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PRESENTATION TO THE PORTFOLIO COMMITTEE ON HEALTH

PRESENTATION TO THE PORTFOLIO COMMITTEE ON HEALTH. THE DISTRICT HEALTH SYSTEM AND LOCAL GOVERNMENT DR YOGAN PILLAY (ACTING CLUSTER MANAGER: DHS & DEVELOPMENT). WHAT IS THE DHS?. TARIMO (1991)

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PRESENTATION TO THE PORTFOLIO COMMITTEE ON HEALTH

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  1. PRESENTATION TO THE PORTFOLIO COMMITTEE ON HEALTH THE DISTRICT HEALTH SYSTEM AND LOCAL GOVERNMENT DR YOGAN PILLAY (ACTING CLUSTER MANAGER: DHS & DEVELOPMENT)

  2. WHAT IS THE DHS? TARIMO (1991) A DHS BASED ON PHC IS A MORE OR LESS SELF-CONTAINED SEGMENT OF THE NHS. IT COMPRISES A WELL DEFINED POPULATION LIVING WITHIN A CLEARLY DELINEATED ADMINISTRATIVE AND GEOGRAPHIC AREA AND INCLUDES ALL HEALTH ACTIVITIES IN THE AREA, BOTH PUBLIC AND PRIVATE Parliamentary.Portfolio Committee_June2003

  3. DHS:RATIONALE • PART OF THE NATIONAL HEALTH SYSTEM • VEHICLE TO DELIVER PHC IN INTEGRATED AND NON-FRAGMENTED MANNER Parliamentary.Portfolio Committee_June2003

  4. RATIONALE CONTD UNGER & CRIEL (1995) DISTRICT CONCEPT DERIVES FROM TWO RATIONALES…THE IMPLEMENTATION OF THE PHC STRATEGY, REQUIRING DECENTRLAISED MANAGEMENT, (AND) THE ORGANISATION OF INTEGRATED SYSTEMS WHICH IMPLIES THAT ONE SINGLE TEAM MANAGES THE DISTRICT HOSPITAL AND CLINICS Parliamentary.Portfolio Committee_June2003

  5. PRINCIPLES • EQUITY • OVERCOME FRAGMENTATION • ELIMINATE DUPLICATION • COMPREHENSIVE SERVICES • EFFECTIVENESS & EFFICIENCY • QUALITY • IMPROVED ACCESS • LOCAL ACCOUNTABILITY & COMM PARTICIPATION • DEVELOPMENTAL AND INTERSECTORAL • SUSTAINABILITY Parliamentary.Portfolio Committee_June2003

  6. STRATEGY • A POLICY FOR THE DISTRICT HEALTH SYSTEM FOR SOUTH AFRICA (DECEMBER 1995) • NATIONAL DHS COMMITTEE • PROVINCIAL DHS COMMITTEES • REGIONS (ALIGNED WITH LG) • DISTRICTS (ALIGNED WITH LG) Parliamentary.Portfolio Committee_June2003

  7. IMPLEMENTATION (BY 2000) • ALL PROVINCES ESTABLISHED HEALTH REGIONS WITH REGIONAL MANAGEMENT • 174 HEALTH DISTRICTS ESTABLISHED • MANY PROVINCES APPOINTED DISTRICT MANAGERS (OTHERS INTERIM/ACTING MX) Parliamentary.Portfolio Committee_June2003

  8. IMPLEMENTATION CONTD • OPERATIONAL PLANS DEVELOPED • SOME FUNCTIONAL INTEGRATION WITH LG FACILITIES • ANNUAL DHS COMPETITION COMMENCED IN 1998 • ISRDP – R 30 M CONTRACT • UR – AUDIT OF SERVICES • CROSS BOUNDARY MUNICIPALITIES Parliamentary.Portfolio Committee_June2003

  9. CURRENT STATUS & NEXT STEPS (2000 - ) • LOCAL GOVERNMENT REORGANISED IN DECEMBER 2000 (BOUNDARIES, NEW COUNCILS) • HEALTH DISTRICTS REALIGNED WITH METROS AND DISTRICT MUNICIPALITIES • MUNICIPAL HEALTH SERVICES DEFINED – ENVIRONMENTAL HEALTH SERVICES (FUNCTION OF METROS AND Cs) Parliamentary.Portfolio Committee_June2003

  10. DISTRICT DEVELOPMENT: PROGRESS ON SELECTED ISSUES – APRIL 2003 Parliamentary.Portfolio Committee_June2003

  11. Parliamentary.Portfolio Committee_June2003

  12. TABLE: PHC FACILITIES BY TYPE PER PROVINCE, DHIS Parliamentary.Portfolio Committee_June2003

  13. Parliamentary.Portfolio Committee_June2003

  14. CURRENT ACTIVITIES • STATUS QUO REMAINS RE: SERVICE PROVISION AND FUNDING • DISCUSSION WITH NT RE: R1,5 B • SINGLE PUBLIC SERVICE • FUNCTIONAL INTEGRATION WITH SLAs AS TRANSITION MEASURE • DISTRICT HEALTH PLANNING Parliamentary.Portfolio Committee_June2003

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