1. PRESENTATION OF NATIONAL DEPARTMENT OF HEALTH STRATEGIC PLAN, 2004/05
25 MAY 2005

2. presentation to ad hoc comm on health. May 2004
FLOW OF PRESENTATION
OVERVIEW (MS NTHARI MATSAU)
ACTIVITIES PER BUDGET PROGRAMME (DR YOGAN PILLAY)
BUDGET (MR GERRIT MULLER)
CONCLUDING REMARKS (MS NTHARI MATSAU)
presentation to ad hoc comm on health. May 2004

3. presentation to ad hoc comm on health. May 2004
OVERVIEW
HAVE THE BENEFIT OF 10 YEARS OF PLANNING HEALTH SERVICES
NEED TO BUILD ON THE ACHIEVEMENTS OF THE PAST 10 YEARS
MUST STREGTHEN AREAS THAT PRESENT CHALLEGES WITH RESPECT TO CORE PRINCIPLES LIKE EQUITY, ACCESS, QUALITY, SUSTAINABILITY, COMMUNITY PARTICIPATION
presentation to ad hoc comm on health. May 2004

4. presentation to ad hoc comm on health. May 2004
10 POINT PLAN ( )
REORGANISATION OF SUPPORT SERVICES
LEGISLATIVE REFORM
IMPROVE QUALITY OF CARE
REVITALISATION OF HOSPITALS
SPEED UP DEVIVERY OF PHC SERVICES THROUGH THE DISTRICT HEALTH SYSTEM
presentation to ad hoc comm on health. May 2004

5. presentation to ad hoc comm on health. May 2004
10 POINT PLAN
DECREASE MORBIDITY AND MORTALITY THROUGH STRATEGIC INTERVENTIONS
IMPROVE RESOURCE MOBILISATION AND MANAGEMENT OF RESOURCES
IMPROVE HEALTH HUMAN RESOURCE DEVELOPMENT & MANAGEMENT
presentation to ad hoc comm on health. May 2004

6. presentation to ad hoc comm on health. May 2004
10 POINT PLAN
IMPROVE COMMUNICATION & CONSULTATION WITHIN THE HEALTH SYSTEM & BETWEEN THE HEALTH SYSTEM & COMMUNITIES
STRENGTHEN CO-OPERATION WITH OUR PARTNERS INTERNATIONALLY
presentation to ad hoc comm on health. May 2004

7. presentation to ad hoc comm on health. May 2004
SOME ACHIEVEMENTS
IMPROVEMENT IN IMMUNISATION COVERAGE FROM 63% IN 1998 TO 74% IN 2003
NO DEATHS FROM MEASLES SINCE 1999
IMPROVEMENT IN SURVEILLANCE: SHOULD BE DECLARED POLIO FREE IN 2005 & MAINTAINED STATUS WITH REGARD TO ELIMINATION OF NEONATAL TETANUS
presentation to ad hoc comm on health. May 2004

8. presentation to ad hoc comm on health. May 2004
SOME ACHIEVEMENTS
STRENGTHENED INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS STRATEGY – ONE HEALTH WORKER PER FACILITY THAT TREATS CHILDREN TRAINED IN IMCI
2000 FACILITIES PROVIDE VCT
HIV PREVALANCE IN WOMEN UNDER 20 SHOWS STABLISATION
DECREASE IN YOUTH WHO ‘EVER SMOKED’
presentation to ad hoc comm on health. May 2004

9. presentation to ad hoc comm on health. May 2004
SOME ACHIEVEMENTS
MALARIA CASES & DEATHS DECREASED: 1% CASE FATALITY (WHO TARGET REACHED)
85-90% OF ESSENTIAL DRUG LIST DRUGS AVAILABLE IN IN PHC FACILITIES AT ANY TIME
WILL BE ABLE TO ELIMINATE BACKLOG IN ASSISTIVE DEVICES (WHEEL CHAIRS AND HEARING AIDS BY END OF FINANCIAL YEAR
presentation to ad hoc comm on health. May 2004

10. presentation to ad hoc comm on health. May 2004
SOME ACHIEVEMENTS
FURTHER EXPANSION OF COMMUNITY SERVICE
SCARCE AND RURAL ALLOWANCES
A RANGE OF PUBLIC-PRIVATE PARTNERSHIPS
SUCCESSFULLY COMMISSIONED INKOSI ALBERT LUTHULI & NELSON MANDELA COMPLEX
presentation to ad hoc comm on health. May 2004

