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NATIONAL HEALTH DEPARTMENT HIV, AIDS and TB PROGRAMME

NATIONAL HEALTH DEPARTMENT HIV, AIDS and TB PROGRAMME. REPORT TO THE NATIONAL HEALTH PORTFOLIO COMMITTEE CAPETOWN, 31 MAY 2004 DR N SIMELELA. Financial Report 2003/04. Original Budget R665 721 000 Add: Roll-over R 10 650 000

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NATIONAL HEALTH DEPARTMENT HIV, AIDS and TB PROGRAMME

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  1. NATIONAL HEALTH DEPARTMENTHIV, AIDS and TB PROGRAMME REPORT TO THE NATIONAL HEALTH PORTFOLIO COMMITTEE CAPETOWN, 31 MAY 2004 DR N SIMELELA

  2. Financial Report 2003/04 • Original Budget R665 721 000 • Add: • Roll-over R 10 650 000 • Adjustment :Compre. Care R 90 000 000 • Total Budget R766 371 000

  3. Financial Report 2003/04 • Total Budget R766 371 000 • Expenditure to date R691 107 681 • Unit spend 90 % (including R90m ) and 95% (excluding R90 m) • Increased by 67% (R766.3m) from 2002/03(R458.6)

  4. Conditional Grant Exp. FY 03/04

  5. Financial Report on R90m • R20m transferred to NHLS to procure diagnostic equipment & training • Transferred R2,3m ( MEDUNSA- ensure safe use of medicines & assess burden of drug-related morbidity) , R2.3m(UFS- safe use in paediatrics & establish national pregnancy register ) & R1m ( UCT) for the establishment of Pharmacovigilance Units • R6.5 transferred to MRC to provide Research component of ARV plan • Transferred R7m to GCIS for communication

  6. Financial Report on R90m cont. • Training for the amount of R800 000 • Development of training module for Nutrition Supplementation • Conducted training on Nutrition Supplementation in Mpumalanga & Northern Cape • Conducted Conference on African Traditional Medicine

  7. Financial Report on R90m cont. • Training • Workshop on Curriculum Development on Compr. Care Plan • Workshop with NCCMED , prov. Assessors to update on ARV therapy & new development • Computers & Equipment • Purchased server & software for the Siamed system

  8. Underspending • Savings Global funds(committed) R5.9m • SANAC R10m • Condoms (committed) R10.6m • Different Units R6.9m • Comprehensive Care (Committed) R41.7 • Total under spending R75.1m

  9. Budget 2004/05 • Original Budget R855 968 000 • Add: • Comprehensive Care R58 200 • Compre. Grant R300 000 • Less: • Love life Games R 2 000 000 • Total Budget R1 212 168 000 • Increase by 42%

  10. Budget for the National HIV, AIDS & TB programme

  11. Comprehensive HIV & AIDS Grant FY 04/05

  12. Compliance with the DORA in 2003/4 • Business Plans • All provinces submitted their plans for enhanced budget ( VCT , HBC , PEP, PMTCT , Step Down & HTI • Addendum for ARV plan still outstanding from the following provinces: • KZN, EC, FS, MP & NW

  13. Budget 2004/05 • Total Budget R1 212 168 000 Add: Roll-over R56,6m Total R1,268,793,000 Roll-over will be spent on the following: • Comprehensive Care R40,1m • R20m to be transferred to NHLS for infrastructure • R5.6m to be transferred to HST to strengthen health system system • R13.5 to be transferred to MRC to provide Research component of ARV plan • Soul City & Condoms R16,5 • Production of 7th TV series,first batch of 30 episodes & printing booklet on the comprehensive treatment , care & support • Settle order for condoms for R10,6m

  14. Achievements in the 2003/04 FY • HIV Prevention • Distributed 302m male condoms & 194 000 female condoms- health facilities & non traditional outlets • Elimination of stocks out through Logistics Management Information System (LMIS) • Marketing of public sector condom & new branded product to be launched on 16 June 2004 • Conducted an audit of existing HTA programme in the country • Conducted a rapid assessment on the Traditional Health Practice • Developed tender specifications for distance learning short courses on HIV, AIDS, STI& TB management • Commissioned the the Neisseria Gonorrhea drug resistance study-monitor ciproloxacin resistance

  15. Achievements in the 2003/04 FY... • Voluntary Counselling and Testing • Over 1000 more service point were added in 2003/4 bringing the total number to 2 582. • Establishment of stand-alone service points in process. • 2 877 counsellors trained and providing services at service points. • A tender for the procurement of rapid and confirmatory tests currently in second year. Training on new rapid tests completed in all provinces.

