Obviously django needs database tables for its basic functionality (contrib.apps).
Sure, you don't have to use them, but generally you want to use a least contrib.auth and some other bundled apps:
Each of these applications makes use
of at least one database table,
though, so we need to create the
tables in the database before we can
use them.
I any case you can't and shouldn't compare it to ugly html code generated by dreamweaver or word.
On a more abstract level:
One of key concepts of a web framework (following the mvc pattern) is that you define models which are "translated" (mapped) by the framework into database tables.
A model is the single, definitive
source of data about your data. It
contains the essential fields and
behaviors of the data you’re storing.
Generally, each model maps to a single
database table.
If you want to create the whole database scheme by hand you totally missed the point of using a web framework. In most cases you simply don't need to write sql
manually. You define your classes and then you can query your objects using the builtin orm.