NUMBER OF ADVICECOUNSELLING AND PROCEDURES

109 • • 977 27.9 2.1 8 1.6 345 21.4 1.6 9 1.2 601 10.4 0.8 0.6 493 6.0 0.5 6 0.3 724 2.9 0.2 3 0.2 ng 637 2.5 0.2 3 0.1 425 1.7 0.1 2 0.1 001 100.0

7.7 6

5.7 Chapter 11 : AdviceCounselling and Procedures

11.5 MOST COMMON PROCEDURES PERFORMED IN PUBLIC AND PRIVATE CLINICS

• In public clinics, a total of 6,550 encounters 5.0 had at least one procedure performed. Dressingpressurecompressiontamponade was the most frequently performed procedure, recorded at a rate of 1.1 per 100 encounters Figure 11.5.1. • The same procedure was performed at rate of 2.0 per 100 encounters in private clinics Figure 11.5.2, second to injectioninfiltration 3.0 per 100 encounters. • Immunisation was provided at similar rates in public and private clinics 0.7 versus 0.9 per 100 encounters, respectively. Figure 11.5.1: Ten most common procedures performed in public clinics in 2014 Comprise multiple ICPC-2 codes see Appendix 4

0.1 0.2

0.2 0.3

0.3 0.7

0.8 0.9

0.9 1.1

0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5 Physical medicinerehabilitation Incisiondrainageflushingaspirationremoval body fluid Contraception procedure Repairfixation - suturecastprosthetic device applyremove Medical examination completepartial Immunisation Administrative procedure Other therapeutic medicationprocedures minor surgery Injectioninfiltration Dressingpressurecompressiontamponade Rate per 100 encounters 110 National Medical Care Statistics 2014 Figure 11.5.2: Ten most common procedures performed in private clinics in 2014 Comprise multiple ICPC-2 codes see Appendix 4

11.6 DIAGNOSES WITH ADVICECOUNSELLING AND PROCEDURES

Table 11.6.1 and Table 11.6.2 list the top 10 diagnoses managed with advicecounselling and procedures, respectively. • The three diagnoses for which advice and counselling were provided most frequently were all chronic diseases: hypertension 20.6 of all advicecounselling provided, diabetes 18.5 and lipid disorder 13.9. Together, these three conditions accounted for over half 52.9 of all advicecounselling given as part of patient management in primary care. • Patients with asthma, for whom nebulisation forms an important part of the treatment procedure, contributed to the largest proportion 8.5 of all diagnoses managed with a procedure.

0.1 0.2

0.2 0.3

0.3 0.5

0.9 1.4

2.0 3.0

0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5 Medical examination completepartial Contraception procedure Administrative procedure Incisiondrainageflushingaspirationremoval body fluid Repairfixation - suturecastprosthetic device applyremove Excisionremoval tissuebiopsydestruction debridementcauterisation Immunisation Other therapeutic medicationprocedures minor surgery Dressingpressurecompressiontamponade Injectioninfiltration Rate per 100 encounters