 310 per 100 000 to 270 by 2014/15. The plan targets the reduction of child mortality from 56 per 1000 live births to 50 by 2014/15.
- Combating HIV and AIDS and decreasing the burden of disease from TB. The aim is to increase the total number of patients on ART from 1.1 million in 2009 to 2.5 million in 2014/15 and to improve the TB success rate from 73,9% to 85%.
- Strengthening health systems effectiveness.
The HIV and AIDS, TB and Maternal Child Health Programme which includes women’s health programmes aims to secure the relevant targets by, inter alia:
- Increasing national immunization coverage.
- Expanding the coverage of the school health programme to ensure that 95% of quintile 1 schools are visited by a school health team and ensuring that 95% of Grade 1 learners in quintile 1 and 2 schools are assessed using the ISHP learner assessment.
- Increasing antenatal care coverage before 20 weeks from 40% in 211 to 65% in 2014/15, the proportion of hospital deliveries from 90% to 96%, and the percentage of mothers and babies receiving post-natal care within 6 days of delivery from 45% to 82%.
- Improving access to sexual and reproductive health care services, including cervical cancer screening from 52% to 58%. the couple year protection rate form 33 – 37% and the percentage of health facilities with contraceptive services to 90% by 2014 /15.
- Expanded PMTCT coverage to pregnant women and increasing the percentage of babies testing PCR positive at 6 weeks to reduce from 3,5% to 2% by 2014/15.
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