PRESENTATION OF NATIONAL DEPARTMENT OF HEALTH STRATEGIC PLAN, 2004/05

1. PRESENTATION OF NATIONAL DEPARTMENT OF HEALTH STRATEGIC PLAN, 2004/05 25 MAY 2005

2. FLOW OF PRESENTATION • OVERVIEW (MS NTHARI MATSAU) • ACTIVITIES PER BUDGET PROGRAMME (DR YOGAN PILLAY) • BUDGET (MR GERRIT MULLER) • CONCLUDING REMARKS (MS NTHARI MATSAU) presentation to ad hoc comm on health. May 2004

3. OVERVIEW • HAVE THE BENEFIT OF 10 YEARS OF PLANNING HEALTH SERVICES • NEED TO BUILD ON THE ACHIEVEMENTS OF THE PAST 10 YEARS • MUST STREGTHEN AREAS THAT PRESENT CHALLEGES WITH RESPECT TO CORE PRINCIPLES LIKE EQUITY, ACCESS, QUALITY, SUSTAINABILITY, COMMUNITY PARTICIPATION presentation to ad hoc comm on health. May 2004

4. 10 POINT PLAN (1999-2004) • REORGANISATION OF SUPPORT SERVICES • LEGISLATIVE REFORM • IMPROVE QUALITY OF CARE • REVITALISATION OF HOSPITALS • SPEED UP DEVIVERY OF PHC SERVICES THROUGH THE DISTRICT HEALTH SYSTEM presentation to ad hoc comm on health. May 2004

5. 10 POINT PLAN • DECREASE MORBIDITY AND MORTALITY THROUGH STRATEGIC INTERVENTIONS • IMPROVE RESOURCE MOBILISATION AND MANAGEMENT OF RESOURCES • IMPROVE HEALTH HUMAN RESOURCE DEVELOPMENT & MANAGEMENT presentation to ad hoc comm on health. May 2004

6. 10 POINT PLAN • IMPROVE COMMUNICATION & CONSULTATION WITHIN THE HEALTH SYSTEM & BETWEEN THE HEALTH SYSTEM & COMMUNITIES • STRENGTHEN CO-OPERATION WITH OUR PARTNERS INTERNATIONALLY presentation to ad hoc comm on health. May 2004

7. SOME ACHIEVEMENTS • IMPROVEMENT IN IMMUNISATION COVERAGE FROM 63% IN 1998 TO 74% IN 2003 • NO DEATHS FROM MEASLES SINCE 1999 • IMPROVEMENT IN SURVEILLANCE: SHOULD BE DECLARED POLIO FREE IN 2005 & MAINTAINED STATUS WITH REGARD TO ELIMINATION OF NEONATAL TETANUS presentation to ad hoc comm on health. May 2004

8. SOME ACHIEVEMENTS • STRENGTHENED INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS STRATEGY – ONE HEALTH WORKER PER FACILITY THAT TREATS CHILDREN TRAINED IN IMCI • 2000 FACILITIES PROVIDE VCT • HIV PREVALANCE IN WOMEN UNDER 20 SHOWS STABLISATION • DECREASE IN YOUTH WHO ‘EVER SMOKED’ presentation to ad hoc comm on health. May 2004

9. SOME ACHIEVEMENTS • MALARIA CASES & DEATHS DECREASED: 1% CASE FATALITY (WHO TARGET REACHED) • 85-90% OF ESSENTIAL DRUG LIST DRUGS AVAILABLE IN IN PHC FACILITIES AT ANY TIME • WILL BE ABLE TO ELIMINATE BACKLOG IN ASSISTIVE DEVICES (WHEEL CHAIRS AND HEARING AIDS BY END OF FINANCIAL YEAR presentation to ad hoc comm on health. May 2004

10. SOME ACHIEVEMENTS • FURTHER EXPANSION OF COMMUNITY SERVICE • SCARCE AND RURAL ALLOWANCES • A RANGE OF PUBLIC-PRIVATE PARTNERSHIPS • SUCCESSFULLY COMMISSIONED INKOSI ALBERT LUTHULI & NELSON MANDELA COMPLEX presentation to ad hoc comm on health. May 2004

