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1. FLOW OF PRESENTATION

NATIONAL DEPARTMENT OF HEALTH’S ANNUAL REPORT FOR 2006/07 PRESENTATION TO THE PORTFOLIO COMMITTEE ON HEALTH 06 NOVEMBER 2007. 1. FLOW OF PRESENTATION. VISION & MISSION LEGISLATIVE MANDATES KEY PRIORITIES OF THE NATIONAL HEALTH SYSTEM (NHS) FOR 2004-2009

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1. FLOW OF PRESENTATION

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  1. NATIONAL DEPARTMENT OF HEALTH’S ANNUAL REPORT FOR 2006/07PRESENTATION TO THE PORTFOLIO COMMITTEE ON HEALTH06 NOVEMBER 2007

  2. 1. FLOW OF PRESENTATION • VISION & MISSION • LEGISLATIVE MANDATES • KEY PRIORITIES OF THE NATIONAL HEALTH SYSTEM (NHS) FOR 2004-2009 • SUMMARY OF ACHIEVEMENTS AGAINST THE NHS PRIORITIES FOR 2004-2009 • SUMMARY OF ACHIEVEMENTS & CHALLENGES PER BUDGET PROGRAMME, COMPARING PROGRESS BETWEEN 2004/05, 2005/06 AND 2006/07 • CONCLUSIONS

  3. 2. VISION & MISSION VISION • AN ACCESSIBLE, CARING AND HIGH QUALITY HEALTH SYSTEM. MISSION • TO IMPROVE HEALTH STATUS THROUGH PREVENTION OF ILLNESS & DISEASES 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.

  4. 3. LEGISLATIVE MANDATES • 51 ACTS MENTIONED IN THE NDOH ANNUAL REPORT 2006/07 INCLUDING: • THE CONSTITUTION OF THE REPUBLIC • NATIONAL HEALTH ACT OF 2003 • PUBLIC FINANCE MANAGEMENT ACT OF 1999 • NURSING ACT OF 2005 • MEDICINES & RELATED SUBSTANCES ACT • MEDICAL SCHEMES ACT OF 1998 • TOBACCO PRODUCTS CONTROL AMENDMENT ACT OF 1999

  5. 4. BUDGET PROGRAMME STRUCTURE OF THE NDOH IN 2006/07 • PROGRAMME 1: ADMINISTRATION • PROGRAMME 2: STRATEGIC HEALTH PROGRAMMES • PROGRAMME 3: HEALTH SERVICE DELIVERY • PROGRAMME 4: HUMAN RESOURCES

  6. 5. KEY NHS PRIORITIES FOR 2004-2009 1. IMPROVE GOVERNANCE & MANAGEMENT OF THE NHS 2. PROMOTE HEALTHY LIFESTYLES 3. CONTRIBUTE TOWARDS HUMAN DIGNITY BY IMPROVING QUALITY OF CARE 4. IMPROVE MANAGEMENT OF COMMUNICABLE & NON-COMMUNICABLE DISEASES 5. STRENGTHEN PHC, EMS AND HOSPITAL SERVICE DELIVERY SYSTEMS 6. STRENGTHEN SUPPORT SERVICES 7. HUMAN RESOURCE PLANNING, MANAGEMENT AND DEVELOPMENT 8. PLANNING, BUDGETING AND MONITORING & EVALUATION 9. PREPARATION AND IMPLEMENTATION OF LEGISLATION 10. STRENGTHEN INTERNATIONAL RELATIONS