11. presentation to ad hoc comm on health. May 2004
CHALLENGES
BURDEN OF DISEASE FROM BOTH COMMUNICABLE AND NON-COMMUNICABLE DISEASES
NON-NATURAL CAUSES OF DEATH
QUALITY OF CARE
RETENTION OF HEALTH HUMAN RESOURCES
presentation to ad hoc comm on health. May 2004

12. presentation to ad hoc comm on health. May 2004
CHALLENGES
RELATIONSHIP BETWEEN THE PUBLIC AND PRIVATE HEALTH SECTORS
IMPROVE HEALTH INFORMATION SYSTEMS & TARGETTED SUPPORT TO PROVINCES TO ENSURE IMPLEMENTATION OF POLICIES
COMMUNICATION WITH COMMUNITIES
FULFILLING SADC & NEPAD COMMITMENTS FULLY
presentation to ad hoc comm on health. May 2004

13. FINANCING HEALTH SERVICES
SIGNIFICANT PROGRESS TOWARDS INTERPROVINCIAL EQUITY MADE SINCE1997/8 BUT EQUITY IN FINANCIAL ALLOCATION NOT ACHIEVED
THIS DOES NOT MEAN THAT HEALTH SERVICES ARE ADEQUATELY FUNDED
PER CAPITA FUNDING FOR PHC UNEVEN WITH SOME DISTRICTS SPENDING R300 PER PERSON PER YEAR AND OTHERS LESS THAN R50
presentation to ad hoc comm on health. May 2004

14. presentation to ad hoc comm on health. May 2004
VISION OF THE NDOH
TO PLAY A ROLE IN SECURING A CARING & HUMANE SOCIETY IN WHICH ALL SOUTH AFRICANS HAVE ACCESS TO AFFORDABLE AND GOOD QUALITY HEALTH CARE
presentation to ad hoc comm on health. May 2004

15. presentation to ad hoc comm on health. May 2004
MISSION
TO BUILD ON OUR ACHIEVEMENTS IN IMPROVING ACCESS TO HEALTH CARE FOR ALL AND TO FOCUS ON REDUCING INEQUITIES IN HEALTH CARE, IMPROVING THE QUALITY OF CARE PROVIDED AT ALL LEVELS OF THE HEALTH CARE SYSTEM WITH INCREASES IN THE EFFICIENCY OF SERVICE DELIVERY
presentation to ad hoc comm on health. May 2004

16. PROGRAMME 1: ADMINISTRATION
FUNDING FOR MINISTERIAL OFFICE AND MANAGEMENT
LEGISLATION
COMMUNICATION
STRATEGIC PLANNING
HEALTH FINANCE
presentation to ad hoc comm on health. May 2004

17. presentation to ad hoc comm on health. May 2004
LEGISLATION
IMPLEMENTATION OF THE NATIONAL HEALTH BILL ONCE ENACTED WITH REGULATIONS
PASSAGE AND IMPLEMENTATION OF THE TRADITIONAL HEALERS BILL
FINALISATION OF: NURSING BILL; TOBACCO PRODUCTS CONTROL AMENDMENT BILL; HEALTH PROFESSIONS AMENDMENT BILL; DENTAL TECHNICIANS AMENDMENT BILL; PHARMACY AMENDMENT BILL; ETC
presentation to ad hoc comm on health. May 2004

18. presentation to ad hoc comm on health. May 2004
COMMUNICATION
STRENGTHEN COMMUNICATION STRATEGY TO IMPROVE FLOW OF INFORMATION WITHIN THE HEALTH SYSTEM AND BETWEEN THE HEALTH SYSTEM AND STAKEHOLDERS
BRIEFINGS, MEETINGS, ARTICLES, RADIO, TV
presentation to ad hoc comm on health. May 2004

19. presentation to ad hoc comm on health. May 2004
STRATEGIC PLANNING
SUPPORT PROVINCIAL STRATEGIC PLANNING PROCESSES (3 AND 10 YEAR PLANS)
FACILITATE CLOSER LINKAGE BETWEEN PLANNING AND BUDGETTING PROCESS
COLLATE AND REPORT ON PROGRESS ON DELIVERY ON A QUARTERLY BASIS
presentation to ad hoc comm on health. May 2004

