Presentation to the Health Portfolio Committee

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Presentation to the Health Portfolio Committee

• Presentation to Health
• Portfolio Committee
• Free State Department of Health
• 14 JUNE 2004

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Vision A Healthy and self-reliant Free State
community.

• Mission
• - Provide a quality, accessible and
  comprehensive Health Care Services to the Free
  State community.
• - Optimally utilises health care resources to
  provide a caring and compassionate services.
• - Endeavours to empower and develop all
  personnel and stakeholders to the best of their
  potential.

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Corporate Goals
3. Functional District Health System
1. Reduce burden of HIV, AIDS and TB
7. Accessible and quality services at all levels
of care
A Healthy and self-reliant Free State community
5. Developed and empowered personnel and
stakeholders
6. Appropriate infrastructure
4. Effective marketing and communication of
health services
2. Effective and efficient management of
resources
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Strategic Plan

• The departmental strategic plan is informed by
• National strategic framework
• Free State Development plan
• Growing the economy and job creation
• Sustainable Infrastructure
• Investing in the development of people
• Good governance
• Safety and security
• Departmental Strategic Position Statement

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Achievements on Strategic Objective

• Reduce burden of HIV/AIDS and TB
• Community Home Based Care has been established in
  85 of towns in the province. This implies that
  74 towns in the Free State have Home Based Care
  access.
• The Department commenced the plan to implement
  the Comprehensive HIV and AIDS plan.
• The TB cure rate for new smear positive cases
  achieved was 67,3.
• DOTS has been implemented in 75 of health
  facilities
• TB treatment interruption rate achieved is 8,2.
• The national World Aids day event was hosted on 1
  December 2003 by the department.
• Effective and Efficient Management of resources
• All the resources allocated to Vote 5 during
  2003/2004 were deployed to achieve the goals set
  out in the departmental strategic plan, and
  stayed within budget.
• Quarterly reviews of the budget and performance
  against the strategic plan were conducted to
  ensure the achievements of goals and management
  of the budget.
• 11 Managerial accountants were appointed to
  assist with financial management.
• Functional District Health System
• 2nd Provincial District Health System conference
  was hosted, preparing the department and
  municipalities to implement the DHXS from July
  2004.
• A total of 106 community development workers have
  been recruited from villages and farm areas in
  the Free State.
• The under one immunization coverage improved to
  83
• A new eye care centre was established at
  Mofumahadi Manapo Mopeli hospital

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Achievements on Strategic Objective continue

• Effective Marketing and Communication of Health
  Services
• The department supported by the HWO developed a
  Health promotion strategy.
• A services marketing strategy was developed
• Integrated communication strategy wad developed.
• Developed and empowered personnel and
  stakeholders
• As part of the Service Delivery Improvement Plan,
  officials were trained in the Performance
  Development and Management System.
• 4 members of EMS personnel completed Advanced
  life support training. A further 25 staff
  members commenced advanced life support and
  intermediate life support training.
• The department assisted the Central University of
  Technology to commence a diploma in Emergency
  care in 2004
• The department spent R 4 667 703 for the first
  phase of implementing salary parity for local
  government employed PHC health care workers to
  encourage them to stay in small towns.
• A rural allowance and a scarce skills allowance
  to recruit and retain health professionals, was
  introduced from July 2003 at a cost of R18 034
  099.
• External bursaries were provided accoding to the
  priorities of the department to a total of about
  R11 million
• iCAM awarded runner up prize for innovation in
  service delivery from CPSI of DPSA

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Achievements on Strategic Objective continue

