1 / 49

NATIONAL COUNCIL OF PROVINCES 09 MAY 2006

PRESENTATION OF THE NATIONAL DEPARTMENT OF HEALTH’S ANNUAL REPORT 2004/05 AND THE STRATEGIC PLAN & BUDGET 2006/07-2008/09. NATIONAL COUNCIL OF PROVINCES 09 MAY 2006. FLOW OF PRESENTATION. VISION & MISSION LEGISLATIVE MANDATES KEY PRIORITIES, 2004-2009 (THE 10 POINT PLAN OF THE NHS)

gilberte
Download Presentation

NATIONAL COUNCIL OF PROVINCES 09 MAY 2006

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. PRESENTATION OF THE NATIONAL DEPARTMENT OF HEALTH’S ANNUAL REPORT 2004/05 AND THE STRATEGIC PLAN & BUDGET2006/07-2008/09 NATIONAL COUNCIL OF PROVINCES 09 MAY 2006

  2. FLOW OF PRESENTATION • VISION & MISSION • LEGISLATIVE MANDATES • KEY PRIORITIES, 2004-2009 (THE 10 POINT PLAN OF THE NHS) • SUMMARY OF ACHIEVEMENTS AND KEY CHALLENGES AS REFLECTED IN THE NDOH ANNUAL REPORT 2004/05

  3. FLOW OF PRESENTATION • PRIORITIES FOR 2006/07 AS REFLECTED IN THE NDOH STRATEGIC PLAN FOR 2006/07-2008/09 • NDOH BUDGET FOR 2006/07-2008/09 • CONCLUSIONS

  4. VISION & MISSION • VISION • AN ASSESSIBLE, CARING AND HIGH QUALITY HEALTH SYSTEM • MISSION • TO IMPROVE HEALTH STATUS THROUGH PREVENTION OF ILLNESS & DISEASE AND THROUGH THE PROMOTION OF HEALTHY LIFESTYLES AND TO CONSISTENTLY IMPROVE THE HEALTH CARE DELIVERY SYSTEM BY FOCUSING ON ACCESS, EQUITY, EFFICIENCY, QUALITY AND SUSTAINABILITY

  5. LEGISLATIVE MANDATES • 49 ACTS MENTIONED IN THE ANNUAL REPORT, INCLUDING: • THE CONSTITUTION OF THE REPUBLIC • NATIONAL HEALTH ACT • MENTAL HEALTH CARE ACT • PUBLIC FINANCE MANAGEMENT ACT • MEDICINES & RELATED SUBSTANCES ACT • MEDICAL SCHEMES ACT

  6. KEY PRIORITIES, 2004-2009 • IMPROVE GOVERNANCE & MANAGEMENT OF THE NHS • PROMOTE HEALTHY LIFESTYLES • CONTRIBUTE TOWARDS HUMAN DIGNITY BY IMPROVING QUALITY OF CARE • IMPROVE MANAGEMENT OF COMMUNICABLE & NON-COMMUNICABLE DISEASES • STRENGTHEN PHC, EMS AND HOSPITAL SERVICE DELIVERY SYSTEMS

  7. KEY PRIORITIES, 2004-2009 (CONTD) • STRENGTHEN SUPPORT SERVICES • HUMAN RESOURCE PLANNING, MANAGEMENT AND DEVELOPMENT • PLANNING, BUDGETING AND MONITORING & EVALUATION • PREPARATION AND IMPLEMENTATION OF LEGISLATION • STRENGTHEN INTERNATIONAL RELATIONS

  8. BUDGET PROGRAMME STRUCTURE OF THE NDOH IN 2004/05 • PROGRAMME 1: ADMINISTRATION (OFFICE OF MINISTER. DEPUTY MINISTER,LEGAL, PLANNING, COMMUNICATION) • PROGRAMME 2: STRATEGIC HEALTH PROGRAMMES (DISTRICTS; HEALTH PROGRAMMES; IHL; M/E) • PROGRAMME 3: HEALTH SERVICE DELIVERY (HOSPITALS; COMMUNICABLE & NCDs; HR)

  9. KEY ACHIEVEMENTS 2004/05: PROGRAMME 1 • AS REFLECTED ON P22 A NUMBER OF BILLS WERE TABLED DURING THE 04/05 FINANCIAL YEAR • NATIONAL HEALTH ACT SIGNED INTO LAW • COURTS UPHELD RIGHT OF DOH TO SET POLICY RE: LICENSING OF DESPENSERS & SINGLE EXIT PRICING • RANGE OF PUBLICATIONS, RADIO AND TV INTERVIEWS TO ENHANCE COMMUNICATION (PP24-25)