  16. Achievements in the 2003/04 FY... • Home/Community based Care (HCBC) • Number of Projects countrywide: 892 • Training: 2 003 care-givers trained • Care kits distributed: 1 430 • Adult beneficiaries: over 90 000 • Number targeted: 50% of chronically ill adults.

  17. Beneficiaries of HCBC by province: 2003 compared to 2002

  18. Provincial distribution of HCBC projects in South Africa 2002 to 2003

  19. Achievements in the 2003/04 FY... PMTCT By the end of 2003 over 204 hospitals and more than 1055 clinics and CHCs are providing PMTCT in South Africa 1.In addition, the Health Systems Trust completed a second independent evaluation of the programme. This report is being presented to Cabinet in June 2004. Results from the first cohort are expected in August 2004

  20. Achievements in the 2003/04 FY... Treatment, Care and Support • Operational Plan for the Comprehensive HIV and AIDS Care, Management and Treatment in South Africa. The implementation of this plan also places a significant emphasis on health system strengthening. • A toolkit for People Living With HIV and AIDS has been finalised, will soon be launched. Other documents and toolkits developed in 2003/4: • Palliative Care guidelines • Comprehensive Care, Management and Treatment guidelines for adults and paediatrics c.Siyamkela toolkit for measuring Stigma and Discrimination

  21. Achievements in the 2003/04 FY... • National TB Control Programme Review of the management of TB patient in 7 provinces. Deloitte and Touche’s forensic audits of SANTA hospitals New TB treatment regimen introduced in all provinces and training conducted. Training for private sector practitioners Advocacy and Social Mobilisation Plan launched. The Unit funded 6 NGOs in TB activities in 2003/4 for R 1 368 172.

  22. Achievements in the 2003/04 FY... • NGO funding and co-ordination • Provincial visits to verify details of the organisations recommended for funding (85 in total). • A tender awarded in 2003/4 to assist provinces and NGOs with basic financial management skills.Workshops in 5 provinces. • Establishment of a National Funding cycle • Strengthening of accountability for expenditure of funds transferred to organisations • Development and improvement of capacity through the mentorship programme

  23. Achievements in the 2003/04 FY... • GAAP • FirstHealth Worker Excellence award ceremony Promotion on radio and TV of 3 Khomanani campaigns: Specific mass mobilisation activities (STI Week, World TB Day, World AIDS Day with donations of clothes, toys and non-perishable foods atl Pick ‘n Pay outlets, and distributed to NGOs and CBOs,The Partnership Against AIDS 5thanniversary celebration Sector mobilisation (Men, Women, Faith based organisations, Transport industry,,etc.)

  24. Achievements in the 2003/04 FY... SANAC • ·Facilitating sector meetings and workshops • ·Sector representation and participation on World Aids Day • ·Consolidation of the Sector progress reports • ·Appointment of Task Team to deal with HIV Testing in SANDF and special circumstances • ·Signing up ceremony for the Global Fund • ·Submission of the 4TH Round Global Fund Proposal • Strengthening of the SANAC Secretariat • ·Drafting of SANAC Trust Standard Operating Procedures

  25. Plans for 2004/5 • Strengthen current interventions and improve M&E • Increase access to all services (VCT, PMTCT, HCBC, STI treatment including the package of the compr.care, management and treatment plan) • Strengthen co-ordination activities through SANAC and NGOs • Improve integration of TB related activities and strengthen control related interventions • Refine mass communication and sector participation

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