• Appropriate Infrastructure
• Nine (9) new clinics were built at Steynsrus,
  Boshof, Thaba Nchu, Clarens, Vrede, Masilo,
  Kroonstad, Seisoville Ladybrand.
• The following six (6) clinics were upgraded
  Bophelong and Tshepong in Welkom, Botshabelo
  Block B and D clinics, Thusong clinic in
  Bloemfontein and Qibing clinic at Wepener.
• The revitalization projects at Boitumelo and
  Pelonomi Hospitals commenced and most contracts
  were awarded.
• The Meditech Hospital information system was
  implemented at Boitumelo hospital.
• The department successfully executed 11 hospital
  projects in the 2003/2004 financial year.
• X-ray machines to a total value of R3 159 254,
  are being procured for Mohau, Katleho, Dr JS
  Moroka, Embekweni, Phekolong, Nketoana and
  Botshabelo hospitals.
• The department is also procuring a new state of
  the art linear accelerator for cancer treatment
  to the value of R12 426 000 million and upgrading
  an existing linear accelerator to the value of R3
  722 100.
• Accessible and quality services at all levels
• The remaining 18 of the 31 hospitals (58) of the
  Free State Department of Health were added to the
  Council for Health Service Accreditation of
  Southern Africa (COHSASA) process.
• Bongani and Nala Hospitals were awarded full
  accreditation by COHSASA
• Dihlabeng hospital received intermediate
  accreditation
• FSPC and Mafube Hospital achieved a focused
  survey
• Implementation of the collocation PPP at Pelonomi
  and Universitas hospitals

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Expenditure 2003/2004

• Expenditure per Programme

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Expenditure 2003/2004

• Expenditure per Economic Classification

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2004/2005 Budget

• The budget allocated to the Free State Health
  Department for the 2004/2005 financial year is R
  2 730 596 000, which is 22 of the total of the
  provincial budget of R12,543 billion.
• Health now has the 3rd largest budget after
  education and Social Development
• This budget is R 138,16 million or 5,33 more
  than the budget allocated in the 2003/2004
  financial year. The increase is nominal and does
  not take into consideration inflation. In real
  terms the increase is 0,83.
• In terms of the MTEF, the budget will increase to
  R 2 972 196 000 in 2005/2006 and R3 184 012 000
  in 2006/2007.
• The budget is composed of R1 913 519 000 from the
  equitable share, R733 857 000 from conditional
  grants and R83 220 000 from provincial own
  revenue.
• R 1, 653,751 000 or 60,6 of the budget is set
  aside for compensation of employees. R 795, 000
  000 (29) will be used to procure goods and
  services. R 104, 829 000 (3,8) is allocated for
  transfer payments mainly to municipalities. The
  budget for buildings and infrastructure is R 121
  389 000 (4,4) and for capital equipment is R55,
  624 000 or 2 of the total budget.

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• Departmental Receipts

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MTEF

• An Overview

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ALLOCATION
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MTEF 2001-2007

• GRAPH

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Conditional Grants
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Challenges for 2004/2005

• External and Internal factors affecting Health
  Care delivery within the province
• The poor socio-economic status of the majority of
  the Free State population poses major challenges
  to the delivery of appropriate health care
  services.
• Poverty
• Unemployment
• Population density
• Rural polulation
• Cross border flow and inappropriate self
  referrals affect the health budget.
• HIV/ AIDS epidemic requires sustainable and
  effective intervention if significant cost
  implications are to be managed.
• The District Health system should form the
  foundation for the delivery of health care.
• 24 hour Primary Health Care facilities are needed
  to enable treatment at the clinically appropriate
  level.
• The difficulty of recruiting and retaining health
  professional in rural areas

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Priorities for 2004/05

• Strengthening the Primary Health Care services.
• Implement the core PHC package
• Conduct an immunization campaign in July and a
  mop up campaign on August
• Implement a healthy settings campaign
• Implement school health service
• Build clinics at Brandfort, Welkom, Winburg,
  Odendaalsrus, Bethulie and Wepener
• Implementation of District Health System.
• Transfer municipal health services to district
  municipalities
• Take over PHC services from local municipalities
  and prepare for devolution
• Further implement the EMS plan
• Improvement of quality care in all facilities.
• Ensure that all hospitals are accredited by
  COHSASA
• Implement a clinical risk assessment system
• Commission the new trauma unit at Pelonomj
  hospital
• Implement Meditech HIS at Bongani hospital
• Implement eye care and renal dialysis and
  psychiatric services at Mof M M hospital
• Decisively dealing with HIV/ AIDS and other
  communicable diseases.
• Establish one ARV site per district
• Implement VCCT at all health facilities

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• Thank You