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MPUMALANGA PROVINCE

Explore the provincial healthcare budget highlights and strategic priorities for improved health services delivery in Mpumalanga. Key achievements, vision, mission, and priorities outlined.

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MPUMALANGA PROVINCE

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  1. MPUMALANGA PROVINCE DEPARTMENT OF HEALTH AND SOCIAL SERVICES BUDGET HEARING 5 APRIL 2005

  2. Mpumalanga Provincial team • MEC PE Pasha Member of Executive Council • Mr. HE Verachia Head of Department • Mr. R Mnisi Chief Financial Officer • Dr. K Michael Chief Director: Hospital Services • Ms. G Mathebula Chief Director: Primary Health Care

  3. Mpumalanga Provincial team • Mr. R Masilela PA to the MEC • Ms. P Rousseau PA to the HOD • Mr. J Mlangeni Deputy Director: Communications

  4. Strategic Priorities for the National Health System (2004 -2009) identified the following major elements: • Improve governance and management of the NHS • Promote healthy lifestyles • Contribute toward to human dignity by improving quality of care • Improve management of Communicable diseases and non-communicable illness

  5. Strengthen Primary Health Care, EMS and Hospital Services delivery systems • Strengthen support services • Human Resource planning, development and management • Planning, budgeting, monitoring and evaluation • Prepare and implement legislation • Strengthen international relations

  6. Key achievements for the Provincial Health Department 2004/2005 See handout

  7. Vision A developed society in which all people have equitable access to quality, humane and integrated health and social services

  8. Mission To provide and promote integrated quality health and social services in partnership with all stakeholders to ensure healthy lifestyles and reduce poverty in all communities in Mpumalanga.

  9. Values Equity Honesty Dignity Transparency Honesty Integrity Accessibility Value of money Information Human Rights Collective Accountability Efficiency and Effectiveness

  10. Provincial Priorities 1.Addressing Communicable Diseases including HIV and AIDS, TB and childhood illness such as pneumonia and other diarrhoea related diseases. Also to reaffirm the commitment to rollout the comprehensive HIV and AIDS plan. 2.Addressing Non-communicable Diseases including malnutrition, diseases of lifestyle, trauma and violence with special emphasis on strengthening of emergency medical services. 3.Developing human resources: the department is commited to putin place mechanisms to attract and retain scarce skills.

  11. Provincial Priorities 4.Infrastructure Improvement: this is in addition to the ongoing hospital revitalization programme. 5.Strengthen the Primary Health Care services as well as the development of the District Health System by ensuring funding shifts to PHC services. 6.Creating Partnerships and strengthening collaboration with all our stakeholders.

  12. Key priorities for the next 3 years

  13. Improve governance and management of the Provincial Health System

  14. Establishment of Hospital Boards and Clinic Committees according to the National Health Act, Act no 61 of 2003. • Training of Hospital Board and Clinic Committee members. • Appointment of CEO’s at all provincial hospitals. • Strengthen training for Hospital managers. • Implement Departmental Communication strategy

  15. Promote healthy lifestyles

  16. Community mobilisation to adopt healthy lifestyle practices through healthy eating habits and exercise. • Strengthen Health Promoting schools. • Strengthen Diabetes Awareness through expanding the Diabetes Support groups. • Strengthen the Household and Community component of IMCI.

  17. Contribute towards human dignity by improving quality of care

  18. Strengthen community participation through Imbizo’s, community meetings and community structures e.g. DOTS and HBC groups. • Support multi-sectoral Victim Empowerment Programme. • Conduct patient satisfaction surveys at health facilities. • Establish adverse event reporting systems at all hospitals. • Ongoing clinical audits in line with National benchmarks.

  19. Improve management of communicable diseases and non-communicable illness

  20. Empower Communicable Disease Control response teams. • Monitor immunization coverage for children under 1 year of age. • Empower health workers on the Integrated Management of Childhood Illnesses for children under 5 years. • Training of PHC nurses on early diagnosis and treatment of Malaria cases. • Accelerate the implementation of the Comprehensive plan for HIV and AIDS.

  21. Implement TB review recommendations including management of MDR TB • Strengthening of programmes on women and maternal health including screening for breast and cervical cancer.

  22. Strengthen Primary Health Care, EMS and Hospital Services delivery systems

  23. Improve access to PHC by constructing additional facilities and providing additional mobile services in prioritised areas. • Increase delivery of PHC package at all service delivery points. • Reduce response times for EMS in urban and rural areas. • Prepare business cases for one additional revitalisation project per annum, including a business case for a provincial tertiary facility.

  24. Strenghten Support services

  25. Implement a Health Technology Management System. • Monitor and strengthen radiation control in hospitals. • Monitor compliance with EDL guidelines. • Provision of a central Pharmaceutical Depot that complies with legislation.

  26. Human resource planning, development and management

  27. Strengthen and develop a fully functional Health Sciences College. • Monitor implementation of the Departmental Human Resource Plan. • Monitor implementation and impact of Departmental Retention strategy. • Engage responsibility managers on PMDS compliance.

  28. Planning, budgeting, monitoring and evaluation

  29. Monitor compliance with PFMA and supply chain management system. • Improve and strengthen the health information system and empower managers to utilise quality health information. • Establishment of monitoring and evaluation teams to monitor performance against set objectives and standards.

  30. Prepare and implement legislation

  31. Develop and promulgate a Provincial Health Act • Monitor compliance with the Mental Health Care Act, Pharmacy Act and National Health Act.

  32. Strenthen international relations

  33. Further develop the Lebombo Spatial Development Initiative, which is a collaborative programme between Swaziland, Mozambique and Mpumalanga in addressing communicable diseases in the region. • Jointly expand the collaborative project on health information systems with the Italian Corporation. • Develop and implement a doctor and specialist rotation system with the United Kingdom and Germany.

  34. Brief description of the Budget with Trends 2002/03 – 2007/08

  35. Budgetary Trends The Mpumalanga Province had a budget of 2002/3 the budget was R1,688 billion and for 2003/4 the budget was R2,152 billion. For 2004/2005 the budget allocated was R2,385 billion The department provides in addition to the population of the province, health care services to patients from neighboring countries of Swaziland and Mozambique

  36. Budgetary Trends • The Departmental expenditure per capita for 2004/2005 was R64,87 • The allocation for the health component represents 21,5% of the Provincial equitable share budget

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