1. STRATEGIC PLAN & BUDGET PRESENTATION TO THE SELECT COMMITTEE DEPARTMENT OF HEALTH 6 APRIL 2005

2. 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. 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

4. SUMMARY OF PROGRESS, 2004/05

5. 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

6. 6 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. 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)

8. 8 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. 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

10. 10 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. 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. 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. 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

14. MTEF Plan 2005/8

15. 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. 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

17. NHS PRIORITIES (TEN POINT PLAN), STRATEGIC OBJECTIVES & AND KEY ACTIVITIES FOR 2005/06

18. 18 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. 19 PROMOTE HEALTHY LIFESTYLES  INITIATE & MAINTAIN HEALTHY LIFESTYLES CAMPAIGN  IMPLEMENT PROGRAMMES IN COMMUNITIES AND SCHOOLS  RATIFY THE FRAMEWORK FOR TOBACCO CONTROL (FCTC)

20. 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. 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. 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. 23 STRENGTHEN SUPPORT SERVICES  STRENGTHEN NHLS  ENSURE AVAILABILITY OF BLOOD THROUGHOUT SANBTS  ENSURE QUALITY AND AFFORDABLE MEDICINES

24. 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. 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. 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. 27 STRENGTHEN RELATIONS WITHIN SADC AND AFRICA IN PARTICULAR  STRENGTHEN EXISTING BILATERAL AND MULTILATERAL RELATIONS  STRENGTHEN SADC DESK  STRENGTHEN DONOR COORDINATION

28. 28 BUDGET BY BUDGET PROGRAMME NATIONAL DOH MTEF ALLOCATION 2005/06-2007/08 (R‘ 000) BUDGET PROGRAMME MTEF PERIOD 2005/062006/07 2007/08 ADMINR 136 572R 139 115R 147 204 STRATEGIC HEALTH PROGRAMMES R1 772 931R2 126 161R2 231 341 HEALTH SERVICE DELIVERY R7 855 499R8 323 243R8 732 943 HUMAN RESOURCES R 60 235R 69 893R 73 321 TOTALR9 825 237R10 658 412R11 184 809

29. 29 CONCLUSIONS