Outline of the presentation

1. JOINT MONITORING COMMITTEE – IMPROVEMENT OF QUALITY OF LIFE AND STATUS OF CHILDREN YOUTH AND DISABLED PERSONS INTERROGATION OF DEPARTMENTAL BUDGETS WITH A VIEW TO MONITOR THE ALLOCATION OF FUNDS FOR CHILDREN AND YOUTH DEPARTMENT OF HEALTH 12 AUGUST 2005 09:30 TO 13:30 M201, MARKS BUILDING, PARLIAMENT, CAPE TOWN

2. Outline of the presentation • Budget • Activities • Challenges • Achievements • Spending patterns • Conclusion

3. BUDGET2005/06 • Directorate: Child & Youth Health = R9 526 000 • Budget breakdown • Office of the Director: R1 629 000 • Child Health: R2 062 000 • EPI: R3 906 000 • Youth and Adolescent: R1 929 000 • TOTAL: R9 526 000 • Total includes Compensation of Employees = R5 335 000 • Comprehensive HIV and AIDS Care, Management, Treatment and Support Plan for children = R2 281 000 • HIV and AIDS - Youth Programme = R1 941 000

4. TOTAL BUDGET Child and Youth Health R9 526 000 Comprehensive HIV and AIDS Care, Management, Treatment and Support Plan for Children R2 281 000 HIV and AIDS Youth Programme R1 941 000 TOTAL R13 748 000 TOTAL BUDGET

5. WHAT ARE FUNDS USED FOR? Child Health • Activities aimed at reducing morbidity and mortality rates of the under 5-years thereby improving quality of life • Main activities: • Training of health care professionals and community workers on child health issues • Meetings, workshops and conferences • Provincial child health support visits • Health facility surveys (monitoring and evaluation) • Policy development and dissemination workshops • Inter-sectoral collaboration activities • Development of IEC material • Awareness campaigns

6. WHAT ARE FUNDS USED FOR? … Youth & Adolescent Health • Reorientation and sensitization of health workers on Youth Friendly services • Supporting provinces in National workshops, meetings, etc. • Intra- and Inter-departmental collaboration activities on youth related issues • Implementation of Peer Education in all provinces • Develop Health Regulations on Traditional Circumcision • Finalisation and dissemination of National Strategy on Prevention of Teenage Pregnancy • Developing, purchasing and dissemination of identified Information, Education and Communication (IEC) material specific for young people • HIV and AIDS prevention, care and support • Support the people infected and affected by HIV and AIDS

7. CHALLENGES • High staff turnover • Lack of provincial budget for Child Health and Youth & Adolescent Health • Lack of transport • Poor intra-departmental and inter-sectoral collaboration • Biennial Health Facility Surveys inhibited by lack of resources • Slow implementation of the School Health Policy • IEC material not available in other languages • Provincial restructuring hampers national/provincial interaction • Dedicated staff not appointed for specific programmes • Lack of Specialist Technical support • Reporting and monitoring of programmes at provincial level - mechanism not in place to inform the National office on activities taking place at provincial level • Lack of information - data elements not included in DHIS, e.g. teenage pregnancy rate

8. ACHIEVEMENTS Child Health • Training support to provinces on implementation of IMCI • Provincial support visits provided to KZN, North West and Eastern Cape Provinces • Support the Comprehensive HIV and AIDS Care, Management Treatment and Support Plan for children in updating IMCI practitioners • Strong political support – IMCI, School Health Services, EPI, Early Childhood Development • Hosted inter-provincial meetings: • IMCI Case Management Coordinators • Household and Community component working group • Policies and guidelines awaiting approval by National Health Council

9. ACHIEVEMENTS… • Developed IEC material for key diseases e.g Diarrhoea • Implementation of SHS gradually gaining momentum in the various provinces • Participation in the National Integrated Plan on Early Childhood Development – coordinated by the National Department of Education • Participation in inter-sectoral activities on children’s issues e.g National Children’s Day, Child Protection Week, Child Labour, and Child Abuse and Neglect • Participation in National, regional and international conferences on child health issues e.g United Nations Study on Violence against Children and the Children’s Bill

10. ACHIEVEMENTS… Youth & Adolescent Health • Linkage with Health Promotion to promote Healthy Lifestyle campaign • Continuous Intra- and Inter-departmental, inter-sectoral and provincial collaboration • Close collaboration with the National Youth Commission • Developed IEC material on abstinence • Conducted site visits to funded Faith-based organisations rendering abstinence programmes • Supported provincial training on young care givers • Facilitated quarterly Life Skills meetings for national and provincial partners • Awarded and approved tender for translation of youth specific IEC material

11. SPENDING PATTERNS • Expenditure mostly on programme administration • Budget spent from April 2005 to July 2005: • Child and Youth Health = 28.47% • HIV and AIDS Youth Programme = 18.41%

12. CONCLUSION • Striving to actualize human rights based approached in all interventions as enshrined in the UN Convention on the Rights of the Child • Committed to reducing morbidity and mortality rates from preventable causes (Millennium Development Goals) • Participating in inter-sectoral interventions to ensure a holistic approach to child and youth care • Supporting relevant NGO participation to enrich community involvement/participation in improving health promoting behaviour at household level • Care and protection of children and youth is everybody’s business – “IT TAKES THE WHOLE VILLAGE TO RAISE A CHILD”.

13. THANK YOU