11. CHALLENGES • BURDEN OF DISEASE FROM BOTH COMMUNICABLE AND NON-COMMUNICABLE DISEASES • NON-NATURAL CAUSES OF DEATH • QUALITY OF CARE • RETENTION OF HEALTH HUMAN RESOURCES presentation to ad hoc comm on health. May 2004

12. CHALLENGES • RELATIONSHIP BETWEEN THE PUBLIC AND PRIVATE HEALTH SECTORS • IMPROVE HEALTH INFORMATION SYSTEMS & TARGETTED SUPPORT TO PROVINCES TO ENSURE IMPLEMENTATION OF POLICIES • COMMUNICATION WITH COMMUNITIES • FULFILLING SADC & NEPAD COMMITMENTS FULLY presentation to ad hoc comm on health. May 2004

13. FINANCING HEALTH SERVICES • SIGNIFICANT PROGRESS TOWARDS INTERPROVINCIAL EQUITY MADE SINCE1997/8 BUT EQUITY IN FINANCIAL ALLOCATION NOT ACHIEVED • THIS DOES NOT MEAN THAT HEALTH SERVICES ARE ADEQUATELY FUNDED • PER CAPITA FUNDING FOR PHC UNEVEN WITH SOME DISTRICTS SPENDING R300 PER PERSON PER YEAR AND OTHERS LESS THAN R50 presentation to ad hoc comm on health. May 2004

14. VISION OF THE NDOH • TO PLAY A ROLE IN SECURING A CARING & HUMANE SOCIETY IN WHICH ALL SOUTH AFRICANS HAVE ACCESS TO AFFORDABLE AND GOOD QUALITY HEALTH CARE presentation to ad hoc comm on health. May 2004

15. MISSION • TO BUILD ON OUR ACHIEVEMENTS IN IMPROVING ACCESS TO HEALTH CARE FOR ALL AND TO FOCUS ON REDUCING INEQUITIES IN HEALTH CARE, IMPROVINGTHE QUALITY OF CARE PROVIDED AT ALL LEVELS OF THE HEALTH CARE SYSTEM WITH INCREASES IN THE EFFICIENCY OF SERVICE DELIVERY presentation to ad hoc comm on health. May 2004

16. PROGRAMME 1: ADMINISTRATION • FUNDING FOR MINISTERIAL OFFICE AND MANAGEMENT • LEGISLATION • COMMUNICATION • STRATEGIC PLANNING • HEALTH FINANCE presentation to ad hoc comm on health. May 2004

17. LEGISLATION • IMPLEMENTATION OF THE NATIONAL HEALTH BILL ONCE ENACTED WITH REGULATIONS • PASSAGE AND IMPLEMENTATION OF THE TRADITIONAL HEALERS BILL • FINALISATION OF: NURSING BILL; TOBACCO PRODUCTS CONTROL AMENDMENT BILL; HEALTH PROFESSIONS AMENDMENT BILL; DENTAL TECHNICIANS AMENDMENT BILL; PHARMACY AMENDMENT BILL; ETC presentation to ad hoc comm on health. May 2004

18. COMMUNICATION • STRENGTHEN COMMUNICATION STRATEGY TO IMPROVE FLOW OF INFORMATION WITHIN THE HEALTH SYSTEM AND BETWEEN THE HEALTH SYSTEM AND STAKEHOLDERS • BRIEFINGS, MEETINGS, ARTICLES, RADIO, TV presentation to ad hoc comm on health. May 2004

19. STRATEGIC PLANNING • SUPPORT PROVINCIAL STRATEGIC PLANNING PROCESSES (3 AND 10 YEAR PLANS) • FACILITATE CLOSER LINKAGE BETWEEN PLANNING AND BUDGETTING PROCESS • COLLATE AND REPORT ON PROGRESS ON DELIVERY ON A QUARTERLY BASIS presentation to ad hoc comm on health. May 2004

20. HEALTH FINANCING • COST PACKAGES OF CARE FOR EACH LEVEL OF CARE • REPORT ON INTER-PROVINCIAL EQUITY IN RESOURCE ALLOCATION • ASSIST PROVINCES TO ESTABLISH MECHANISMS FOR REVENUE GENERATION • DEVELOP & IMPLEMENT SOCIAL HEALTH INSURANCE PROPOSALS presentation to ad hoc comm on health. May 2004