  10. KEY ACHIEVEMENTS 2004/05: PROGRAMME 1(CONT) • IMPROVED INTEGRATED PLANNING WITH PROVINCES & DISTRICTS • REVIEW OF ANNUAL REPORTS OF PROVINCES • PACKAGES OF CARE (PHC, DISTRICT HOSPITALS AND TERTIARY CARE) HAVE BEEN COSTED • INTER-PROVINCIAL EQUITY ANALYSED

  11. KEY ACHIEVEMENTS 2004/05: PROGRAMME 2 • 66% OF HEALTH DISTRICTS PROVIDE FULL BASKET OF PHC SERVICES WITH INCREASING PHC UTILISATION (P 29) • PROVINCES ARE MOVING TOWARDS FUNCTIONAL INTEGRATION USING A NATIONAL CHECKLIST • ALL DISTRICTS HAVE STARTED TO USE THE NATIONAL DISTRICT HEALTH PLANNING GUIDELINES

  12. KEY ACHIEVEMENTS 2004/05: PROGRAMME 2 • A NUMBER OF BI AND TRILATERAL AGREEMENTS HAVE BEEN SIGNED INCLUDING THOSE WITH IRAN, RWANDA, MALI, INDIA AND BRAZIL TO NAME A FEW (P 31) • ADDITIONAL RESOURCES FROM DONORS HAVE BEEN MOBILISED E.G., R80M FROM THE ITALIAN GOVERNMENT

  13. KEY ACHIEVEMENTS 2004/05: PROGRAMME 2 • 30% OF HEALTH INSTITUTIONS HAVE A FUNCTIONAL HEALTH INFORMATION SYSTEM & MORE THAN 17% RECEIVE HEALTH BROADCASTS • 12% OF HOSPITALS HAVE TELEMEDICINE FACILITIES • SIGNIFICANTLY MORE BIRTHS AND DEATHS ARE BEING REGISTERED

  14. KEY ACHIEVEMENTS 2004/05: PROGRAMME 2 • A NUMBER OF HEALTH REPORTS HAVE BEEN PUBLISHED (E.G., QUARTERLY REPORTS ON THE COMPREHENSIVE PLAN, ANTENATAL SURVEY, SADHS, CONFIDENTIAL INQUIRIES INTO MATERNAL DEATHS)

  15. KEY ACHIEVEMENTS 2004/05: PROGRAMME 2 • INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESSES STRATEGY EXPANDED TO ALL 53 HEALTH DISTRICTS • 8 000 HEALTH PROVIDERS TRAINED (64% OF THOSE WHO PROVIDE SERVICES TO CHILDREN) • 70% OF DISTRICTS REACHED IMMUNISATION COVERAGE OF 80% • SCHOOL HEALTH SERVICES EXTENDED - 30% OF PROVINCES PROVIDE 100% OF PHASE 1 SERVICES

  16. KEY ACHIEVEMENTS 2004/05: PROGRAMME 2 • 80% OF PUBLIC HEALTH FACILITIES OFFER VCT & 60% OFFER PMTCT • MORE THAN 347m MALE & OVER 1m FEMALE CONDOMS DISTRIBUTED • BUSINESS CASES APPROVED BEFORE FUNDING FROM CONDITIONAL GRANT FOR HIV AND AIDS ARE DISBURSED TO PROVINCES – 97% OF FUNDS WERE USED

  17. KEY ACHIEVEMENTS 2004/05: PROGRAMME 2 • NUMBER OF ACCREDITED SITES – 139 (AGAINST TARGET OF 113) • 74 NGOs FUNDED WITH CLOSE MONITORING

  18. KEY ACHIEVEMENTS 2004/05: PROGRAMME 2 • 57% OF NEW SMEAR-POSTIVE CASES OF TB CURED AT THE FIRST ATTEMPT (TARGET IS 65%) • 12% OF TB PATIENTS DEFAULT (TARGET IS 10%) • 42% OF TB PATIENTS OFFERED VCT & 59% OF THESE ACCEPT

  19. KEY ACHIEVEMENTS 2004/05: PROGRAMME 2 • USER-FRIENDLY SERVICE NORMS FOR PHC LAUNCHED • PROCESS PUT IN PLACE TO STRENGTHEN THE NATIONAL COMPLAINTS CENTRE • PRIORITY AREAS FOR QA TRAINING DEVELOPED

  20. KEY ACHIEVEMENTS 2004/05: PROGRAMME 2 • ALL NEW PHARMACIES HAVE BEEN LICENSED • WORK ON REVIEW OF HOSPITAL EDL BOOKS LARGELY COMPLETED • 75% COMPLIANCE REACHED ON COMPLETION OF EXPEDITED APPLICATIONS FOR DRUG REGISTRATION WITHIN 9 MONTHS