20. presentation to ad hoc comm on health. May 2004
HEALTH FINANCING
COST PACKAGES OF CARE FOR EACH LEVEL OF CARE
REPORT ON INTER-PROVINCIAL EQUITY IN RESOURCE ALLOCATION
ASSIST PROVINCES TO ESTABLISH MECHANISMS FOR REVENUE GENERATION
DEVELOP & IMPLEMENT SOCIAL HEALTH INSURANCE PROPOSALS
presentation to ad hoc comm on health. May 2004

21. PROG 2: STRATEGIC HEALTH PROGRAMMES: DISTRICTS & DEVELOPMENT
FACILITATE FUNCTIONAL INTEGRATION IN EACH HEALTH DISTRICT
DEVELOP STRATEGIES TO IMPROVE SERVICE DELIVERY IN RURAL & URBAN NODES
presentation to ad hoc comm on health. May 2004

22. presentation to ad hoc comm on health. May 2004
IHL
STRENGTHEN EXISTING & EXPAND BILATERNAL & MULTI-LATERAL RELATIONS WITH KEY PARTNERS
STRENGTHEN EXISTING & EXPAND MULTI-LATERAL RELATIONS
STRENGTHEN DONOR CO-ORDINATION
presentation to ad hoc comm on health. May 2004

23. HEALTH MONITORING & EVALUATION
STRENGHTEN THE NATIONAL HEALTH INFORMATION SYSTEM
STRENGTHEN THE HEALTH BROADCAST CHANNEL
CO-ORDINATE, SUPPORT & CONDUCT RESEARCH, MONITORING AND EVALUATION ACTIVITIES
STRENGTHEN THE DISEASE SURVEILLANCE SYSTEM
presentation to ad hoc comm on health. May 2004

24. MATERNAL, CHILD & WOMEN’S HEALTH & NUTRITION
REDUCE INFANT, CHILD & YOUTH MORBIDITY & MORTALITY
IMPROVE YOUTH & ADOLESCENT HEALTH
REDUCE MATERNAL MORBIDITY & MORTALITY
IMPROVE SCHOOL HEALTH SERVICES
presentation to ad hoc comm on health. May 2004

25. presentation to ad hoc comm on health. May 2004
MENTAL HEALTH
STRENGTHEN INTEGRATION OF MENTAL HEALTH SERVICES INTO HEALTH SERVICES
IMPLEMENT STRATEGIES TO REDUCE SUBSTANCE ABUSE
IMPLEMENT THE MENTAL HEALTH CARE ACT
IMPROVE QUALITY OF CARE IN MENTAL HEALTH SERVICES
presentation to ad hoc comm on health. May 2004

26. presentation to ad hoc comm on health. May 2004
HIV & AIDS
IMPROVE STRATEGIES TO DEAL WITH THE HIV AND AIDS EPIDEMIC SUCH AS:
INCREASE VCT
INCREASE CONDOM USE
INCREASE FACILITIES OFFERING PMTCT
IMPLEMENT THE COMPREHENSIVE PLAN
EFFECTIVE USE & MANAGEMENT OF CONDITIONAL GRANTS
presentation to ad hoc comm on health. May 2004

27. presentation to ad hoc comm on health. May 2004TB
ASSIST DISTRICTS TO DEVELOP SUPERVISION & MONITORING SYSTEMS FOR COMMUNITY DOTS
ENSURE IMPLEMENTATION OF DOTS STRATEY IN ALL DISTRICTS & IMPROVE THE QUALITY OF DOTS
ENSURE GOOD QUALITY TB LABORATORY SERVICES
SUPPORT PROVINCES TO DEVELOP PLANS TO REDUCE TREATMENT INTERRUPTION
presentation to ad hoc comm on health. May 2004

28. presentation to ad hoc comm on health. May 2004
QUALITY OF CARE
IMPLEMENT STRATEGIES TO IMPROVE QUALITY OF CARE
STRENGTHEN NATIONAL COMPLAINTS SYSTEM
DEVELOP NORMS & STANDARDS FOR EACH LEVEL OF CARE FOR THE PUBLIC
DEVELOP SAQA ACCREDITED COURSE ON QA
DEVELOP STANDARDS FOR REGIONAL HOSPITALS
presentation to ad hoc comm on health. May 2004

29. PHARMACEUTICAL POLICY & PLANNING
IMPLEMENT STRATEGIES TO IMPROVE PHARMACEUTICAL PROCUREMENT, MANAGEMENT & USE
IMPLEMENT STRATEGIES TO STRENGTHEN FOOD CONTROL
presentation to ad hoc comm on health. May 2004