21. PROG 2: STRATEGIC HEALTH PROGRAMMES: DISTRICTS & DEVELOPMENT • FACILITATE FUNCTIONAL INTEGRATION IN EACH HEALTH DISTRICT • DEVELOP STRATEGIES TO IMPROVE SERVICE DELIVERY IN RURAL & URBAN NODES presentation to ad hoc comm on health. May 2004

22. IHL • STRENGTHEN EXISTING & EXPAND BILATERNAL & MULTI-LATERAL RELATIONS WITH KEY PARTNERS • STRENGTHEN EXISTING & EXPAND MULTI-LATERAL RELATIONS • STRENGTHEN DONOR CO-ORDINATION presentation to ad hoc comm on health. May 2004

23. HEALTH MONITORING & EVALUATION • STRENGHTEN THE NATIONAL HEALTH INFORMATION SYSTEM • STRENGTHEN THE HEALTH BROADCAST CHANNEL • CO-ORDINATE, SUPPORT & CONDUCT RESEARCH, MONITORING AND EVALUATION ACTIVITIES • STRENGTHEN THE DISEASE SURVEILLANCE SYSTEM presentation to ad hoc comm on health. May 2004

24. MATERNAL, CHILD & WOMEN’S HEALTH & NUTRITION • REDUCE INFANT, CHILD & YOUTH MORBIDITY & MORTALITY • IMPROVE YOUTH & ADOLESCENT HEALTH • REDUCE MATERNAL MORBIDITY & MORTALITY • IMPROVE SCHOOL HEALTH SERVICES presentation to ad hoc comm on health. May 2004

25. MENTAL HEALTH • STRENGTHEN INTEGRATION OF MENTAL HEALTH SERVICES INTO HEALTH SERVICES • IMPLEMENT STRATEGIES TO REDUCE SUBSTANCE ABUSE • IMPLEMENT THE MENTAL HEALTH CARE ACT • IMPROVE QUALITY OF CARE IN MENTAL HEALTH SERVICES presentation to ad hoc comm on health. May 2004

26. HIV & AIDS • IMPROVE STRATEGIES TO DEAL WITH THE HIV AND AIDS EPIDEMIC SUCH AS: • INCREASE VCT • INCREASE CONDOM USE • INCREASE FACILITIES OFFERING PMTCT • IMPLEMENT THE COMPREHENSIVE PLAN • EFFECTIVE USE & MANAGEMENT OF CONDITIONAL GRANTS presentation to ad hoc comm on health. May 2004

27. TB • ASSIST DISTRICTS TO DEVELOP SUPERVISION & MONITORING SYSTEMS FOR COMMUNITY DOTS • ENSURE IMPLEMENTATION OF DOTS STRATEY IN ALL DISTRICTS & IMPROVE THE QUALITY OF DOTS • ENSURE GOOD QUALITY TB LABORATORY SERVICES • SUPPORT PROVINCES TO DEVELOP PLANS TO REDUCE TREATMENT INTERRUPTION presentation to ad hoc comm on health. May 2004

28. QUALITY OF CARE • IMPLEMENT STRATEGIES TO IMPROVE QUALITY OF CARE • STRENGTHEN NATIONAL COMPLAINTS SYSTEM • DEVELOP NORMS & STANDARDS FOR EACH LEVEL OF CARE FOR THE PUBLIC • DEVELOP SAQA ACCREDITED COURSE ON QA • DEVELOP STANDARDS FOR REGIONAL HOSPITALS presentation to ad hoc comm on health. May 2004

29. PHARMACEUTICAL POLICY & PLANNING • IMPLEMENT STRATEGIES TO IMPROVE PHARMACEUTICAL PROCUREMENT, MANAGEMENT & USE • IMPLEMENT STRATEGIES TO STRENGTHEN FOOD CONTROL presentation to ad hoc comm on health. May 2004

30. MEDICINES REGULATORY AUTHORITY • STRENGTHEN MECHANISMS TO ENSURE SAFETY OF MEDICINES SUCH AS: • IMPROVE REGISTRATION SYSTEM • DEVELOP CENTRE FOR EXCELLENCE FOR GOOD MANUFACTURING PRACTICE FOR SADC & NEPAD presentation to ad hoc comm on health. May 2004