  21. KEY ACHIEVEMENTS 2004/05: PROGRAMME 3 • COVERAGE OF INDOOR RESIDUAL SPRAYING INCREASED TO 83% OF TARGETED HOUSES • GOOD COLLABORATION WITH NEIGHBOURING STATES ACHIEVED • 10 407 WHEELCHAIRS AND 4 547 HEARING AIDS DISTRIBUTED – BACKLOG ELIMINATED • NO OF CATARACT SURGERIES EXCEEDED TARGET (1 039/M DONE)

  22. KEY ACHIEVEMENTS 2004/05: PROGRAMME 3 • 11% OF HOSPITALS ARE PART OF THE HOSPITAL REVITALISATION PROGRAMME • CONDITIONAL GRANT FOR REVITALISATION OF HOSPITALS EFFECTIVELY MANAGED (BUSINESS CASES, REPORTS ETC) • 60% OF HOSPITALS ADOPTED GUIDELINES TO IMPROVE MANAGEMENT

  23. KEY ACHIEVEMENTS 2004/05: PROGRAMME 3 • DRAFT HR PLAN COMPLETED AND CONSULTATION PROCESS UNDERWAY • WORK ON MID LEVEL WORKERS ADVANCED EG. MEDICAL ASSISTANTS • CO-ORDINATION OF POLICY ON COMMUNITY CARE GIVERS WITH SOCIAL DEVELOPMENT COMPLETED • ON MORE THAN 9 000 HEALTH WORKERS TRAINED TO IMPLEMENT THE COMPREHENSIVE PLAN

  24. KEY ACHIEVEMENTS 2004/05: PROGRAMME 3 • IMPROVING EMPLOYEE RELATIONS WITHIN THE NDOH: • 55% OF GRIEVANCES RESOLVED INTERNALLY • 83% OF DISCIPLINARY HEARINGS FINALISED WITHIN 6 MONTHS

  25. CHALLENGES 2004/05 • IMPLEMENTATION OF POLICIES WITHIN RESOURCE CONSTRAINTS • RECRUITMENT & RETENTION OF HUMAN RESOURCES • TB CONTROL REMAINS A CHALLENGE –- CURE RATE IS 56.7%

  26. CHALLENGES 2004/05 • IMPROVEMENT OF EMERGENCY MEDICAL SERVICES REQUIRED • FURTHER STEPS NEEDED TO IMPROVE SERVICES IN PUBLIC HOSPITALS

  27. BUDGET AND EXPENDITURE FOR 2004/05

  28. NATIONAL DEPARTMENT OF HEALTH: 2004/05Appropriation per programme • Programme 1: Administration - 94% • Programme 2: Strategic Health Programme - 91% • Condoms ordered but not delivered • HIV/Aids Conditional Grant transferees withheld • Programme 3: Health Services Delivery - 96% • Laboratory equipment ordered but not delivered • Conditional Grant transfers withheld

  29. KEY PRIORITIES FOR 2006/07 – 2006/07 STRAT PLAN • DEVELOPMENT & IMPLEMENTATION OF SERVICE TRANSFORMATION PLANS • IMPLEMENTATION OF THE NATIONAL HUMAN RESOURCES FOR HEALTH PLAN • STRENGTHENING PHYSICAL INFRASTRUCTURE (PHC, HOSPITALS) • IMPROVING QUALITY OF CARE • PRIORITY HEALTH PROGRAMMES (HEALTHY LIFESTYLES, TB CRISIS MANAGEMENT PLAN, ACCELERATED HIV PREVENTION STRATEGY)

  30. DEVELOPMENT & IMPLEMENTATION OF SERVICE TRANSFORMATION PLANS • ALL PROVINCIAL DOHs TO FINALISE SERVICE TRANSFORMATION PLANS BY MAY 2006 • THESE WILL BE ANALYSED AND COLLATED INTO AN ANNUAL NATIONAL HEALTH PLAN FOR 2007/08 (IN TERMS OF SECTION 21(5) OF THE NHA OF 2003) • EMS BEING STRENGTHENED TO REDUCE RESPONSE TIMES

  31. IMPLEMENTATION OF THE NATIONAL HUMAN RESOURCES FOR HEALTH PLAN • WHO DECLARED 2006 AS HUMAN RESOURCES FOR HEALTH YEAR • NATIONAL HR PLAN COMPLETED & LAUNCHED ON 7 APRIL (WORLD HEALTH DAY) • SCOPES OF PRACTICE OF MID LEVEL WORKERS FINALISED

  32. HR PLAN • PREPARATIONS FINALISED FOR INITIATION OF CLINICAL ASSOCIATE PROGRAMME IN 2007 • POLICY ON COMMUNITY CARE GIVERS FINALISED • DISCUSSIONS WITH TREASURY AND DPSA ABOUT REMUNERATION LEVELS AND CONDITIONS OF SERVICE INITIATED