30. MEDICINES REGULATORY AUTHORITY
STRENGTHEN MECHANISMS TO ENSURE SAFETY OF MEDICINES SUCH AS:
IMPROVE REGISTRATION SYSTEM
DEVELOP CENTRE FOR EXCELLENCE FOR GOOD MANUFACTURING PRACTICE FOR SADC & NEPAD
presentation to ad hoc comm on health. May 2004

31. PROGRAMME 3: HEALTH SERVICE DELIVERY DISEASE PREVENTION & CONTROL
PREVENTION & CONTROL OF COMMUNICABLE DISEASES
EXPAND THE CATARACT SURGERY PROJECT
ELIMINATE BACKLOG IN ASSISTIVE DEVICES
EXPAND SERVICES IN NON-COMMUNICABLE CHRONIC DISEASES
presentation to ad hoc comm on health. May 2004

32. DISEASE PREVENTION & CONTROL
STRENGTHEN PREVENTION OF INTENTIONAL & UNINTENTIONAL INJURIES
IMPROVE & EXPAND SUPPORT SERVICES SUCH AS BLOOD TRANSFUSION, LABORATORIES, SAPS MORTUARIES
IMPLEMENT WATER FLUORIDATION
IMPLEMENT THE NATIONAL ORAL HEALTH STRATEGY
presentation to ad hoc comm on health. May 2004

33. HOSPITALS SERVICES & EMS
IMPLEMENT GUIDELINES FOR IMPROVED HOSPITAL PERFORMANCE
PLANNING & DESIGN GUIDELINES ADOPTED
AUTHORITY DELEGATED TO HOSPITAL MANAGERS
FACILITY & EQUIPMENT MAINTENANCE SYSTEMS IN PLACE
presentation to ad hoc comm on health. May 2004

34. HOSPITALS SERVICES & EMS
HEALTH TECHNOLOGY POLICY ADOPTED
EMS SERVICES IMPROVED
DISASTER MANAGEMENT STRATEGIES STRENGTHENED
CONDITIONAL GRANTS FULLY & APPROPRIATELY USED
presentation to ad hoc comm on health. May 2004

35. presentation to ad hoc comm on health. May 2004
HUMAN RESOURCES
DEVELOP & IMPLEMENT STRATEGIES TO STRENGTHEN HUMAN RESOURCES FOR HEALTH, INCLUDING:
DEVELOP NATIONAL HR NORMS
STRENGTHEN HR PLANNING AT DISTRICT LEVEL
STRENGTHEN HR PLANNING AT PROVINCIAL LEVEL
presentation to ad hoc comm on health. May 2004

36. presentation to ad hoc comm on health. May 2004
HUMAN RESOURCES
SCOPES OF PRACTICE FOR MID LEVEL WORKERS
IMPLEMENT EXPANDED CHW PROGRAMME
ESTABLISH COUNCIL FOR TRADITIONAL HEALTH PRACTITIONERS
MONITOR AND REPORT ON NATIONAL RECRUITMENT & RETENTION STRATEGY
IMPLEMENT COMMUNITY SERVICE FOR NURSES
presentation to ad hoc comm on health. May 2004

37. NON-PERSONAL HEALTH SERVICES
IMPROVE ENVIRONMENTAL HEALTH SERVICES
EXPAND OCCUPATIONAL HEALTH SERVICES
EXPAND HEALTH PROMOTION SERVICES (HEALTH PROMOTING SCHOOLS; PRIORITY HEALTH PROMOTION CAMPAIGNS)
presentation to ad hoc comm on health. May 2004

38. HEALTH & WELFARE BARGAINING COUNCIL & INDUSTRIAL RELATIONS
IMPROVE MANAGEMENT OF EMPLOYEE RELATIONS
IMPROVE EMPLOYMENT EQUITY
IMPROVE WORKING CONDITIONS OF EMPLOYEES
presentation to ad hoc comm on health. May 2004

39. presentation to ad hoc comm on health. May 2004
BUDGET SLIDES
GO TO EXCEL
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40. CONCLUSION: MINISTER’S COMMITTMENT
“AS WE ENTER THE SECOND DECADE OF OUR FREEDOM AND DEMOCRACY WE WILL PROVIDE THE LEADERSHIP NECESSARY TO DELIVER ON THIS STRATEGIC PLAN SO THAT ALL THOSE WHO LIVE IN SOUTH AFRICA WILL HAVE ACCESS TO AFFORDABLE AND HIGH QUALITY HEALTH CARE”
presentation to ad hoc comm on health. May 2004