31. PROGRAMME 3: HEALTH SERVICE DELIVERY DISEASE PREVENTION & CONTROL • PREVENTION & CONTROL OF COMMUNICABLE DISEASES • EXPAND THE CATARACT SURGERY PROJECT • ELIMINATE BACKLOG IN ASSISTIVE DEVICES • EXPAND SERVICES IN NON-COMMUNICABLE CHRONIC DISEASES presentation to ad hoc comm on health. May 2004

32. DISEASE PREVENTION & CONTROL • STRENGTHEN PREVENTION OF INTENTIONAL & UNINTENTIONAL INJURIES • IMPROVE & EXPAND SUPPORT SERVICES SUCH AS BLOOD TRANSFUSION, LABORATORIES, SAPS MORTUARIES • IMPLEMENT WATER FLUORIDATION • IMPLEMENT THE NATIONAL ORAL HEALTH STRATEGY presentation to ad hoc comm on health. May 2004

33. HOSPITALS SERVICES & EMS • IMPLEMENT GUIDELINES FOR IMPROVED HOSPITAL PERFORMANCE • PLANNING & DESIGN GUIDELINES ADOPTED • AUTHORITY DELEGATED TO HOSPITAL MANAGERS • FACILITY & EQUIPMENT MAINTENANCE SYSTEMS IN PLACE presentation to ad hoc comm on health. May 2004

34. HOSPITALS SERVICES & EMS • HEALTH TECHNOLOGY POLICY ADOPTED • EMS SERVICES IMPROVED • DISASTER MANAGEMENT STRATEGIES STRENGTHENED • CONDITIONAL GRANTS FULLY & APPROPRIATELY USED presentation to ad hoc comm on health. May 2004

35. HUMAN RESOURCES • DEVELOP & IMPLEMENT STRATEGIES TO STRENGTHEN HUMAN RESOURCES FOR HEALTH, INCLUDING: • DEVELOP NATIONAL HR NORMS • STRENGTHEN HR PLANNING AT DISTRICT LEVEL • STRENGTHEN HR PLANNING AT PROVINCIAL LEVEL presentation to ad hoc comm on health. May 2004

36. HUMAN RESOURCES • SCOPES OF PRACTICE FOR MID LEVEL WORKERS • IMPLEMENT EXPANDED CHW PROGRAMME • ESTABLISH COUNCIL FOR TRADITIONAL HEALTH PRACTITIONERS • MONITOR AND REPORT ON NATIONAL RECRUITMENT & RETENTION STRATEGY • IMPLEMENT COMMUNITY SERVICE FOR NURSES presentation to ad hoc comm on health. May 2004

37. NON-PERSONAL HEALTH SERVICES • IMPROVE ENVIRONMENTAL HEALTH SERVICES • EXPAND OCCUPATIONAL HEALTH SERVICES • EXPAND HEALTH PROMOTION SERVICES (HEALTH PROMOTING SCHOOLS; PRIORITY HEALTH PROMOTION CAMPAIGNS) presentation to ad hoc comm on health. May 2004

38. HEALTH & WELFARE BARGAINING COUNCIL & INDUSTRIAL RELATIONS • IMPROVE MANAGEMENT OF EMPLOYEE RELATIONS • IMPROVE EMPLOYMENT EQUITY • IMPROVE WORKING CONDITIONS OF EMPLOYEES presentation to ad hoc comm on health. May 2004

39. BUDGET SLIDES • GO TO EXCEL presentation to ad hoc comm on health. May 2004

40. CONCLUSION: MINISTER’S COMMITTMENT • “AS WE ENTER THE SECOND DECADE OF OUR FREEDOM AND DEMOCRACY WE WILL PROVIDE THE LEADERSHIP NECESSARY TO DELIVER ON THIS STRATEGIC PLAN SO THAT ALL THOSE WHO LIVE IN SOUTH AFRICA WILL HAVE ACCESS TO AFFORDABLE AND HIGH QUALITY HEALTH CARE” presentation to ad hoc comm on health. May 2004