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PRESENTATION TO THE STANDING COMMITTEE ON APPROPRIATIONS 2015/16: QUARTER ONE Performance

This presentation provides a progress report on the Department of Health's Annual Performance Plan for 2014/15. It covers various programmes including administration, health planning, HIV/AIDS, TB, primary health care, and health regulation. The report also highlights the department's targets and achievements for the quarter.

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PRESENTATION TO THE STANDING COMMITTEE ON APPROPRIATIONS 2015/16: QUARTER ONE Performance

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  1. NATIONAL DEPARTMENT OF HEALTH PRESENTATION TO THE STANDING COMMITTEE ON APPROPRIATIONS 2015/16: QUARTER ONE Performance Director General 02 SEPTEMBER 2015

  2. Purpose • Present Progress Report on the Annual Performance Plan 2014/15. The report is presented by the following programmes: • Programme 1 : Administration • Programme 2: Health Planning and Systems Enablement • Programme 3: HIV & AIDS, TB and MCWH • Programme 4: PHC Services • Programme 5: Hospitals, Tertiary Services and Workforce Development • Programme 6: Health Regulation and Compliance Management 2

  3. Medium Term Strategic Framework (MTSF) 2014-2019 The Department Annual Performance Plan is designed to deliver on the MTSF commitments, namely: Sub-outcome 1: Universal Health coverage progressively achieved through implementation of National Health Insurance Sub-outcome 2: Improved quality of health care Sub-outcome 3. Implement the re-engineering of Primary Health Care Sub-outcome 4: Reduced health care costs Sub-outcome 5: Improved human resources for health Sub-outcome 6: Improved health management and leadership Sub-outcome 7: Improved health facility planning and infrastructure delivery Sub-outcome 8: HIV & AIDS and Tuberculosis prevented and successfully managed Sub-outcome 9: Maternal, infant and child mortality reduced Sub-outcome 10 : Efficient Health Management Information System developed and implemented for improved decision making 3

  4. Total Targets in the Annual Performance Plan of 2015/16 4

  5. Progress Report PROGRAMME 1 : ADMINISTRATION 6

  6. Programme 1: Administration 7

  7. Programme 1: Administration 8

  8. Programme 1: Administration 9

  9. Programme 1: Administration 10

  10. Progress Report PROGRAMME 2 : HEALTH PLANNING AND SYSTEMS ENABLEMENT 11

  11. Programme 2: National Health Insurance, Health Planning and Systems Enablement 12

  12. Programme 2: National Health Insurance, Health Planning and Systems Enablement 13

  13. Programme 2: National Health Insurance, Health Planning and Systems Enablement 14

  14. Programme 2: National Health Insurance, Health Planning and Systems Enablement 15

  15. Programme 2: National Health Insurance, Health Planning and Systems Enablement 16

  16. Programme 2: National Health Insurance, Health Planning and Systems Enablement 17

  17. Programme 2: National Health Insurance, Health Planning and Systems Enablement 18

  18. Programme 2: National Health Insurance, Health Planning and Systems Enablement 19

  19. Programme 2: National Health Insurance, Health Planning and Systems Enablement 20

  20. Mechanisms to fast-track performance • A total of 50 facilities had internet connectivityagainst the first quarter one target of 175 PHC facilities. • In order to address the challenge is unavailability of broad band connectivity in PHC facilities that will enable implemented the web-based patient administration systems; NDoH is actively working with Department of Telecommunications and Postal Services (DTPS) to address this challenge broadband internet connectivity in primary health care facilities of the NHI Pilot districts, as announced by the Minister of DTPS in his budget speech. 21

  21. Progress Report PROGRAMME 3 : HIV AND AIDS, TUBERCULOSIS , MATERNAL, CHILD AND WOMEN’S HEALTH 22

  22. Programme 3: HIV and AIDS, TB and Maternal Child and Women’s Health 23

  23. Programme 3: HIV and AIDS, TB and Maternal Child and Women’s Health 24

  24. Programme 3: HIV and AIDS, TB and Maternal Child and Women’s Health 25

  25. Programme 3: HIV and AIDS, TB and Maternal Child and Women’s Health 26

  26. Programme 3: HIV and AIDS, TB and Maternal Child and Women’s Health 27

  27. Programme 3: HIV and AIDS, TB and Maternal Child and Women’s Health 28

  28. Programme 3: HIV and AIDS, TB and Maternal Child and Women’s Health 29

  29. Programme 3: HIV and AIDS, TB and Maternal Child and Women’s Health 30

  30. Programme 3: HIV and AIDS, TB and Maternal Child and Women’s Health 31

  31. Mechanisms to fast-track performance • NDoH will strengthen data management systems for collection of data on medical male circumcisions conducted outside public health facilities to ensure that all MMCs conducted are reported on • The stocktaking workshops on PMTCT were postponed in Q1 to implement birth PCR testing; all 9 provincial stocktaking workshops will be completed in Q2 and Q3 • To address the high neonatal death rate in Q1, data inaccuracies will be addressed urgently (hospitals reported deaths but no deliveries); training of master trainers in management of sick and small babies has commenced – training to be cascaded in all provinces; NDOH to monitor implementation of provincial newborn care plans • To address the high TB MDR client death rate the NDOH is developing a mhealth based tracing system which links the lab diagnosis to patient tracers to close the gap between diagnosis and initiation on treatment; expansion of access to new TB medication (bedaquiline and lineozoid) should improve treatment outcomes

  32. Progress Report PROGRAMME 4 : PRIMARY HEALTH CARE SERVICES 33

  33. Programme 4: Primary Health Care Services 34

  34. Programme 4: Primary Health Care Services 35

  35. Programme 4: Primary Health Care Services 36

  36. Programme 4: Primary Health Care Services 37

  37. Programme 4: Primary Health Care Services 38

  38. Programme 4: Primary Health Care Services 39

  39. Programme 4: Primary Health Care Services 41

  40. Progress Report PROGRAMME 5 : HOSPITALS, TERTIARY SERVICES AND WORKFORCE DEVELOPMENT 41

  41. Programme 5: Hospitals, Tertiary Services and Workforce Development 42

  42. Programme 5: Hospitals, Tertiary Services and Workforce Development 43

  43. Programme 5: Hospitals, Tertiary Services and Workforce Development 44

  44. Programme 5: Hospitals, Tertiary Services and Workforce Development 45

  45. Programme 5: Hospitals, Tertiary Services and Workforce Development 46

  46. Programme 5: Hospitals, Tertiary Services and Workforce Development 47

  47. Programme 5: Hospitals, Tertiary Services and Workforce Development 48

  48. Progress Report PROGRAMME 6 : HEALTH REGULATION AND COMPLIANCE MANAGEMENT 49

  49. Programme 6: Health regulations and Compliance Management 50

  50. Programme 6: Health regulations and Compliance Management 51

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