STRATEGIC PLAN & BUDGET PRESENTATION TO THE SELECT

COMMITTEE

DEPARTMENT OF HEALTH

6 APRIL 2005

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FLOW OF PRESENTATION

THE CONTEXT SUMMARY OF PROGRESS, 2004/05 CHALLENGES FOR 2005/06 STRATEGIC OBJECTIVES & KEY

ACTIVITIES FOR 2005/06 BUDGET BY BUDGET PROGRAMME CONCLUDING REMARKS

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THE CONTEXT STRATEGIC PLANNING PROCESS 2005/8

STARTED BEFORE ARRIVAL OF NEW DG FORWARD PLANNING CANNOT BE

DIVORCED FROM CHALLENGES FACING THE DEPARTMENT

DID NOT HAVE A DG FOR ALMOST 16 MONTHS

SUMMARY OF PROGRESS, 2004/05

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OVERVIEW OF PROGRESS

PROGRESS REPORT AND INDICATORS OF PROGRESS ARE PRELIMINARY

THEY WILL BE VERIFIED THROUGH THE ANNUAL REPORT

PROGRESS IS NOT INCLUSIVE OF ALL ACTIVITIES OF THE DEPARTMENT – BUT HIGHLIGHTS

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CHILD HEALTH

IMMUNISATION COVERAGE IS 82% (UP FROM 63.4% IN 1998)

ON TRACK TO BE DECLARED POLIO FREE BY DECEMBER 2005

INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS

TRAINED 7 000 PHC HEALTH PROVIDERS

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PROGRESS: YOUTH & ADOLESCENT HEALTH

212 HEALTH FACILITIES ACCREDITED AS YOUTH FRIENDLY (UP FROM 68)

INCREASE IN PERCENTAGE OF HEALTH PROMOTING SCHOOLS (18%) & SCHOOL HEALTH COMMITTEES ESTABLISHED

SCHOOL-BASED WATER BORNE DISEASE PREVENTION PROGRAMME PILOTED IN 4 SCHOOLS IN EC & KZN (VIP TOILETS BUILT & COMMUNITY MEMBERS TRAINED)

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PROGRESS: COMMUNICABLE DISEASES

STABILITY IN PREVALENCE OF HIV (PREGNANT WOMEN)

SYPHILIS RATE IS 2.7% (LOWER THAN 2001) MORE THAN 1M CONDOMS ISSUED PER DAY 121 SITES ACCREDITED – AT LEAST ONE IN EACH

OF 53 HEALTH DISTRICTS (COMPREHENSIVE PLAN) 3072 FACILITIES PROVIDE VCT (DOUBLE THE

2003/04 FIGURE) 893 HBC SITES ACTIVE

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COMMUNICABLE DISEASE (CONTD)

TB PROGRAMME BEING STRENGTHENED BUT NUMBER OF CASES INCREASING & CURE RATE STILL LOW

44 SUB-DISTRICTS HAVE TB/HIV PROGRAMMES DIAGNOSIS USING SMEAR MICROSCOPY

IMPROVING MDR UNITS ESTABLISHED IN 8 PROVINCES

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COMMUNICABLE DISEASES (CONTD) MOST PROVINCES SHOW VERY LOW

CASE FATALITY RATE FROM CHOLERA OUTBREAK TEAMS STRENGTHENED IN

ALL PROVINCES WITH PARTICIPATION FROM DOH, DWAF & DPLG

MALARIA CASES DROPPED BY 6% WITH LOW CASE FATALITY RATE

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NUTRITION INTEGRATED NUTRITION PROGRAMME

IMPLEMENTED 104 MATERNITY UNITS DECLARED

BABY FRIENDLY (22% OF FACILITIES) NUTRITION GUIDELINES FOR PEOPLE

WITH CHRONIC DISEASES IMPLEMENTED

HEALTH PROVIDERS IN 4 PROVINCES TRAINED IN USE OF GUIDELINES TO MANAGE SEVERE MALNUTRITION

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IMPROVEMENT IN QUALITY: PHC & HOSPITALS

MORE THAN 360 PEOPLE TRAINED IN PATIENTS RIGHTS

NATIONAL COMPLAINTS CENTRE ESTABLISHED SUPERVISION AT PHC LEVEL REVIEWED DISTRICT HEALTH PLANNING GUIDELINES

IMPLEMENTED AT DISTRICT LEVEL R37M OF DONOR ASSISTANCE USED TO

STRENGTHEN PHC SERVICES IN THE RURAL NODES

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QUALITY IMPROVEMENTS

30 HOSPITALS IN REVITALISATION PROGRAMME 9 HOSPITALS COMPLETED IN 2004/05 NATIONAL GUIDELINES ON HOSPITAL GOVERNANCE

(FUNCTIONING OF HOSPITAL BOARDS) IMPLEMENTED IN REVITALISATION HOSPITALS

41 HOSPITALS IMPLEMENTING COST CENTRE ACCOUNTING TO IMPROVE FINANCIAL MANAGEMENT

PARTNERSHIPS WITH UK AND FRENCH HOSPITALS TO STRENGTHEN HOSPITAL MANAGEMENT (71 MANAGERS)

61 HOSPITAL MANAGERS ENROLLED INTO LOCAL CAPACITY BUILDING PROGRAMMES

MTEF Plan 2005/8

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Ten Point Plan (2004 – 2009) IMPROVE GOVERNANCE AND MANAGEMENT OF THE