  7. KEY ACHIEVEMENTS IN 2006/07 AGAINST NHS PRIORITIES FOR 2004-2009

  8. 6.KEY ACHIEVEMENTS IN 2006/07 AGAINST NHS PRIORITIES FOR 2004-2009

  9. KEY ACHIEVEMENTS IN 2006/07 AGAINST NHS PRIORITIES FOR 2004-2009

  10. 7. SUMMARY OF ACHIEVEMENTS IN 2006/07 PER BUDGET PROGRAMME 7.1. PROGRAMME 1: ADMINISTRATION

  11. PROGRAMME 1: ADMINISTRATION (Cont.)

  12. PROGRAMME 1: ADMINISTRATION (Cont.)

  13. PROGRAMME 1: ADMINISTRATION (Cont.)

  14. 7. SUMMARY OF ACHIEVEMENTS7.2. PROGRAMME 2: STRATEGIC HEALTH PROGRAMMES

  15. PROGRAMME 2: STRATEGIC HEALTH PROGRAMMES (Cont.)

  16. PROGRAMME 2: STRATEGIC HEALTH PROGRAMMES (Cont.)

  17. PROGRAMME 2: STRATEGIC HEALTH PROGRAMMES (Cont.)

  18. PROGRAMME 2: STRATEGIC HEALTH PROGRAMMES (Cont.)

  19. PROGRAMME 2: STRATEGIC HEALTH PROGRAMMES (Cont.)

  20. PROGRAMME 2: STRATEGIC HEALTH PROGRAMMES (Cont.)

  21. PROGRAMME 2: STRATEGIC HEALTH PROGRAMMES (Cont.)

  22. 7. SUMMARY OF ACHIEVEMENTS 7.3. PROGRAMME 3: HEALTH SERVICE DELIVERY

  23. PROGRAMME 3: HEALTH SERVICE DELIVERY (Cont.)

  24. PROGRAMME 3: HEALTH SERVICE DELIVERY (Cont.)

  25. PROGRAMME 3: HEALTH SERVICE DELIVERY (Cont.)

  26. 7. SUMMARY OF ACHIEVEMENTS 7.4. PROGRAMME 4: HUMAN RESOURCES MANAGEMENT

  27. 8. CHALLENGES • LACK OF SUFFICIENT & SKILLED HUMAN RESOURCES FOR HEALTH (CLINICAL & MANAGEMENT LEVEL) • POOR HEALTH INFRASTRUCTURE • POVERTY, UNEMPLOYMENT, LOW EDUCATION LEVELS, POOR TRANSPORT INFRASTRUCTURE, SOCIAL COHESION ISSUES • TRIPLE BURDEN OF DISEASE (COMMUNICABLE, NON-COMMUNICABLE, INJURIES AND TRAUMA) • INTERSECTORAL COLLABORATION • COMMUNITY MOBILISATION & PATIENT ADHERENCE ISSUES

  28. ANNUAL FINANCIAL STATEMENTS 2006/07

  29. NATIONAL DEPARTMENT OF HEALTH

  30. NATIONAL DEPARTMENT OF HEALTH

  31. NATIONAL DEPARTMENT OF HEALTH

  32. NATIONAL DEPARTMENT OF HEALTH

  33. NATIONAL DEPARTMENT OF HEALTH

  34. NATIONAL DEPARTMENT OF HEALTH

  35. NATIONAL DEPARTMENT OF HEALTH 2006/07 Annual Report - Audit findings • Qualification Finding: • Reconciliation of fixed asset entries between BAS and Logis System not done • Comment: • After the audit it was found that incorrect classifications on the Logis System resulted in inaccurate asset figures being posted in the Asset Register

  36. NATIONAL DEPARTMENT OF HEALTH 2006/07 Annual Report - Audit findings • Matters of Emphasis: • Transfers made to provinces without business plans • Comment: • DORA rules that transfers to provinces in respect of Schedule 4 grants cannot be withheld hence the transfers were made

  37. NATIONAL DEPARTMENT OF HEALTH 2006/07 Annual Report - Audit findings • Matters of Emphasis: • Transfer of R 35m to the NGO, LoveLife was made contravening the Departments own NGO Funding Guidelines • Comment: • The requirement is that an approved contract be in place between the NDoH and the NGO. In this instance the current contract had expired

  38. NATIONAL DEPARTMENT OF HEALTH 2006/07 Annual Report - Audit findings • Matters of Emphasis: • Amounts in the FPS grant business plans were less than the approved amounts which had been transferred • Comment: • The business plans were not adjusted by provinces to match the approved grant allocation but the grant allocation was not exceeded

  39. NATIONAL DEPARTMENT OF HEALTH 2006/07 Annual Report - Audit findings • Other Matters – Lack of Monitoring: • Late submission of Business Plans • Late or non submission of monthly and quarterly reports • Lack of capacity to monitor • Inadequate evaluation of reports • Presence of inconsistencies between monthly and quarterly reports

  40. NATIONAL DEPARTMENT OF HEALTH 2006/07 Annual Report - Audit findings • Comment: • Improvement of monitoring and reporting is continuously being worked at and there is improvement

  41. NATIONAL DEPARTMENT OF HEALTH 2006/07 Annual Report - Audit findings • Other Matters: • Non compliance with NEMA • Comment: • The Department did not present the environmental plan as required by the Act

  42. CONCLUSION • DESPITE MANY CHALLENGES THE DOH HAS SEEN PROGRESS IN HEALTH SERVICE DELIVERY IN 2006/07 • WITH GUIDANCE FROM THE MINISTER AND DEPUTY MINISTER NDOH WILL WORK HARD TO ENSURE ACHIEVEMENT OF 2007/08 TARGETS • HOWEVER, CHANGES IN THE SOCIAL CONTEXTS IN WHICH OUR PEOPLE LIVE AND ADEQUATE RESOURCE AVAILABILITY FOR THE HEALTH SYSTEM (HUMAN RESOURCES & FINANCES) ARE KEY TO THE SUCCESSFUL IMPLEMENTATION OF THIS PLAN; • INTERSECTORAL COLLABORATION ACROSS GOVERNMENT AND WITH KEY STAKEHOLDERS ARE CRUCIAL.

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