Strategic Plan & Budget Presentation To The Portfolio Committee

1. Strategic Plan & Budget Presentation To The Portfolio Committee DEPARTMENT OF HEALTH 16 MARCH 2005

2. FLOW OF PRESENTATION • The context • Summary of progress, 2004/05 • Challenges for 2005/06 • Strategic objectives & key activities for 2005/06 • Budget by budget programme • Concluding remarks

3. The context • Strategic planning process 2005/8 started before arrival of new DG • Forward planning cannot be divorced from challenges facing the Department • Did not have a DG for almost 16 months • Although there is a product reflecting a particular situation • It can be improved given sufficient space • Aligned to Treasury regulations • Form a good basis for performance management

4. SUMMARY OF PROGRESS, 2004/05

5. Overview of progress • Progress report and indicators of progress are preliminary • They will be verified through the Annual Report • Progress is not inclusive of all activities of the Department – but highlights

6. Child Health • Immunisation coverage is 82% (up from 63.4% in 1998) • On track to be declared polio free by December 2005 • Integrated management of childhood illness • Trained 7 000 PHC health providers

7. PROGRESS: YOUTH & ADOLESCENTHEALTH • 212 health facilities accredited as youth friendly (up from 68) • Increase in percentage of health promoting schools (18%) & school health committees established • School-based water borne disease prevention programme piloted in 4 schools in ec & kzn (VIP toilets built & community members trained)

8. PROGRESS: COMMUNICABLEDISEASES • Stability in prevalence of HIV (pregnant women) • Syphilis rate is 2.7% (lower than 2001) • More than 1m condoms issued per day • 113 sites accredited – at least one in 51 of 53 health districts (comprehensive plan) • 3072 facilities provide VCT (double the 2003/04 figure) • 893 HBC sites active

9. COMMUNICABLE DISEASE (CONTD) • TB programme being strengthened but number of cases increasing & cure rate still low • 44 sub-districts have TB/HIV programmes • Diagnosis using smear microscopy improving • MDR units established in 8 provinces

10. COMMUNICABLE DISEASES (CONTD) • Most provinces show very low case fatality rate from cholera • Outbreak teams strengthened in all provinces with participation from DoH DWAF, dplg • Malaria cases dropped by 6% with low case fatality rate

11. NUTRITION • Integrated nutrition programme implemented • 104 maternity units declared baby friendly (22% of facilities) • Nutrition guidelines for people with chronic diseases implemented • Health providers in 4 provinces trained in use of guidelines to manage severe malnutrition

12. IMPROVEMENT IN QUALITY: PHC &HOSPITALS • More than 360 people trained in patients rights • National complaints centre established • Supervision at PHC level reviewed • District health planning guidelines implemented at district level • R37m of donor assistance used to strengthen PHC services in the rural nodes

13. QUALITY IMPROVEMENTS • 30 Hospitals in revitalisation programme • 9 hospitals completed in 2004/05 • National guidelines on hospital governance (functioning of hospital boards) implemented in revitalisation hospitals • 41 hospitals implementing cost centre accounting to improve financial management • Partnerships with UK and French hospitals to strengthen hospital management (71 managers) • 61 hospital managers enrolled into local capacity building programmes

14. MTEF Plan 2005/8

15. Ten Point Plan (2004 – 2009) • Improve governance and management of the national health system • Strengthen health promotion and prevention activities • Improve quality of care especially in provision of hospital care • Strengthen programmes to decrease morbidity and mortality from communicable and non-communicable diseases • Strengthen primary health care and quality of care • Strengthen Emergency Management Services to decrease response times especially in rural areas • Accelerate implementation of the revitalisation programme and strengthen hospital governance (hospital boards)

16. Ten Point Plan (2004 – 2009) • Strengthen support services – particularly laboratory services and provision of blood • Ensure adequately prepared and sufficient human resources for health • Ensure adequate planning and budgeting at all levels (medium & long term) • Ensure completion of legislative programme and implementation of legislation e.g. The National Health Act and the Mental Health Act in particular • Strengthen relations within SADC and Africa in particular

17. NHS PRIORITIES (TEN POINT PLAN), STRATEGIC OBJECTIVES & And key activities for 2005/06

18. Improve Governance And Management Of the National Health System • Strengthen communication and collaboration between all spheres of government; • Strengthen corporate identity; • Strengthen governance and management structures and systems; • Strengthen governance and management structures and systems

19. Promote Healthy Lifestyles • Initiate & maintain healthy lifestyles campaign; • Implement programmes in communities and schools • Ratify the Framework for Tobacco Control (FCTC);

20. Improve quality of care especially in provision of hospital care • Strengthen community participation at all levels • Improve clinical management of care at all levels of delivery • Develop a national infection control policy • Develop a fully fledged national call centre

21. Communicable and non-communicable diseases • Reduce infant, child and youth morbidity • Strengthen TB control programme • Expand the implementation of the Comprehensive Plan on HIV and AIDS • Improve women’s health and reduce maternal and neonatal morbidity

22. Strengthen primary health care and quality of care

23. Strengthen primary health care, quality of care and Emergency Management Services • Improve Primary Health Care • Improve Emergency Management Services • Ensure effective hospital revitalisation programme • Strengthen hospital governance (hospital boards)

24. Strengthen support services • Strengthen NHLS • Ensure availability of blood throughout SANBTS • Ensure quality and affordable medicines

25. Ensure adequately prepared and sufficient human resources for health • Develop and implement strategies to strengthen human resources for health • Implement the National Health Worker Policy Framework

26. Ensure adequate planning and budgeting at all levels (medium & long term) • Strengthen health system planning and budgeting • Strengthen use of information systems • Implement social health insurance

27. Ensure completion of legislative programme and implementation of legislation • Implement the National Health Act • Implement the Mental Health Act • Implement legislation to transform statutory councils • Implement key pieces of legislation

28. Strengthen relations within SADC and Africa in particular • Strengthen existing bilateral and multilateral relations • Strengthen SADC desk • Strengthen donor coordination

29. BUDGET BY BUDGET PROGRAMME

30. CONCLUSION (BY THE DG)