A pragmatic derivative method to assess the condition of a public health built infrastructure portfolio

The 2006, 2011 and 2017 Report Cards on the condition of built environment fixed infrastructure in South Africa were the product of cooperation between the Council for Scientific and Industrial Research (CSIR) and the South African Institution of Civil Engineering (SAICE). Their purpose has been to draw the attention of government, and of the public at large, to the importance of maintenance, and to factors underlying the condition of public sector infrastructure. One of the ten public infrastructure sectors assessed in all three report cards was the health sector, comprising hospitals and clinics. This paper describes how the collection and analysis for the 2017 infrastructure report card of health sector condition data was conducted. In particular, it describes how, in the absence of a comprehensive reasonably up-to-date database, and the way, without their interrogation and integration in mind, in which available datasets had been compiled, the CSIR formulated a pragmatic derivative method to assess the condition of the public health built infrastructure portfolio.