1. PRESENTATION OF NATIONAL DEPARTMENT OF HEALTH STRATEGIC PLAN, 2004/05 8 JUNE 2005

2. presentation to ad hoc comm on health. May 2004 2 FLOW OF PRESENTATION OVERVIEW (DR KAMY CHETTY) ACTIVITIES PER BUDGET PROGRAMME (DR YOGAN PILLAY) BUDGET (MR ANDRE VENTER) CONCLUDING REMARKS (DR KAMY CHETTY)

3. presentation to ad hoc comm on health. May 2004 3 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

4. presentation to ad hoc comm on health. May 2004 4 10 POINT PLAN (1999-2004) REORGANISATION OF SUPPORT SERVICES LEGISLATIVE REFORM IMPROVE QUALITY OF CARE REVITALISATION OF HOSPITALS SPEED UP DEVIVERY OF PHC SERVICES THROUGH THE DISTRICT HEALTH SYSTEM

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

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

7. presentation to ad hoc comm on health. May 2004 7 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

8. presentation to ad hoc comm on health. May 2004 8 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’

9. presentation to ad hoc comm on health. May 2004 9 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

10. presentation to ad hoc comm on health. May 2004 10 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

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

12. presentation to ad hoc comm on health. May 2004 12 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

13. 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

14. presentation to ad hoc comm on health. May 2004 14 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

15. presentation to ad hoc comm on health. May 2004 15 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

16. 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

17. presentation to ad hoc comm on health. May 2004 17 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

18. presentation to ad hoc comm on health. May 2004 18 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

19. presentation to ad hoc comm on health. May 2004 19 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

20. presentation to ad hoc comm on health. May 2004 20 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

21. 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

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

23. 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

24. 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

25. presentation to ad hoc comm on health. May 2004 25 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

26. presentation to ad hoc comm on health. May 2004 26 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

27. presentation to ad hoc comm on health. May 2004 27 TB 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

28. presentation to ad hoc comm on health. May 2004 28 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

29. 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

30. 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

31. 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

32. 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

33. 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

34. 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

35. presentation to ad hoc comm on health. May 2004 35 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

36. presentation to ad hoc comm on health. May 2004 36 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

37. 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)

38. 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

39. presentation to ad hoc comm on health. May 2004 39 BUDGET SLIDES GO TO EXCEL

40. presentation to ad hoc comm on health. May 2004 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”