Budget Presentation

1. Budget Presentation Northern Cape Province National Health Portfolio Committee – Wednesday 06th April 2005

2. Vision Health care excellence for all.

3. Mission Empowered by the Peoples’ Contract, our caring and multi-skilled staff are committed to provide comprehensive quality services using, evidence-based care-strategies to promote a healthy society in which we care for one another.

4. Review of2004 / 2005

5. Deficit Analysis

6. Deficit Analysis – cont. • Budget pressure areas • Pharmaceuticals • Food Supplies • Fuel • Lab services

7. Expenditure by Programme

8. Revenue

9. Budget Allocation and Distribution

10. Budget

11. Programme Distribution

12. Programme Distribution - cont

13. Personnel vs Non – Personnel

14. Capital vs Current

15. GFS Classification

16. Conditional Grants

17. Programme 1:ADMINISTRATION • Office of the MEC • Management

18. Sub-programme 1.1: Office of the MEC Key Strategic Objectives • To provide strategic political leadership • To provide the administrative framework and support function to allow the MEC for Health to discharge his duties. • To support public accountability and participation.

19. Sub- Programme 1.2: Management Human Resource Management • Implementation of the rural and scarce skills allowance. • 13 Matriculants awarded bursaries and commenced studies towards MBCHB with University of Free State. • 27 Community Service Doctors signed contract with department to work back years equal to the duration of studies through settlement of their debts. • 200 learnerships are undergoing training in the department.

20. Community Service and Cuban doctors • 20 Cuban doctors employed in the department • 48 doctors are doing community service • Increase in number of Allied Health workers doing community service on an annual basis

21. Allied Health Professionals- Community Service

22. Sub- Programme 1.2: Management • Communication • Departmental Newsletter to be published quarterly • Community health information sessions to be held. • Legislative reforms • Northern Cape Health Bill • Northern Cape Circumcision Bill • Nursing Education and Administration

23. Strategic Planning • New strategic plan framework – improved reporting • Provincial Health Summit 26th & 27th May • Provincial Health 2014 document being finalised

24. Quality Assurance • Quality Assurance committees in all districts • Red flag tool to beimplemented as part of clinic supervision manual. • System will be piloted in Siyanda, Karoo & Frances Baard districts.

25. Programme 2:DISTRICT HEALTH SYSTEM • District Management • Priority Programmes • Support Services

26. Programme 2: District Health Services Integrated PHC Services • Clinic supervisors appointed in Frances Baard District • 2 trucks to be donated BHP Billiton – mobile clinics • New clinics to be build will include home based care and counseling services.

27. Gordonia Hospital • Sonar & CTG machines procured • New equipment for casualty procured. • Twinning agreement signed with a hospital from France. • Ten additional doctors appointed.

28. Gordonia Hospital

29. Priority Programmes Communicable Diseases – HIV and AIDS

30. Priority Programmes Communicable Diseases – HIV and AIDS

31. Priority Programmes Communicable Diseases – HIV and AIDS • 2nd Provincial AIDS Council launched • Anti-Retroviral Treatment • Launched on 26th July 2004 • 5 treatment sites • Kimberley Hospital • Gordonia Hospital • De Aar CHC • Springbok Hospital • Kuruman Hospital • 50 assessments • Patients on ART program • 3077 HIV+ assessed • 635 being treated • 1175 with CD4 count >200

32. Priority Programmes Communicable Diseases – HIV and AIDS • Training • 760 doctors, nurses & allied health professionals trained on ART • 880 health care professionals trained in AIDS management short course • 420 lay counselors in VCT & ART adherence counseling • Voluntary, Counseling & Testing • Medical sites to be increased to 159 sites • Non-medical sites to be increased to 8 sites

33. Priority Programmes Communicable Diseases – TB • 1’948 TB cases • 1’315 on DOTS programme • 633 self supervised • 90 MDR TB patients

34. Priority Programmes Communicable Diseases – TB

35. Priority Programmes Communicable Diseases – HCBC • 42 HCBC organizations • 1009 caregivers • HCBC support consortium in all 5 districts

36. Priority Programmes Health Promotion • Health promotion manager appointed • The Department is in the process of filling 13 posts including District Health Promoters • Health promotion strategy being implemented

37. Priority Programmes Mother, Child & Womens Health • Reduction in maternal mortality • 214/100’000 per year (2003) • 200/100’000 per year (2004) • Critical equipment to improve antenatal services to be procured • Teenage pregnancy rate • 11,1 (2003) • 8,3 (2004)

38. Priority Programmes Mental Health • Suicides

39. Priority Programmes Mental Health • Mental Health Act • Hospital Review Board to be appointed • 72hr psychiatric observation facility piloted at Kimberley Hospital Information Management • District Information officers in process of being appointed

40. Priority Programmes Integrated Nutrition Programme • Incidence of severe malnutrition decreased from 1,5% (2003) to 1,1% (2004) • 833 people are on the food supplement scheme at all clinics • Food parcels issued quarterly to all bedridden and chronically ill • 10’000 parcels distributed in Feb 2005 • 11’200 parcels distributed in Mar 2005

41. Programme 3:EMERGENCY MEDICAL SERVICE

42. Emergency Medical Services • Three- year replacement policy is well underway • 30 new state of the art ambulances procured in 2004/05. • Ambulances fitted with latest technology and air conditioning at the back for patient comfort • 99 Emergency Care Practitioners were appointed across the province.

43. Emergency Medical Services 2005/06 Plans • 55 new ambulances, including ten 4x2 off- road vehicles for farm areas and 5 rapid response vehicles to be purchased at a cost of R12m • Air transportation of emergency patients is being investigated. • A pilot to air lift emergencies from a 1000km in Springbok and 800km in Calvinia to Kimberley will commence in April 2005.

44. Programme 4:PROVINCIAL HOSPITAL • Kimberley Hospital Complex

45. Kimberley Hospital • Satellite pharmacy was opened 01 Nov 2004 serving patients from specialised clinics • MRI machine was procured in 2004/2005. • KH to be developed to full tertiary hospital • Additional R150 million allocated in the MTEF to strengthen tertiary services.

46. Programme 5:HEALTH SCIENCES AND TRAINING • Objectives • Improve representation of disadvantaged groups and students of rural origin • To reduce attrition rate per course per year for formal training • To ensure capacity building for health managers

47. Health Sciences and Training • 600 Auxiliary nurses commenced training in October 2004. • Students are allocated mentors at the respective health facilities • 300 Comprehensive Nursing Students to commence training in April 2005

48. Programme 6:HEALTH CARE SUPPORT SERVICES

49. Health Care Support Services Orthotic & Prosthetic Services • 261 Wheelchairs handed over in 2004/05 • 350 Wheelchairs to be procured in 2005/06 to eliminate the backlog. Pharmaceuticals • Depot manager to be appointed

50. Forensics • Transfer of mortuaries • Mortuary facilities audited in the Namakwa, Kgalagadi & Siyanda Districts in 2004/05 • Transfer from SAPS to Department of Health planned for September 2005. • Clinical Forensics • Department intends to have at least 1 nurse per PHC facility