  33. STRENGTHENING PHYSICAL INFRASTRUCTURE (HOSPITALS & PHC) • HOSPITAL REVITALISATION IS IN ITS 4TH YEAR • 4 HOSPITALS COMPLETED IN 2004/05 (MP, NW AND 2 IN NC) • 45 HOSPITALS TO BE ENROLLED INTO THE PROGRAMME OVER THE NEXT 3 YEARS • HOSPITAL IMPROVEMENT PLANS TO BE DEVELOPED BY EACH HOSPITAL IN 2006/07

  34. STRENGTHENING PHYSICAL INFRASTRUCTURE (HOSPITALS & PHC) • PLAN FOR IMPLEMENTING MODERNISATION OF TERTIARY SERVICES TO COMMENCE IN 2006 • BY SEPTEMBER 2006 ALL HOSPITAL CEOs WILL HAVE APPROPRIATE DELEGATIONS • TRAINING PROGRAMME FOR CEOS COMMENCED • PHC FACILITIES AUDIT TO BE CONDUCTED PER PROVINCE IN 2006, INCLUDING IDENTIFICATION OF FACILITIES REQUIRING ACCOMMODATION FOR STAFF • REQUIRED PROFILE AND DISTRIBUTION OF CHC’S BY PROVINCE WILL BE COMPILED AND COSTED

  35. IMPROVING QUALITY OF CARE • CLINICAL AUDITS WILL BE ROUTINELY MONITORED IN ALL TERTIARY HOSPITALS AND 25% OF LEVEL 2 HOSPITALS; • COMPLAINTS MECHANISMS WILL BE ROUTINELY MANAGED IN ALL TERTIARY HOSPITALS AND 25% OF LEVEL 2 HOSPITALS; • INFECTION CONTROL MANAGEMENT WILL BE EFFECTED IN ALL LEVEL 1 HOSPITALS AND CHCS AND ALL CLINICS; • PLANNED PATIENT TRANSPORT DEPLOYED FLEET WILL INCREASE BY 10%

  36. STRENGTHENING PRIORITY HEALTH PROGRAMMES • IN KEEPING WITH WHO-AFRO RESOLUTIONS AN ACCELERATED HIV PREVENTION PLAN WILL BE DEVELOPED • TB CRISIS MANAGEMENT PLAN WILL BE IMPLEMENTED TO OBTAIN IMPROVEMENT OF 10% IN SMEAR CONVERSION RATES AND TB CURE RATES IN THE NELSON MANDELA METRO, AMATOLE DISTRICT, ETHEKWINI METRO AND CITY OF JOHANNESBURG • ALL PROVINCES WILL DEVELOP DETAILED, CONTEXT SPECIFIC IMPLEMENTATION PLANS FOR THE HEALTH LIFESTYLES CA\MPAIGN INCLUDING, COMMUNITY-BASED HEALTH PROGRAMMES WILL BE IMPLEMENTED IN ALL 53 DISTRICTS & THE NUMBER OF HEALTH PROMOTING SCHOOLS WILL BE ESCALATED AND 60% OF SCHOOLS WILL IMPLEMENT THE SCHOOL HEALTH POLICY.

  37. RESOURCE ALLOCATION TO THE HEALTH SECTOR 2006/07-2008/09: NATIONAL DOH (INCLUDING PROVINCIAL CONDITIONAL GRANTS)

  38. NATIONAL DEPARTMENT OF HEALTH

  39. NATIONAL DEPARTMENT OF HEALTH

  40. NATIONAL DEPARTMENT OF HEALTH

  41. NATIONAL DEPARTMENT OF HEALTH

  42. NATIONAL DEPARTMENT OF HEALTH

  43. NATIONAL DEPARTMENT OF HEALTH

  44. NATIONAL DEPARTMENT OF HEALTH

  45. RESOURCE ALLOCATION TO THE HEALTH SECTOR 2006/07-2008/09: PROVINCIAL DOHs (INCLUDE GRANTS)

  46. RESOURCE ALLOCATION TO THE HEALTH SECTOR 2006/07-2008/09: NATIONAL AND PROVINCIAL DOHs (INCLUDING GRANTS)

  47. CONCLUSION • DESPITE MANY CHALLENGES THE DOH HAS SEEN PROGRESS IN HEALTH SERVICE DELIVERY IN 2004/05 (AND IN 2005/06) • NDOH ORGANOGRAM TO BE EXPANDED IN 2006/07 TO INCLUDE A FURTHER 3 BRANCHES (WAS EXPANDED IN 2004/05 TO INCLUDE AN HR BRANCH) • WITH GUIDANCE FROM THE MINISTER AND DEPUTY MINISTER NDOH WILL WORK HARD TO ENSURE ACHIEVEMENT OF 2006/07 TARGETS

More Related