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STRATEGIC PLAN & BUDGET PRESENTATION TO THE SELECT
COMMITTEE
DEPARTMENT OF HEALTH
6 APRIL 2005
2
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
3
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
5
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
7
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
9
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
11
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
12
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
13
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
15
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)
16
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
19
PROMOTE HEALTHY LIFESTYLES
INITIATE & MAINTAIN HEALTHY LIFESTYLES CAMPAIGN IMPLEMENT PROGRAMMES IN
COMMUNITIES AND SCHOOLS RATIFY THE FRAMEWORK FOR
TOBACCO CONTROL (FCTC)
20
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
21
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
22
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)
23
STRENGTHEN SUPPORT SERVICES
STRENGTHEN NHLS ENSURE AVAILABILITY OF BLOOD
THROUGHOUT SANBTS ENSURE QUALITY AND
AFFORDABLE MEDICINES
24
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
25
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
26
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
27
STRENGTHEN RELATIONS WITHIN SADC AND AFRICA IN PARTICULAR
STRENGTHEN EXISTING BILATERAL AND MULTILATERAL RELATIONS
STRENGTHEN SADC DESK STRENGTHEN DONOR COORDINATION
28
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
29
CONCLUSIONS