NATIONAL HEALTH SYSTEM STRENGTHEN HEALTH PROMOTION AND PREVENTION

ACTIVITIES IMPROVE QUALITY OF CARE ESPECIALLY IN PROVISION

OF HOSPITAL CARE STRENGTHEN PROGRAMMES TO DECREASE MORBIDITY

AND MORTALITY FROM COMMUNICABLE AND NON-COMMUNICABLE DISEASES

STRENGTHEN PRIMARY HEALTH CARE AND QUALITY OF CARE

STRENGTHEN EMERGENCY MEDICAL SERVICES TO DECREASE RESPONSE TIMES ESPECIALLY IN RURAL AREAS

ACCELERATE IMPLEMENTATION OF THE REVITALISATION PROGRAMME AND STRENGTHEN HOSPITAL GOVERNANCE (HOSPITAL BOARDS)

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Ten Point Plan (2004 – 2009) STRENGTHEN SUPPORT SERVICES –

PARTICULARLY LABORATORY SERVICES AND PROVISION OF BLOOD

ENSURE ADEQUATELY PREPARED AND SUFFICIENT HUMAN RESOURCES FOR HEALTH

ENSURE ADEQUATE PLANNING AND BUDGETING AT ALL LEVELS

ENSURE COMPLETION OF LEGISLATIVE PROGRAMME AND IMPLEMENTATION OF LEGISLATION E.G. THE NATIONAL HEALTH ACT AND THE MENTAL HEALTH CARE ACT

STRENGTHEN RELATIONS WITHIN SADC AND AFRICA IN PARTICULAR

NHS PRIORITIES (TEN POINT PLAN),

STRATEGIC OBJECTIVES &

AND KEY ACTIVITIES FOR 2005/06

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IMPROVE GOVERNANCE AND MANAGEMENT OF THE NATIONAL

HEALTH SYSTEM

STRENGTHEN COMMUNICATION AND COLLABORATION BETWEEN ALL SPHERES OF GOVERNMENT

STRENGTHEN CORPORATE IDENTITY STRENGTHEN GOVERNANCE AND

MANAGEMENT STRUCTURES AND SYSTEMS

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PROMOTE HEALTHY LIFESTYLES

INITIATE & MAINTAIN HEALTHY LIFESTYLES CAMPAIGN IMPLEMENT PROGRAMMES IN

COMMUNITIES AND SCHOOLS RATIFY THE FRAMEWORK FOR

TOBACCO CONTROL (FCTC)

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IMPROVE QUALITY OF CARE ESPECIALLY IN PROVISION OF

HOSPITAL CARE

STRENGTHEN COMMUNITY PARTICIPATION AT ALL LEVELS

IMPROVE CLINICAL MANAGEMENT OF CARE AT ALL LEVELS OF DELIVERY

DEVELOP A NATIONAL INFECTION CONTROL POLICY

DEVELOP A FULLY FLEDGED NATIONAL CALL CENTRE

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COMMUNICABLE AND NON-COMMUNICABLE DISEASES

REDUCE INFANT, CHILD AND YOUTH MORBIDITY

STRENGTHEN TB CONTROL PROGRAMME EXPAND THE IMPLEMENTATION OF THE

COMPREHENSIVE PLAN ON HIV AND AIDS IMPROVE WOMEN’S HEALTH AND REDUCE

MATERNAL AND NEONATAL MORBIDITY

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STRENGTHEN PRIMARY HEALTH CARE, QUALITY OF CARE AND

EMERGENCY MEDICAL SERVICES

IMPROVE PRIMARY HEALTH CARE IMPROVE EMERGENCY MEDICAL

SERVICES ENSURE EFFECTIVE HOSPITAL

REVITALISATION PROGRAMME STRENGTHEN HOSPITAL

GOVERNANCE (HOSPITAL BOARDS)

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STRENGTHEN SUPPORT SERVICES

STRENGTHEN NHLS ENSURE AVAILABILITY OF BLOOD

THROUGHOUT SANBTS ENSURE QUALITY AND

AFFORDABLE MEDICINES

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ENSURE ADEQUATELY PREPARED AND SUFFICIENT HUMAN

RESOURCES FOR HEALTH

DEVELOP AND IMPLEMENT STRATEGIES TO STRENGTHEN HUMAN RESOURCES FOR HEALTH

IMPLEMENT THE NATIONAL HEALTH WORKER POLICY FRAMEWORK

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ENSURE ADEQUATE PLANNING AND BUDGETING AT ALL LEVELS

(MEDIUM & LONG TERM)

STRENGTHEN HEALTH SYSTEM PLANNING AND BUDGETING

STRENGTHEN USE OF INFORMATION SYSTEMS

IMPLEMENT SOCIAL HEALTH INSURANCE

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ENSURE COMPLETION OF LEGISLATIVE PROGRAMME AND

IMPLEMENTATION OF LEGISLATION

IMPLEMENT THE NATIONAL HEALTH ACT

IMPLEMENT THE MENTAL HEALTH CARE ACT

IMPLEMENT LEGISLATION TO TRANSFORM STATUTORY COUNCILS

IMPLEMENT KEY PIECES OF LEGISLATION

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STRENGTHEN RELATIONS WITHIN SADC AND AFRICA IN PARTICULAR

STRENGTHEN EXISTING BILATERAL AND MULTILATERAL RELATIONS

STRENGTHEN SADC DESK STRENGTHEN DONOR COORDINATION

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BUDGET BY BUDGET PROGRAMME

NATIONAL DOH MTEF ALLOCATION 2005/06-2007/08 (R‘ 000)

BUDGET PROGRAMME

MTEF PERIOD

2005/06 2006/07 2007/08

ADMIN R 136 572 R 139 115 R 147 204

STRATEGIC HEALTH PROGRAMMES

R1 772 931 R2 126 161 R2 231 341

HEALTH SERVICE DELIVERY

R7 855 499 R8 323 243 R8 732 943

HUMAN RESOURCES

R 60 235 R 69 893 R 73 321

TOTAL R9 825 237 R10 658 412 R11 184 809

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CONCLUSIONS